Most men are unwilling to talk about sexual problems. They simply buy Cialis online, find out that it works “for now” and believe that their problems are solved. This is not necessarily true!

You need to overcome your fears and try to get advice from professionals. You should remember that all doctors have the skills and knowledge to help you. They know about the importance of emotional issues and discuss it with you in a professional way, outlining the approach to diagnosis and treatment.

More importantly, they are there to protect you against the more serious medical conditions that may underlie your impotence.

What will your doctor do?

The first step will be a thorough review of your medical history. There are many possible causes of impotence and there may be early warning signs in your past or the actual cause may be in plain sight but you may not have understood the risks. For example, some types of surgery or some medications can have side effects affecting sexual performance. Besides, there may have been earlier tests that already exclude some of the possible causes.

The doctor may ask about whether you smoke, how much alcohol you consume and whether you use any of the recreational drugs. There may also be issues about your weight. Reducing your weight and eliminating other harmful lifestyle choices may be a necessary first step to restore your health.

The doctor may ask about your sexual practices. This may well be a bit embarrassing but this information is absolutely necessary to a proper diagnosis. You should be completely honest about it all. Put the other way round, you cannot expect the doctor to make a proper diagnosis if you fail to give him or her complete information. You do not know what is significant.

If you find some of the questions are too intrusive, you should not simply refuse to answer. It is always better to ask why the information is required. Once the doctor explains the point of the question, you can make a better decision about whether to risk refusing to answer it.

Physical examination

The patient may also have to take the physical examination in order to detect whether there are any visible signs of a problem.

For example, if the physical size of your testicles has reduced, this may be a sign of an imbalance in your body’s hormones. The doctor may be able to detect unusual swelling or possible lumps either in your testicles or prostate.

Further examination of your body may reveal possible enlargement of your goiter suggesting thyroid problems, or testing the pulse in your wrists and ankles in combination with taking your blood pressure may suggest circulation problems.

Lab tests

Series of lab tests may also discover whether you do have a hormonal imbalance or your thyroid function is negatively affected.

Blood and urine tests

Further tests with both blood and urine samples will explore whether you have diabetes or cardiovascular problems. If the tests at a local level fail to reveal the cause, you should not be afraid of a follow-up at the hospital.

Like in the case of any medical conditions, treatment is only possible when you have identified the cause. If it means you have to visit a specialist and undergo more invasive examination and testing, that is a price worth paying if your health is ultimately restored.