What are the ways to check male erectile dysfunction? There are three ways to check male erectile dysfunction

1. Because the sexual ability of the patient involves marital problems, listen patiently to the patient's statement of sexual ability judgment. Some patients are difficult to express, and can also fill in a written or form. The main contents should include: ① the inducement, duration and severity of erectile dysfunction; ② Whether erection can be achieved by night, morning awakening, masturbation and visual stimulation; ③ Whether the change of sexual intercourse position affects the erection hardness; ④ Changes in sexual desire and ejaculation; ⑤ Psychological and mental trauma occurs in society and family; ⑥ Whether there is a history of chronic disease, drug use and surgical trauma; ⑦ History of smoking, alcohol abuse and drug abuse.

The data obtained from the medical history can have a preliminary impression on the recognition of psychological or organic erectile dysfunction. Mental erectile dysfunction is common in young and middle-aged people, with a history of mental and psychological trauma, manifested as sudden, intermittent or environmental erectile dysfunction, normal erectile dysfunction can occur at night or masturbation, no change in sexual desire and ejaculation function, no trauma, surgery, chronic disease or long-term drug history.

2. The physical examination should carry out a comprehensive and systematic examination of each patient, focusing on the development of the reproductive system and secondary sexual characteristics, as well as the examination of cardiovascular and nervous systems. Abnormal development of the reproductive system and secondary sexual signs usually indicates endocrine erectile dysfunction caused by primary or secondary hypogonadism and pituitary lesions. The dorsalis pedis artery is unclear or the bulbocavernous muscle reflex disappears, and the perineal sensory retardation indicates the possibility of vascular or nerve erectile dysfunction.

3. Laboratory examination of blood and urine routine and liver and kidney function is screening examination, focusing on the following:

Blood sugar and urine sugar: diabetes often causes vascular and nerve damage, and about 1/2 of diabetes patients have erectile dysfunction complications. If necessary, glucose tolerance test should be carried out to find hidden diabetes patients.

4. Special inspection [NextPage]

(1) Psychopsychological test: Many Minnesota Personality Inventory (MMPI) and Derogatis Sexual Function Inventory have reference value in the identification of qualitative erectile dysfunction, but cannot be used as an important basis.

⑵ nocturnal penile tumescence test (NPT): In 1970, Karacan first used the physiological phenomenon of penile erection at night to identify psychological and organic fistula. This test is not affected by psychological factors and can more objectively reflect the penile erectile function. Normal people have erections 4 to 6 times a night, lasting 25 to 40 minutes. (rigidscan) The monitoring hardness is 65%~70%, but there are still 15%~20% false negative.