The doctor’s talk

Doctor's consultation for erectile dysfunction

Many a man who has potency problems postpones the visit to the doctor for fear of unpleasant examinations and embarrassing questions. But there is no reason for this: In most cases, simple and painless methods are sufficient to diagnose erectile dysfunction. In most cases, erectile dysfunction can be successfully treated.

But most of those affected shy away from a visit to the doctor out of shame and do not dare to address sexual disorders.

For many men, the problems start when they call the practice. What should a man with erectile dysfunction respond when the receptionist asks: "And what is it about?" And how will the doctor react?

Potency problems: how do I tell my doctor?

There are certainly very few men who can tell free of the liver where the shoe is pressing in the case of erectile dysfunction. It is perfectly legitimate to ask for a counseling interview the first time you call or register at the practice, or to indicate other, more harmless complaints. A professional doctor will not resent the patient's white lie.

Some patients may find the conversation about their potency problems uncomfortable. But you should keep in mind: the more honest the answers, the easier it is for the doctor to make the diagnosis and thus the therapy. The thought of medical confidentiality can also frighten the conversation away. The practice team is also trained by a good doctor and will handle the special problems of the patient discreetly and sensitively.

It is also reassuring to know that it is part of the daily routine of a urologist or family doctor to talk to their patients about sexual problems.

Why visiting a doctor for potency problems is important

Few sufferers know that an erectile dysfunction often hides physical causes such as diabetes, high blood pressure (hypertension), fat metabolism disorders or even diseases of the coronary arteries. If the person concerned postpones the visit to the doctor more and more, in some cases these underlying diseases remain undetected for years. High blood pressure and fat metabolism disorders are often only discovered when they have already severely damaged the vessels.

Sexual disorders strain the psyche and partnership

But not only physical health is at stake: self-esteem also suffers considerably. If the man postpones the treatment of an erectile dysfunction, the feeling of failure solidifies. He gets into a vicious cycle: the erection does not come because he is insecure and no longer believes that he can still sleep with his partner. Not having a man treated for erectile dysfunction can even cause serious mental disorders such as depression and alcohol abuse. Psychosomatic complaints from skin problems to stomach complaints are also possible. Last but not least, the erectile dysfunction also leads to problems in the partnership.

To avoid unnecessary suffering, a visit to the doctor should never be postponed. Finally, an erectile dysfunction can be treated well and any underlying illnesses can be recognized early.

Questions from the doctor about erectile dysfunction

The doctor will gently start an anamnesis conversation with a patient with erectile dysfunction and say, "We don't know each other, but we need to discuss a few things now that you might not even tell your best friend."

In addition to questions about previous illnesses, operations, physical condition, medication taken and the circumstances of life, the urologist or family doctor will initially ask many intimate questions in order to be able to correctly classify the symptoms. The answers give him, among other things, information about whether the potency problems are physical or rather psychological. For example, the doctor will ask:

  • Is your partnership intact?
  • Do you have erections at night or in the morning?
  • Are there any problems with masturbating?
  • Do you often feel depressed?
  • What about libido?
  • How long have you been suffering from potency problems?
  • When did the symptoms first appear?
  • Did the erectile dysfunction start suddenly or gradually?
  • Are there certain situations in which the faults occur particularly frequently?

However, if the doctor encounters the patient's problem with little sovereignty and responds to his comments, you should definitely look for another contact person. Such a reaction shows that the doctor is not up to the problem and may not be able to offer much help with erectile dysfunction.

Find physical reasons for impotence

A comprehensive diagnosis of erectile dysfunction does not only include questions about sexuality. Vascular diseases like arteriosclerosis are the most common cause of erectile dysfunction. Therefore, the doctor will inquire about symptoms such as high blood pressure, rapid heartbeat, heart stumbling and other cardiovascular problems. Pain in the urinary tract or problems with urination are also important for a thorough diagnosis.

Physical examination

In addition to the detailed discussion, a physical examination is also needed to diagnose the potency problems. Men who go to preventive check-ups regularly know them: the doctor inserts a finger into the rectum and feels whether the prostate is enlarged. He will also scan the abdominal organs, flanks, groins and genitals to identify possible adhesions or abnormal structures.

It may be that hardening of the penis appears during this examination. This induratio penis plastica, as doctors call it, can also be the cause of the potency problems. It's not that rare these days.

Blood tests can indicate diabetes or heart disease

Diagnosis also includes the determination of various blood values. For example, if there are deviations in cholesterol and other blood lipids, this can also be an indication of a cardiovascular disease.

The blood sugar level is also of great interest. Because a beginning or already manifest diabetes is often responsible for the potency problems: In up to 30 percent of all patients who visit the doctor for erectile dysfunction – also called erectile dysfunction – it turns out that they suffer from diabetes. If a urologist suspects that the potency problems are related to diabetes or cardiovascular disease, he will always refer the patient to an internist or cardiologist. Because erectile dysfunction can only be successfully treated if the underlying disease is also treated.

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