A first appointment should last between 45 and 60 minutes, and will include the following:
Your physician will take a thorough medical history in order to place your erectile dysfunction within a medical context. He will also take a full sexual history. This may include questions such as:
- How long have you had the erectile dysfunction?
- What happens when you try to have intercourse?
- Do you have decreased rigidity?
- Do you have difficulty maintaining your erection?
- At what point do you lose your erection?
- Do you wake up at any point with an erection?
- How rigid are the nocturnal erections?
- What is your sexual interest level (libido) like?
- Does your penis have a curve, bend, or twist in it when it is rigid?
- Is your ejaculation normal?
- Is ejaculation early (premature) or delayed?
- What is the status of your relationship?
- How is the relationship going?
- How is your erectile dysfunction affecting the relationship?
Your physician will explain to you how erections work (in terms that you will understand). He will explain why yours may not be working.
We will also ask you about your sexual partner’s function. If your female partner is experiencing sexual issues, our on-site women’s center (Maze Women’s Sexual Health) may be able to help.
Are you suffering from symptoms of depression?
Do you have a high likelihood of sleep apnea, meaning you are not getting enough oxygen while you sleep? This can cause tiredness, lack of mental focus, and have significant implications for your health. If indicated, we may suggest you do an overnight sleep test with a machine you bring home.
Risk Factors for Osteoporosis
If you have an increased risk for decreased bone density, we will suggest a simple in-office screen for bone density.
Exercise and Diet
We will evaluate this with you, and make suggestions or referrals to nutritionists and/or trainers if appropriate.
Your physician will perform a focused physical examination on your penis and testes. In general, you should have a regular (general) physical examination either before or after your appointment.
Your physician will usually measure the threshold for perceiving vibration of your penis (biothesiometry) as well as perform specialized testing to assess the function of your penis. This may include:
- A Rigi-scan to measure the quantity and quality of your nighttime erections.
- An ultrasound to measure the blood flow through the penis.
- A blood test are also done to measure hormone, cholesterol, and glucose status.
Once your physician has completed your evaluation, he will review treatment options with you. He will consider these options in light of the history, physical, and specialized testing that has been performed, and of course what preferences you have stated.