How may your GP discovers your impotence?

You may decide to see your GP if you are anxious about how reliably you can have an erection. This is often the initial problem in younger men. However, occasional episodes of impotence are common and don't mean that you will have persistent problems in the future.

You may feel embarrassed when you first go to discuss the issue with your GP or practice nurse. However, talking about impotence is routine for GPs and nurses.

Your GP will search for the cause of impotence and he will ask about your general health and your erections. This will include whether or not you wake up with an erection in the morning and the strength of erections compared with those in the past. Your GP will ask you if you are taking any medication, and whether there have been any changes in your life recently that might have influenced your sexual health.

Your GP will take your blood pressure and check the pulses in your legs. This helps to indicate how healthy your circulation is. He or she will examine your penis and scrotum. Your GP may request blood tests for conditions such as anaemia, diabetes, high cholesterol or hormone imbalances. He or she may also examine your prostate gland.

Your GP may talk with you and your partner together about any physical or psychological factors that could be contributing to the problem. For example, around the menopause, women may experience pain or discomfort during intercourse - if the man has a faltering erection, this may lead to further distress for you both.

More specialized tests to assess blood flow and the way your nerves are working can be done in specialist hospital clinics. Your GP will refer you if this is necessary.

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