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September 5th, 2010 at 1:30 pm
urologist..but start with a general practcioner
September 5th, 2010 at 1:50 pm
A primary care doctor or if you don’t have one for him I suggest you look in your yellow pages of your phone book that has sexual dysfunction doctors solely for men. Good luck
September 5th, 2010 at 1:51 pm
Well, even if it is psychological, a psychologist will require that he has a physical and blood work done. From there you can determine if it is psychological.
You could start off going to a general practitioner and if it is something physical they will refer him to a specialist if it is somethign they cannot take care of.
September 5th, 2010 at 2:06 pm
start with your family doctor. he’ll understand and if its physical he’ll prescribe viagra and he’ll be back pounding the pudding in no time.
September 5th, 2010 at 2:10 pm
Definitely your primary care physician, but if there are concerns of underlying issues, such as a prostate problem, you’ll probably have to see a urologist. Good luck!
September 5th, 2010 at 2:52 pm
Dr. Love has the cure your thinkin of!
September 5th, 2010 at 3:03 pm
You’ve got a bunch of answers from non-physicians, and they are well-intentioned but incoomplete. Here’s an answer from a physician with forty years of experience.
You didn’t mention your husband’s age. The percentage of men who have ED is about equal to their age, expressed as a percentage. So 20% of 20 year-olds, 30% of 30 year-olds, 60% of 60 year olds, and so on.
Start the evaluation with a family physician. There are multiple possible causes of erectile dysfunction An evaluation should include screening for all of those conditions, which can include heart disease and diabetes, as well as hypogonadism (not enough testosterone) and psychological disorders such as depression. There are other possible causes beside these, and any major textbook of medicine or urology contains a comprehensive list of those causes.
Hypogonadism can be primary or secondary to some other condition. So, besides taking the patient’s medical history and performing a physical examination, the evaluation should include tests for heart disease, diabetes, etc. When I check testosterone levels, I routinely check both total and free testosterone.
Whatever the cause, treatment must be tailored to that cause, and treatment could never be a one-size-fits-all. So to jump to the presumption that Viagra or Levitra or Cialis is the answer just skips over all of the factors that no one would want to miss or ignore. Medications such as these definitely have their place and are useful, but I wouldn’t want to be the physician who put my patient on Viagra and missed his diabetes or his coronary artery disease or a pituitary tumor that was causing hypogonadism.
If no obvious medical cause can be determined, further evaluation by a urologist would be helpful.
If depression or other psychological disorder is determined to be the cause, psychological evaluation and treatment would be in order, but a thorough medical evaluation should still be done.
September 5th, 2010 at 4:03 pm
General Practitioner can give him cialis,leveitra or viagra. Tell him not to be shy, they’ve heard it all before.