Erectile Dysfunction (ED) treatment in Guwahati

• What medications do you use, whether they be prescribed or over-the-counter?
• Are you a drug user?
• Did you know that smoking is bad for you?
• How frequently do you imbibe?
• Have you ever undergone pelvic radiation therapy or surgery?
• To what extent are you experiencing urinary issues?
• Do you have any other health conditions, whether they are currently being treated or not?

Sharing your ED history with your doctor will help them determine whether your issues stem from a lack of libido, dysfunctional erections, a lack of ejaculation, or an inability to have an orgasmic climax (climax). It’s possible that some of these inquiries will feel intrusive or even humiliating. If you’re worried, know that your doctor is a trained expert who will utilise your responses to determine the root of the problem and the most effective course of therapy.

• When did your symptoms first begin? Did they start gradually or all at once?
• Do you experience morning erections?
• How strong are your erections? Are they difficult to maintain?
• Do your erections vary depending on the situation, such as with a partner, during oral stimulation, or while masturbating?
• Is your sex drive or arousal low?
• Do you have difficulty ejaculating or reaching climax?
• How significantly is this issue affecting your sex life?
• Do you experience discomfort or pain when trying to get or maintain an erection?
• Do you notice any lumps or bumps on your penis? Is there any curvature in your penis?

These are symptoms of Peyronie’s disease, which can be cured but should be evaluated and managed by a urologist.

If you suffer from depression or anxiety, your doctor may want to know about it. Possibly, he or she will inquire as to the state of your romantic partnership. Your doctor may ask if it is alright to speak with your partner about your condition.

• Do you frequently experience high levels of stress, or has something recently caused you distress?
• Have you ever struggled with mental health issues like anxiety, depression, or any other conditions?
• Are you taking any drugs for your mental health right now?
• How happy are you with your sex life right now? Have things changed recently?
• How would you describe your relationship with your significant other? Is there anything new to report?

A thorough health assessment can be conducted during a physical exam. It is standard practice to examine the male genitalia (penis and testicles) to check for signs of erectile dysfunction. Depending on your age and risk factors, the exam may also focus on the cardiovascular system, including the heart, peripheral pulses, and blood pressure. Based on your age and family history, your doctor might perform a rectal exam to check the prostate. These tests are typically painless. Most individuals do not need extensive testing to begin treatment.

To rule out underlying health issues, your doctor may order blood tests and request a urine sample.

Healthcare professionals often use questionnaires to assess various aspects of sexual health, including erection initiation and maintenance, sexual satisfaction, and any orgasmic issues.

In order to better direct treatment or reevaluate you after a failed treatment, specialist testing may be necessary for some men with ED.

• A test of testosterone and other male hormones in the blood
• To check blood glucose levels (for diabetes), a blood sample is drawn.
• A penile Doppler ultrasound is used to monitor blood flow.
• A vascular stimulant may be injected directly into the penis to induce an erection.
• Pelvic x-rays, such as arteriography, MRI, or CT scans, are rarely used to examine erectile dysfunction unless there is a history of trauma or cancer.
• The nighttime test for sleep erection, known as nocturnal penile tumescence (NPT),