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Erectile dysfunction

The erectile dysfunctions (ED) can be divided into two main types, according to the root causes: organic and mental. In the medical practice, the two types are mixing. Among the organic causes there are hormonal, venous, neurologic, anatomic conditions and side effects of certain medicines. Among the psychological causes depression, inclusion and relationship problems are the most important. The examination is striving at the identification of the causative factors and the proportion of organic and mental conditions.

Diagnosing is initiated by taking medical history, including sexual habits, morning erections, situation or partner dependency. It is recommended to clarify the expectations of the man or of the couple and to inform them about the outcome to be expected. Bimanual examination and examination of the prostate are essential. It is advisable to examine the essential andrologic hormones in addition to the routine laboratory tests.

The objective identification of the discomfort and the identification of the severity are performed by questionnaires, as a first step. The IIEF (International Index of Erectile Function) questionnaire is internationally accepted and recommended. This internationally validated methodology, translated into 31 languages, consists of 15 questions concerning libido, erectile capability, sexual intercourses, orgasm, ejaculation, quality of sexual life. According to the summarized answers, the erectile dysfunction may be classified as mild, medium or severe. In Hungary, there is a simplified, abridged version containing only 5 questions. These questionnaires are suitable for monitoring the efficiency of the therapy as well.