Where can help be found?Note:
When a man has erectile dysfunction he should have
a face to face assessment with his local doctor, whether or not he wants to have sex. |
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It is important to talk openly to a doctor about any problems with sexual functioning. This may be difficult for both the man and the doctor, but most doctors are trained to deal with these problems or can recommend a referral to a specialist.
Whilst the Internet is an important source of information, not all men can sort out which resources are safe and reliable. Ordering treatments on the Internet without a correct assessment is dangerous.
Unfortunately, there are some clinics which take advantage of men with erectile dysfunction, providing services which are not suitable, often at increased prices. The local doctor is the best first point of contact for any man with erectile problems.  Back to top
When should help be sought?Many men have episodes of erectile dysfunction that may be short term. These often relate to stress, anxiety or a temporary illness. Normal sexual function returns once these problems disappear.
If erectile problems continue, or if men are concerned about any other aspect of their health, speaking to a doctor is important. Back to top
What will the doctor do?Note:
Your local doctor is the best place to ask any questions you may have about erectile problems. |
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What will the doctor do? At first, the doctor will need to talk to you to find out more about the problem. It is a good idea for you to see the doctor with your partner, if possible. Outcomes can be more successful if you both understand the problem and agree from the beginning how to treat the erectile dysfunction.
After taking a history of sexual function and general medical factors, the doctor will do a physical examination that may include checking the penis and testes. In older men who may have prostate problems, a physical review may include a digital rectal examination (DRE). A DRE is a physical examination where the doctor places a gloved fi nger into the rectum (back passage) to check the size and shape of the prostate.
When the examination is finished, the doctor will make a plan of action. Attention will first focus on understanding and treating any underlying medical problems. If a return of sexual activity is desired, the doctor can discuss treatment options in more detail.
 More information: Help For Partners
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What tests are usually done?Blood tests are often taken to check glucose (sugar levels) for diabetes, cholesterol and testosterone levels.
Other tests may be done depending on the outcome of the assessment by the doctor. More sophisticated tests such as tests on nerves and arteries are not usually needed, as the results do not often change the treatment. Back to top
Will a specialist referral be needed?Note:
It is important to involve partners in the treatment
process for erectile dysfunction where possible. |
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Often the local doctor can treat erectile problems without the need to refer to a specialist. Local doctors are able to prescribe medicines to treat erectile dysfunction.
A good relationship with the doctor is important as treatment for erectile dysfunction may be ongoing and need regular review. However, if the problem is a complex one, a referral to a specialist may be given.
Which specialists is the doctor likely to refer to?
- An endocrinologist
Men with hormonal or metabolic disorders such as diabetes may need to see an endocrinologist - specialist who manages these problems.
- A urologist
If surgery is needed, or if there are other urological problems linked with the erectile problem, a referral to a urologist may be needed.
- A counsellor
Sometimes referral to a counsellor for psychological support is needed as part of the treatment.
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