Diagnosis and Guidance for Erectile Dysfunction and Premature Ejaculation: Expert Insights from a Sexologist

In this informative video, sexologist Dr. I J Ratnani explains how sexual health problems like erectile dysfunction (impotence) and premature ejaculation are diagnosed and managed in clinical practice. The discussion is tailored for viewers seeking clarity on the diagnostic process, the importance of patient history, and the role of medical tests in addressing these sensitive concerns.

1. Importance of Patient History

• Dr. Ratnani emphasizes that a detailed patient history is the cornerstone of diagnosing erectile dysfunction and premature ejaculation.

• The doctor considers the patient’s physical, psychological, and sexual history, including:

  • Whether the patient is sexually active

  • The nature and duration of the problem (lifelong or recent onset)

  • The impact of the issue on relationships

  • Any associated psychological factors such as stress, anxiety, or depression.

2. Primary Examination

• The initial assessment includes a physical examination, focusing on the penis and testicles.

• The doctor also evaluates psychological well-being and discusses specific sexual concerns, such as the timing of ejaculation (IELT) and erection quality.

3. Role and Limitations of Laboratory Tests

• Routine lab tests are generally not the main diagnostic tool for these conditions.

• However, in certain situations, tests may be ordered to check:

  • Hormone levels (e.g., testosterone)

  • Blood sugar and cholesterol (to rule out diabetes or metabolic issues)

  • Kidney function via urine tests

  • Blood flow in the penis using ultrasound.

4. Diagnostic Steps

• Open-ended questions are used to understand the patient’s complaints and context.

• The doctor distinguishes between physical and psychological causes.

• The effect of the problem on relationships is explored.

• A preliminary diagnosis is made primarily based on the patient’s history and complaints, with tests used selectively to confirm or clarify findings.

5. Key Takeaways

• Patient history is the most critical factor in diagnosis.

• Lab tests have limited but specific roles.

• Effective treatment begins with understanding the root cause, whether physical or psychological.

• Open communication with a qualified sexologist is essential for proper guidance and management.

6. Additional Support

• The video encourages viewers with these issues to consult a sexologist for personalized advice.

• Information about online consultation packages and contact details for Dr. Ratnani is provided for further assistance.

This video is a valuable resource for anyone experiencing erectile dysfunction or premature ejaculation, offering practical advice, demystifying the diagnostic process, and promoting proactive steps toward better sexual health.

Keywords: erectile dysfunction, premature ejaculation, sexologist, diagnosis, patient history, sexual health, Dr. I J Ratnani, impotence, sexual wellness, lab tests for ED, psychological factors in sexual dysfunction