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What kind of questions should you ask your physician? And what happens when you reveal your ED concerns?
A man walks into a doctor’s office… Know that joke? Unfortunately, the reality is not as funny. Many guys are still ashamed to ask their doctors about erection problems. As a result, not only their sex life suffers.
Ignoring ED can lead to serious health consequences, so it’s definitely worth gathering the courage and asking about erectile health on your next check-up. Here’s a couple of hints on what to ask about:
1. Is it normal to lose an erection from time to time?
The answer is – it depends. That’s why a consultation with a doctor is necessary. If you’ve experienced difficulties getting and maintaining an erection only a few times in your life, you don’t need a doctor. But if you’ve noticed a change in your sexual reactions and it’s not going away, you need to talk to your physician.
2. Will those pills give me ED?
If your doctor prescribes medication, it’s a good habit to always ask about possible side-effects, including erectile health. A range of pills can mess with your sexual functioning. Common examples are antidepressants, antihistamines or blood pressure medicines.
In some cases it’s possible to find a replacement that won’t affect erections. If there are no other options, your doctor will monitor your reactions and adjust the doses so as not to worsen the ED. If necessary, they may also add a Viagra or similar drug prescription.
3. Should I get my testosterone checked?
If you tell your doctor you have trouble with your erections, he or she may order a blood test to check your testosterone levels. Low testosterone is one of the common causes of ED, although not all men who have deficiencies of this hormone, experience bedroom difficulties.
The good news: a combination of lifestyle changes and treatment can help you address testosterone-related ED. Your doctor will most likely recommend taking up exercise and losing weight.
4. If I have ED, can I still have children?
Lack of erections can be problematic when you want to conceive but having ED doesn’t necessarily mean you’re infertile. The doctor will want to treat your erectile dysfunction first so that you can try to get your partner pregnant naturally. Only after about a year of unsuccessful attempts will you be referred to a fertility clinic for further testing.
5. Do I have ED because I’ve been with the same partner for many years and I just don’t feel the desire? Can I do something about it?
Being in a long-term relationship changes the sexual dynamics. You may not feel the same desire you felt years ago. It’s completely normal but may have some worrying effects such as ED caused by psychological factors.
It’s always best to rule out any medical causes before seeking help from a psychotherapist, couple’s counselor or sex coach. This way you’ll know that your ED is related to your feelings or relationship issues.
What happens when you ask your doctor about ED?
Male patients worry about what will happen when they admit to having erection problems. They suspect they may have to reveal intimate details to their doctor or get undressed. It’s good to know what to expect so that you come prepared.
Usually, when you ask about erection health, your doctor will follow up with questions to better understand the issue. The goal is to make the initial diagnosis – in most men ED has physical causes. Certain conditions or medication increase the risk of erection difficulties.
If your doctor suspects a psychical problem, such as enlarged prostate, they will probably refer you to a urologist. This specialist will run some tests and may also want to examine your genitals.
In about 10-20% of cases ED has psychological causes Your physician’s role is to determine whether a consultation with a psychologist is needed in your case. Don’t worry, it doesn’t mean you have a serious mental health condition. Very often erectile problems are stress-related. A therapist can help you deal with life’s challenges in a calmer way.
When the doctor has enough data to make a diagnosis, they will suggest the best course of treatment for you. Usually they recommend lifestyle changes and prescribe medication such as Viagra to help you go back to your sex life immediately.
Don’t leave the erection questions until the last minute
Try not to leave the erection questions until the last minute. Physician dr Melissa Lem told CBC that male patients ask the most important questions right before leaving the office. She says these are “doorknob questions”.
Nowadays, with overburdened health systems, doctors have very limited time for consultations. If you reveal your problems too late, you may have to wait until the next appointment to get the answers you need.
It’s also a good idea to come with a written list of questions and possible medication you feel might be a good fit. Of course, the doctors makes the final prescribing decision but they will take your needs into account. Nowadays ED pills can be taken as needed or daily. Check out what’s available here.
Anka Grzywacz is a sexologist, reproductive health expert and Certified Sex Coach™. In her online practice she helps busy women and couples solve their intimate problems.