Erectile dysfunction diagnosis

Why can’t I get an erection?

Generally, only a physical exam and your medical history are needed for your healthcare provider to diagnose and suggest treatment for erectile dysfunction. However, because of ED’s strong correlation^[21] with metabolic syndrome and cardiovascular disease, some patients may require a cardiac assessment to determine whether an underlying health problem is causing erectile dysfunction. The most commonly used method^[22] of determining the severity of erectile dysfunction is the International Index of Erectile Function. This abridged 5-item questionnaire (IIEF-5) was developed to monitor the success of treatments for ED. The IIEF-5’s describes the severity^[23] of erectile dysfunction according to the following scores:

• 1–7: severe erectile dysfunction
• 8–11: moderate ED
• 12–16: mild to moderate ED
• 17–21: mild ED
• 22–25: no ED

If an underlying condition is suspected, you may need to undergo further testing. You may also be referred to a specialist. Some tests^[24] used to determine what underlying conditions might be contributing to erectile dysfunction include:

• Blood tests: Analyzing a sample of your blood can help determine whether you have signs of cardiac or cardiovascular disease, diabetes, low levels of testosterone, or other related conditions.
• Urinalysis: Urinalysis, or urine testing, is also used to find indicators of diabetes and other health conditions.
• Ultrasound: Using an ultrasound to diagnose ED involves using a wand-like tool called a transducer to take video images of the blood vessels in the penis. This can help a provider or specialist determine whether you have problems with blood flow.
• Psychological exam: Your provider may ask you questions about your mental health and well-being to screen for the possibility of psychological causes of erectile dysfunction.

Erectile dysfunction often indicates the presence of cardiovascular problems. Because of this, it can serve as a warning sign of your risk for cardiovascular disease. If you suspect that you may have erectile dysfunction, talk to your healthcare provider to get the proper diagnosis and treatment.