Your Fitzwilliam Private Clinic doctor will look at your medical and sexual history. This will help identify if any previous diseases might have led to ED or if there have been any problems with sexual desire, erection, ejaculation or orgasm.
Some prescription or other drugs might be a chemical cause (drug effects account for 25 per cent of cases). A physical examination can give clues to problems in your nervous system, for example. There might be hormonal or circulatory problems that we can quickly identify and begin to treat.
Sometimes we will do laboratory tests to check for systemic diseases, including blood counts, urinalysis, lipid profile and measurements of creatinine, liver enzymes and free hormones.
Sometimes we will monitor erections that occur during sleep to help rule out certain psychological causes. Healthy men have 4 or 5 involuntary erections a night during sleep lasting 20 to 40 minutes each.
Make an appointment or call us on (01) 662 9777 and we’ll arrange for your diagnosis as quickly as we can.
It’s very important to realise that ED can become worse the longer you leave it untreated. We often find that what starts as a small setback can really affect your quality of life because it plays on your mind which, in turn, further affects erections and you’re caught in a vicious circle.
Treatment can be on a number of levels, depending on the causes and severity of the problem, and is tailored to your specific case. This is why accuracy of diagnosis is so important.
Treating ED can be as simple as making a few healthy lifestyle changes such as quitting smoking, losing excess weight, reducing alcohol or getting more exercise.
The next thing to consider is oral or locally injected medications and possibly hormone replacement.
In very resistant cases, we will consider vacuum devices and surgically implanted devices.
If it becomes clear that the underlying causes might be emotional or relationship problems we will arrange for an excellent counselling referral.