Erectile Dysfunction Diagnosis and Treatment

Specialist Evaluation and Recommendations

• Mental Health Professionals, such as psychotherapists with expertise in sexual health, should be considered for cases with psychological components or to help with treatment adherence, as recommended by the American Urological Association 1, 2
• A comprehensive medical history, including onset of symptoms, severity, situational factors, and presence of morning/nocturnal erections, is essential for erectile dysfunction diagnosis, according to the European Association of Urology 3
• Sexual and psychosocial history should be taken to identify psychological factors such as depression, anxiety, or relationship issues, as suggested by the American Urological Association 4
• Laboratory testing, particularly morning serum total testosterone levels, should be measured in all men with erectile dysfunction, as recommended by the European Association of Urology 5
• First-line treatments, including FDA-approved oral PDE5 inhibitors, should be offered with proper dosing instructions and titration, as recommended by the American Urological Association 6
• Psychosexual counseling can help address psychological factors, reduce performance anxiety, and improve treatment integration into relationships, according to the American Urological Association 1
• Erectile dysfunction can be a marker for underlying cardiovascular disease and other health conditions that warrant evaluation, as suggested by the American Heart Association 1
• Specialists can identify and address "curable" causes of erectile dysfunction and recommend appropriate lifestyle modifications, as recommended by the European Association of Urology 5