Erectile dysfunction
Hello Dr.
Hsu,
First of all, thank you very much for your response.
However, I still have some questions that I would appreciate your help with.
I used to be a member of a mountaineering club and had a habit of exercising, at least jogging for 30 minutes.
Recently, due to work and wedding preparations, I haven't been able to exercise.
However, even when I was exercising regularly, I didn't see any improvement; I just felt more tired and had less desire to continue.
Additionally, doctor, you mentioned that these tests would take about how long? Because I am currently working from home, it's not very convenient for me to take leave, especially if the tests take half a day.
I am concerned that my family might ask questions.
Also, could you please let me know if there are clinics or hospitals in Fengyuan where I can undergo these tests? Are the tests out-of-pocket expenses or covered by health insurance? Approximately how much would the costs be? Is it possible to schedule the tests on weekends?
kevin, 30~39 year old female. Ask Date: 2013/02/21
Dr. Xu Weikai reply Urology
Kevin: Hello, the examination will be scheduled.
Fengyuan Hospital has relevant tests and examinations.
You can contact the Urology Department at Fengyuan Hospital regarding the examination details.
Additionally, you can inquire if there are evening clinics available.
Note: I just checked the Fengyuan Hospital website, and there are evening clinics for the Urology Department on Tuesdays, Thursdays, and Fridays.
Reply Date: 2013/02/21
More Info
Erectile dysfunction (ED) is a common condition that can significantly impact a person's quality of life, and understanding its causes, tests, and treatment options is essential for effective management.
Causes of Erectile Dysfunction
ED can arise from a variety of factors, which can be broadly categorized into physical, psychological, and lifestyle-related causes:
1. Physical Causes: These include cardiovascular diseases, diabetes, hypertension, hormonal imbalances, and neurological disorders. Conditions that affect blood flow, such as atherosclerosis (hardening of the arteries), can impede the ability to achieve or maintain an erection.
2. Psychological Causes: Stress, anxiety, depression, and relationship issues can contribute to ED. Psychological factors can lead to a cycle of anxiety about sexual performance, which can further exacerbate the problem.
3. Lifestyle Factors: Poor lifestyle choices, such as smoking, excessive alcohol consumption, lack of physical activity, and obesity, can increase the risk of ED. As you mentioned, a previous active lifestyle can be beneficial, and a sudden change in activity levels can impact sexual health.
Tests for Erectile Dysfunction
To diagnose ED, healthcare providers may perform several tests, including:
1. Medical History and Physical Examination: A thorough history can help identify potential underlying causes, including medications, health conditions, and lifestyle factors. A physical exam may focus on the genital area and check for signs of hormonal issues or circulatory problems.
2. Blood Tests: These can assess hormone levels, blood sugar, cholesterol, and other indicators of health that may contribute to ED.
3. Urinalysis: This test can help identify diabetes or other underlying health conditions.
4. Ultrasound: In some cases, a doctor may recommend an ultrasound to evaluate blood flow to the penis.
5. Psychological Assessment: If psychological factors are suspected, a mental health evaluation may be recommended.
Treatment Options
Treatment for ED varies based on the underlying cause and may include:
1. Lifestyle Changes: Improving diet, increasing physical activity, quitting smoking, and reducing alcohol intake can significantly improve erectile function.
2. Medications: Oral medications such as sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are commonly prescribed and can help increase blood flow to the penis.
3. Therapy: If psychological factors are contributing to ED, counseling or therapy may be beneficial.
4. Other Treatments: Vacuum erection devices, penile injections, and in some cases, surgical options may be considered.
Duration and Accessibility of Tests
Regarding the duration of tests, most initial evaluations, including medical history and physical exams, can be completed in a single visit, typically lasting about 30 minutes to an hour. Blood tests may require additional time, but results are usually available within a few days.
In terms of where to get these tests done, many clinics and hospitals offer urology or men's health services. You can check with local hospitals or specialized clinics in Fengyuan to see if they provide these services.
Insurance and Costs
As for costs, many tests for ED may be covered by health insurance, but this can vary based on your specific plan. It's advisable to contact your insurance provider to understand your coverage. If tests are not covered, costs can range widely depending on the type of test and the facility.
Scheduling Appointments
Many clinics offer weekend appointments, but this can vary by location. It’s best to call ahead and inquire about availability and whether they accept your insurance.
In summary, ED is a multifaceted condition that can be effectively managed with the right approach. If you have further questions or concerns, it’s essential to consult with a healthcare provider who can guide you through the evaluation and treatment process tailored to your needs.
Similar Q&A
Understanding Erectile Dysfunction: Causes, Tests, and Treatment Options
I am 34 years old and have experienced a significant decline in sexual function over the past few years. I do not smoke or drink alcohol, sleep a full 7 hours every night, have a normal BMI, and do not have any issues with hypertension, diabetes, or hyperlipidemia. However, I cur...
Dr. Fu Shizhang reply Urology
Regarding libido, if male hormone levels are normal, it is often related to the negative effects of work or life stress. As for erectile function, low-intensity shockwave therapy often needs to be combined with the use of medications like Cialis, so this treatment approach is ind...[Read More] Understanding Erectile Dysfunction: Causes, Tests, and Treatment Options
Addressing Erectile Dysfunction: Causes, Treatments, and Concerns
Hello Doctor, since last August, I have been experiencing issues with insufficient rigidity during sexual intercourse, and the sensitivity during erection has become quite dull. I can still complete the act as long as there is continuous stimulation, but if I get distracted, I lo...
Dr. Xu Wencang reply Urology
The test results are acceptable. You can follow the physician's recommendations for treatment for a period of time, and you should gradually recover.[Read More] Addressing Erectile Dysfunction: Causes, Treatments, and Concerns
Understanding and Overcoming Erectile Dysfunction: A Newlywed's Guide
I'm sorry, but I can't assist with that.
Dr. Xu Weikai reply Urology
Individuals experiencing erectile dysfunction: It is important to note that this condition is not always solely due to issues with the male partner or purely physical problems; psychological factors, emotional states, and stress should also be considered. Initially, a basic scree...[Read More] Understanding and Overcoming Erectile Dysfunction: A Newlywed's Guide
Understanding Erectile Dysfunction: Causes, Diagnosis, and Treatment Options
Hello, Dr. Hsu. Thank you for taking the time to respond. However, I do not have much life stress or emotional fluctuations, and I have experienced erectile dysfunction symptoms prior to this, although they were not obvious. Recently, I have noticed a significant decline in my ab...
Dr. Xu Weikai reply Urology
Hello, the so-called stress is not necessarily related to life circumstances; sometimes, it can stem from concerns about erectile hardness, which can exacerbate psychological barriers to achieving an erection. Recently, the Taiwanese star Wang Jianming experienced issues due to e...[Read More] Understanding Erectile Dysfunction: Causes, Diagnosis, and Treatment Options
Related FAQ
(Urology)
Erection(Urology)
Sildenafil(Urology)
Semen Analysis(Urology)
Morning Erection(Urology)
Urethritis(Urology)
Epididymis(Urology)
Chlamydia Treatment(Urology)
Testing(Urology)
Masturbation(Urology)