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About Erectile Disfunction
Erectile Function Tests
Tests that assess erectile function examine the blood vessels, nerves, muscles, and other tissues of the penis and pelvic region.
Urinalysis
Urine is analyzed for protein (albumin), sugar (glucose), and hormone (testosterone) levels. This may indicate diabetes mellitus, kidney dysfunction or testosterone deficiency.
Blood Tests
A blood test may reveal any one of a number of conditions that may be a cause of /erectile dysfunction. These tests measure hormone levels, cholesterol, blood sugar, liver and kidney function and thyroid function.
Establishing your levels of testosterone is also important. Excess prolactin can lower testosterone levels which in turn can lower libido. If the tests reveal anything suspect an endocrinologist should be consulted.
Complete Blood Count
A complete blood count of red and white cells is used to evaluate the presence of anemia. The symptoms of anemia are fatigue and general malaise. The level of blood lipids (fats) such as cholesterol and triglycerides may indicate arteriosclerosis. This can reduce blood flow to the penis.
Liver and kidney function tests
Liver and kidney diseases can create horomonal imbalances. The blood tests for liver function involve the analysis of enzyme and serum creatinine levels. These indicate kidney efficiency.
Thyroid function tests
Thyroid hormones regulate your metabolism and the production of sex hormones. If you have a deficiency it may be contributing to /erectile dysfunction.
Duplex ultrasound tests
Duplex ultrasound is used to evaluate blood flow, whether you have a venous leak, signs of artherosclerosis and scarring or calcification of erectile tissue. Prostaglandin is injected. It is a hormone-like stimulator produced in the body. This induces an erection. Ultrasound is then used to look at vascular dilation and to measure penile blood pressure. Measurements are then compared to those taken when the penis is flaccid.
Prostate examination tests
Tests will be conducted to see if your prostate is enlarged. This can be done by a digital rectal examination. An enlarged prostate can interfere with blood flow and nerve impulses in the penis.
Penile biothesiometry test
Electromagnetic vibration is used to evaluate sensitivity and nerve function in the glands and shaft of the penis. A lack of sensitivity to this vibration may indicate nerve damage in the pelvic area. This can cause .
Vasoactive injection test
When injected into the penis, certain solutions can cause an erection by dilating blood vessels in erectile tissue. These erections are not long lasting. During this procedure, penile pressure is measured and x-rays may be taken of the penile blood vessels using a special dye (contrast agent).
Penile nerve function test Tests such as the bulbocavernosus reflex test are used to determine the levels of nerve sensation in the penis. The physician squeezes the glans (head) of the penis. This should cause the anus to contract immediately if nerve function is normal. The physician measures the latency between the squeeze and contraction by either observing the anal sphincter or by inserting a gloved finger past the anus. Nerve tests such as this are used in patients with suspected nerve damage as a result of diabetes or nerve disease. :: 
