Erectile Dysfunction

What is erectile dysfunction?

ED is the inability to have an adequate erection.

What is necessary to have an erection?

To achieve an adequate erection, blood has to flow into the penis. There are two rod-like tubes inside the penis. Blood flow reduces with inadequate stimulation, as men get older, in the presence of diabetes mellitus, heart disease or other medical problems

How do andrologists assess erection? 

We use the erection hardness scale for assessing erection. Please have a look at the image and video given below.

What are the tests done in erectile dysfunction?


Detailed History
and Examination
  • Comorbidities like diabetes mellitus, dyslipidemia, heart disease, etc 
  • Personal habits like smoking, tobacco use, etc. 
  • Past surgeries
  • Office sildenafil test
  • Sugar ± HbA1C
  • Cholesterol
  • Testosterone check if needed
  • Other tests as indicated ECG ECHO, etc