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Symptoms » Impotence » Diagnostic Tests
 

Diagnostic Tests for Impotence

Diagnostic Test list for Impotence:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Impotence includes:

  • Physical examination
    • Blood pressure
    • Palpate peripheral pulses (to determine if there are abnormalities to the blood supply)
    • Test nerve function by testing reflexes and sensation
    • Genital examination looking for evidence Peyronie's disease and checking size, shape and consistency of the testicles and penis
    • Digital rectal examination to assess prostate size, consistency and tenderness
    • Examine for the loss of secondary sexual characteristics - may suggest Klinefelter's syndrome.
  • Mental state examination (to help detect depression, anxiety and other psychiatric diagnoses) - including appearance, behavior, rate and continuity of speech, mood, affect, thought content, evidence of any hallucinations or abnormal beliefs, orientation to time, place and person, attention and concentration, short-term memory, insight and judgement.
  • Blood tests
    • Blood lipid levels including cholesterol and triglycerides (looking for vascular disease)
    • Fasting blood sugar (looking for diabetes)
    • Liver function (looking for drug or alcohol problem)
    • Iron studies (looking for hemochromatosis)
    • Electrolytes and renal function
    • Thyroid function tests
    • Total testosterone and DHEA-S levels (for libido)
    • If testosterone is low, test FSH, LH and prolactin levels
    • Prostate specific antigen (PSA) levels
  • Urine tests
    • Urine microscopy and culture
    • Urine drug screen, if indicated
  • Radiological investigations
    • Transrectal ultrasound, if suspect prostate cancer
    • MRI spine, if suspect multiple sclerosis and other spinal cord lesions
  • Nocturnal tumescent study - an electronic computerized test to detect and measure penile erections during sleep. It acts as a guide to differentiate between psychological cause (normal studies) and organic physical cause (poor function).
  • Nerve conduction studies may be required to rule out diabetic neuropathy as a cause of sexual dysfunction
  • Electrophysiological tests such as visual-evoked response (VER) - may be required to diagnose Multiple sclerosis.
  • Physical exam
  • Blood counts
  • Urinalysis
  • Lipid profile
  • Creatinine test
  • Liver enzymes test
  • Testosterone level
  • Monitoring nocturnal penile tumescence
  • Psychosocial examination

Home Diagnostic Testing

These home medical tests may be relevant to Impotence causes:


 » Next page: Glossary

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