A first appointment should last between 45 and 60 minutes.
It should include:
History: The 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 it 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.
Physical Examination: 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.
Evaluation: Your physician will usually measure the threshold for perceiving vibration of your penis (biothesiometry). Depending on your situation, he may perform specialized testing to assess the function of your penis. This may include:
- An ultrasound to measure the blood flow through the penis.
- A Rigi-scan to measure the quantity and quality of your nighttime erections.
- A blood test to measure your hormone levels.
Once your physician has completed your evaluation, he will review impotence treatment options with you.