The examination

Essentially, the examination is comprised of assessing the physical status of your genitalia and excluding any obvious conditions that may be contributing to your dysfunction. The doctor should also look for any cardiovascular irregularities that may be implicated as a contributing factor to your condition and also might put you at risk with certain treatments, especially if Viagra is to be prescribed.
The penis should also be checked for pre-existing scar tissue (Peyrone's disease) which produces a bend in the penis when it becomes erect. It will feel like a hard nodule or defined flattened area of hardened tissue. The testicles should be examined for two reasons:
• to exclude any suspicious masses there
• to determine whether or not the testes have diminished in size and consistency.

Although not a mandatory part of the examination, a rectal examination is a very useful procedure to exclude the presence of prostate cancer. Injection of a vasodilator compound into the penis may also be used by the doctor to assist with an ultrasound examination. This injection will also help the doctor gauge the best dose for the patient if this form of treatment proves necessary.
Blood tests should also be taken if your doctor suspects a medical condition may have caused your erection failure. The following tests may also reveal co-existing medical conditions which can contribute to erectile dysfunction:

• glucose levels may point to diabetes
• liver function tests are advised if there is a suspicion of a drug or alcohol problem
• cholesterol tests are advised if there is a suspicion of vascular disease
• testosterone level tests are advised if your condition is associated with a low libido
• Prostate Specific Antigen (PSA) tests may be necessary to exclude the presence of prostate cancer.

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News

TAKING ESTROGEN

With the onset of menopause, many women suffer from hot flashes and night sweats. Arlene March, 56, a Los Angeles psychotherapist, says she started getting hot flashes 5 years ago. “I’d be working,” she recalls, “and suddenly feel intense heat all over my body. I’d break out in a sweat. I’d have to stop work. Then Dr. Mishell prescribed estrogen pills, and I’ve not had a day of discomfort.”
Some women experience a drying and thinning of vaginal tissues in the absence of estrogen, making sex painful. They also might suffer urinary tract infections and incontinence. Estrogen therapy often helps.
Among the physicians consulted, the most cautious was Dr. Morris Notelovitz, founder of the nation’s first Menopause Center, at the University of Florida, and head of the Women’s Medical and Diagnostic Center in Gainesville, Florida. He says each symptom needs a different treatment and advises that genital tract problems be given estrogen treatment for a couple of years at most. He also urges special measurements of the bones before prescribing estrogen therapy for osteoporosis.
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WOMENвЂ™S HEALTH

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ERECTILE DYSFUNCTION SYMPTOMS

Most patients have a combination of two or more of these problems. They are usually first given a thorough medical history and examination to determine the extent of the problem and to hopefully pinpoint a cause. I want to briefly outline the nature of these four symptoms so that your problem will make more sense to you as a patient if you are experiencing any of them.

PRESCRIBED DRUGS

Taking prescribed medications with most vitamins is safe as is taking herbal complexes that are available through health food stores. However, you should always check with your doctor, your pharmacist or your naturopath. They are all trained to know what can go with what.

Weight loss

Overweight is most commonly a result of overeating and lack of exercise. Overweight and fluid retention often go together with people who have glandular problems or under-active thyroids. In such cases an iodine and phosporous deficiency may be the cause.

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