To evaluate the cause of your PE, a registered doctor will take a complete medical history and lifestyle of the patient. After consultation, two tests will be conducted: The first one being the biothesiometer, which tests the sensitivity of the penis. The second one being the ultrasound, which tests the blood flow to the penis. It takes approximately 90 minutes for the whole assessment. Depends on the tests results, an appropriate treatment will be suggested for the patient. You are always welcome to come along with your partner for the consultation.

Medical History

General questions such as your habits like smoking, alcohol use as well as specific questions about your sexual problems, your relationship with your partner etc. will be asked during the visit. Bring a list of all the medications you take, or show them to your doctor. Tell your doctor about any surgery you have ever had. A thorough questionnaire needs to be filled in. You will be consulted by a male health consultant and a male doctor.

To better understand the problem of each patient, the doctor will need to ask the following questions:

• How long have you had PE problem?
• How often does PE occur?
• Is the problem specific to a particular partner? Or does it happen with every partner?
• What type of sexual activity (i.e., foreplay, masturbation, intercourse, use of visual clues, etc.) is engaged in and how often?
• How does PE affect your sexual life?
• How does PE affect your quality of life?
• Are there any factors that make PE worse or better (i.e., drugs, alcohol, etc.)?

Physical Examination

A physical examination can help the doctor find the cause of your sex related problems. As part of the examination, the doctor will examine your testes and penis, takes your blood pressure, and checks your reflexes. Normally, laboratory testing is not necessary unless the history and a physical examination reveal more complicated problems.

To find out accurately the cause of PE and the best treatments for each patient, two diagnostic tests are then performed to assess the physical condition of the penile tissue:

This test evaluates sensitivity and nerve function in the glans and shaft of the penis with an electromagnetic vibration device. A decreased perception of vibration may indicate nerve damage in the pelvic area caused by any neurological deficit, such as neuropathy commonly seen in patients with diabetes. Having had prostatic or other invasive pelvic surgery, all of which can also lead to impotence. Alternatively, a hypersensitive sensation however may indicate premature ejaculation.

Source: Apparelyed.com

This test is to evaluate blood flow of the penis and to predict the response to erectile dysfunction medications (e.g. vasodilators). It allows the doctor to determine if you have an inflow or outflow type erectile dysfunction. Using a duplex ultrasonography device, the cavernosal arteries on both side of the penis are assessed by placing a probe with ultrasound transmission gel on the base of the penis. This test is not invasive and does not cause any pain. If the blood flow is not strong enough, it indicates an arterial inflow problem. The information will also tell if you have an out flow leak (venous leakage). Some patients may have a combination of inflow and outflow problems. The most appropriate treatment plan will be prescribed by doctor based on the results.

The most appropriate treatment will be prescribed by doctor based on the results.

For further information or to make an appointment, please call MHS on (852) 2375-3322.