What should men do for impotence? What should men pay attention to when checking impotence

The diagnosis of impotence includes medical history, physical examination, laboratory examination and special examination. Due to the complex etiology of impotence, the diagnosis of impotence should be cautious. The general procedure should first determine whether impotence exists and initially evaluate it as functional or organic. If necessary, the cause of organic impotence should be clarified through special examination. Multi-disciplinary expert consultation should be organized for individual cases.

In addition to blood and urine analysis, prostate fluid and semen routine, liver and kidney function, blood electrolyte, blood glucose, blood lipids, thyroid function, serum testosterone (TE), thyroid stimulating hormone (LSH), luteinizing hormone (LH), prolactin (pRL), etc. should also be measured. If there is no need to further check other hormones within the normal range, impotent patients should at least have serum testosterone determination. The gonad function and testosterone value decreased.

If the serum testosterone level is low for the first time, it is better to repeat it again. LSH, LH, pRL, etc,

If the second testosterone value is still low, the patient may have low gonadal function. LSH and LH are normal or increased, and hypogonadism belongs to primary testicular abnormality.

During physical examination, attention should be paid to testicular or testicular atrophy and whether testicular texture changes. The hypogonadism is secondary to pituitary disease, and the testicle size is normal or slightly small, which is related to the duration of pituitary disease.

The increase of serum pRL also means that there is a problem with the pituitary gland, often accompanied by hypogonadism. The serum testosterone of patients with impotence is not necessarily low. People suspected of having pituitary tumors need to take craniocerebral X-ray or CT to make a clear diagnosis.