What tests are needed to diagnose erectile dysfunction?

Patient's question:

Recently experiencing premature ejaculation and excessive sexual activity. The penis is not erect. Is it possible I have erectile dysfunction? What tests are required for a definitive diagnosis of erectile dysfunction?

Doctor's answer:

Please check for premature ejaculation by the following points:
1. Careful examination and laboratory tests: blood and urine tests, fasting blood glucose, high-density and low-density lipoprotein, and liver and kidney function tests.
2. Hormone measurements: including serum testosterone, luteinizing hormone, follicle-stimulating hormone, and prolactin. If there is suspicion of testosterone excretion issues, testosterone levels should be measured twice.
3. Chromosome examination.
4. Contrast imaging: Penile cavernous contrast imaging is suitable for cases suspected of having venous fistulas. It is recommended that you go to a formal hospital for examination.

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