Erectile dysfunction is diagnosed through medical history, physical examination, and laboratory tests. At Liv Hospital, advanced diagnostic methods help identify underlying causes accurately.
Send us all your questions or requests, and our expert team will assist you.
Diagnosis and Tests: A Scientific Approach to Erectile Dysfunction
At Liv Hospital, the diagnosis of Erectile Dysfunction (Sertleşme Sorunu) is treated with the same clinical rigor as any other major cardiovascular or neurological condition. Because ED is often a symptom of an underlying systemic issue, our diagnostic process is designed to be comprehensive, moving far beyond a simple physical exam. We utilize a “gold standard” diagnostic battery to differentiate between vascular, hormonal, neurological, and psychological causes. This precision allows us to move away from “trial and error” treatments and toward targeted, effective solutions.
A thorough diagnosis is essential because treating the symptom without understanding the cause can be dangerous. For example, prescribing erectile medication to a man with undiagnosed severe heart disease could put undue strain on his cardiovascular system. At Liv Hospital, we aim for “Diagnostic Certainty.” By using high-resolution vascular imaging and advanced endocrine panels, we can provide a definitive answer to why the dysfunction is occurring and what the safest path to recovery looks like.
Comprehensive Medical and Sexual History
The diagnosis begins with a specialized interview.
Physical Examination
A urologist performs a focused exam of the genitals and prostate.
Penile Color Doppler Ultrasound
This is the most critical test for evaluating “Vascular ED.”
Hormone Panel (Total and Free Testosterone)
The endocrine system heavily influences erectile function.
Blood Glucose and HbA1c (Diabetes Screening)
Since diabetes is a leading cause of nerve and vessel damage, every ED patient at Liv Hospital undergoes a glycemic check. High blood sugar often causes ED long before other diabetic symptoms appear.
Lipid Profile (Cholesterol Check)
High cholesterol leads to atherosclerosis (clogging of the arteries). Because the penile arteries are so narrow, they are often the first to be obstructed by cholesterol plaques.
Cardiac Stress Test
Because ED can be a precursor to a heart attack, we may refer patients for a stress test or an EKG. If the “plumbing” in the penis is failing, we must ensure the “pump” (the heart) is healthy enough for sexual activity.
Biothesiometry (Neurological Testing)
This test uses vibrations to measure the sensitivity of the nerves in the penis. It is particularly useful for diabetic patients to determine if “Peripheral Neuropathy” is the primary cause of their dysfunction.
Nocturnal Penile Tumescence (NPT) Test
This involves wearing a device (like the Rigiscan) while sleeping.
Urinalysis
A simple urine test can reveal signs of kidney disease or prostate inflammation (prostatitis), both of which can interfere with normal erectile function and comfort.
Diagnostic Excellence at Liv Hospital
At Liv Hospital, our Andrology Laboratory is equipped with the latest diagnostic technology to provide a 360-degree view of male sexual health. We do not believe in a “one-size-fits-all” diagnosis. Our specialists take the time to listen to your history and combine it with high-precision data from Color Doppler and Endocrine panels. This scientific approach ensures that we find the true root of the problem, allowing us to restore your function safely and effectively. At Liv Hospital, we provide the clarity you need to move toward a successful recovery.
Liv Hospital Ulus
Prof. MD. Engin Kaya
Urology
Liv Hospital Ulus
Prof. MD. Orhan Tanrıverdi
Urology
Liv Hospital Ulus
Prof. MD. Tahir Karadeniz
Urology
Liv Hospital Ulus
Prof. MD. Uğur Boylu
Urology
Liv Hospital Vadistanbul
Assoc. Prof. MD. Eymen Gazel
Urology
Liv Hospital Vadistanbul
Op. MD. Kenan Yiğit Yıldız
Urology
Liv Hospital Vadistanbul
Op. MD. Miraç Turan
Urology
Liv Hospital Vadistanbul
Prof. MD. Selçuk Şahin
Urology
Liv Hospital Vadistanbul
Prof. MD. Volkan Tuğcu
Urology
Liv Hospital Vadistanbul
Prof. MD. Yusuf Oğuz Acar
Urology
Liv Hospital Vadistanbul
Spec. MD. Anar Mammadov
Urology
Liv Hospital Bahçeşehir
Op. MD. Fırat Akdeniz
Urology
Liv Hospital Bahçeşehir
Prof. MD. Ayhan Karaköse
Urology
Liv Hospital Topkapı
Op. MD. Birgi Ercili
Urology
Liv Hospital Topkapı
Prof. MD. Kadir Önem
Urology
Liv Hospital Topkapı
Spec. MD. Timuçin Çakır
Urology
Liv Hospital Ankara
Asst. Prof. MD. Ahmet Yıldız
Urology
Liv Hospital Ankara
Prof. MD. Ziya Akbulut
Urology
Liv Hospital Ankara
Prof. MD. Çağrı Güneri
Urology
Liv Hospital Gaziantep
Op. MD. Kazım Doğan
Urology
Liv Hospital Gaziantep
Prof. MD. Faruk Küçükdurmaz
Urology
Liv Hospital Samsun
Op. MD. Çağlar Yıldırım
Urology
Liv Hospital Samsun
Op. Md. İdris Kıvanç Cavıldak
Urology
Send us all your questions or requests, and our expert team will assist you.
The injection uses a very tiny needle (similar to an insulin needle) and is generally described as a mild pinch. The information it provides is invaluable for choosing the right treatment.
The penis is a vascular organ. ED is often the first sign of “Endothelial Dysfunction”—a systemic blood vessel disease. At Liv Hospital, we treat ED as a potential warning for your heart.
If your blood flow, hormones, and nerves are perfect, it is highly likely the cause is Psychogenic ED. In these cases, we focus on performance anxiety and psychological counseling.
No. Taking testosterone without a diagnosis can shut down your natural production and will not fix ED if the cause is actually blocked arteries.
Most tests, including the ultrasound and blood draws, can be completed in a single visit at Liv Hospital, with results usually available within 24 to 48 hours.
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