Tips to talk with your doctor Your Loss of Erections
After you make an appointment to see your doctor, fill out this form and take it with you. This will not only help you communicate your problems, but gives you can idea of what your doctor will talk with you about.
The main problem I am having is:
___ Getting an erection
___ Keeping an erection
___ The firmness of erections
I started to notice a change:
___ Less than 1 month ago
___ 1 to 2 months ago
___ 2 to 6 months ago
___ 6 months to 1 year ago
___ More than 1 year ago
The change was:
___ Gradual
___ Sudden
The problem happens:
___ Rarely
___ Sometimes
___ Frequently
___ Almost always
About my erections:
___ I have been able to get and keep erections in the past
___ I have erections when I sleep
___ I have erections early in the morning
Click Here for Printable Form.
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