Post Date December, 03 2023
The causes of impotence are many and very complex, so the examination of impotence is also very complex. At the same time, the examination of impotence should also be careful. The harm of impotence has always been a headache for men, so how to check impotence? The following andrology experts introduce how to check impotence.
How to check impotence
In addition to blood and urine analysis, routine examination of prostate fluid and semen, 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. Patients with impotence should have their serum testosterone measured at least once. If it is within the normal range, it is not necessary to further check other hormones.
Testosterone value decreased in patients with hypogonadism. If the serum testosterone level is low for the first time, it is better to repeat it again, and measure LSH, LH, PRL, etc. at the same time. If the testosterone level is still low for the second time, the patient may have hypogonadism. If the serum LSH and LH are normal or increased, the hypogonadism is a primary testicular abnormality. During physical examination, pay attention to whether there is testicle or testicular atrophy, and whether the texture of testicle changes.
The testicle size of patients with hypogonadism secondary to pituitary diseases may be normal or slightly smaller, which is related to the duration of pituitary diseases. The increase of serum PRL also indicates that there is a problem with the pituitary gland, often accompanied by hypogonadism. The serum testosterone of patients with impotence is not necessarily low. In case of suspected pituitary tumor, brain X-ray film or CT tomography should be taken to make a definite diagnosis.
(Intern editor: Huang Jiazhen)
