Erectile Dysfunction Diagnosis – Finding the Root of All Evil

Examination patient

For permanent healing, it is essential that the cause is investigated. Writing a prescription usually does not lead to a cure and by far does not help every man to get an erection.

At the same time, a thorough diagnosis clarifies whether there are serious organic causes such as generalized vascular diseases. These can lead to a stroke or heart attack a few years later. Those who do not have this clarified are missing out on the chance to prevent such a serious illness. However, studies say that CBD can also improve sex life besides heart diseases, cancer, insomnia and Alzheimer.

A detailed diagnosis gives the specialist the opportunity to both draft a therapy concept for curing erectile dysfunction and to develop an individual therapy tailored to the man’s underlying disease.

What to look for when visiting a doctor?

A precise diagnosis of the cause of the erectile dysfunction is crucial for a successful therapy. In order to create an individual healing and / or therapy concept, at least the following examinations must have been carried out by the doctor:

Extensive conversation

In particular, how the sexuality problems occurred, as well as recording any other diseases.

A special blood test

This is necessary in order to recognize certain protein structures in the blood and to see in which balance, for example, the hormones are and how active they are.

A detailed physical examination of the external genitals

The aim here is to rule out diseases that can be recognized with a glance diagnosis or palpation. A breast and abdominal examination should also be performed.

Apparatus diagnostics

In any case, the following five examinations (numbers one to five) should be carried out for diagnostic purposes. Examinations six and seven can, but do not have to, be carried out during the initial diagnosis. This depends on the findings from the first five examinations:

  1. Biothesiometry (nerve measurement)

  2. EMG (for recording the pelvic floor muscles)

  3. Ultrasound examination

  4. Doppler duplex sonography (to measure the 4 penile vessels)

  5. Examination for determining the erectile tissue composition 

  6. Dynanometry (measurement of muscle strength)

  7. RIGIscan (method for measuring erectile function)

Important: For a successful therapy and healing, an accurate and correct diagnosis is essential.

Please ask your specialist whether he will carry out the first five examinations listed above – in particular whether the equipment for the first five important examinations listed above is available.

The uric acid level and erectile function

Uric acid is a very interesting product: the human body does not need it and therefore normally excretes it regularly via the kidneys and to a lesser extent via the intestines. At the same time, uric acid can provide many important information about a body’s health. To do this, the uric acid value (also called uric acid level and uric acid concentration) must be determined. This is done by examining the urine or, optionally, the blood.

An elevated uric acid level can be an indication of gout in particular. At the same time, it is considered a risk factor for a heart attack and a stroke. Thyroid disorders also affect uric acid. Interesting: In men, an increased uric acid level is not infrequently noticeable through arterial erectile dysfunction. However, it’s a vascular based erectile dysfunction. So there are problems in the supplying blood vessels. Because the small vessels of the penis are much more sensitive than the coronary arteries or the carotid artery, which is why they react faster to changes. Another reason not to hide erectile dysfunction out of shame, but to use it as an opportunity to see a doctor.

How it causes an increased uric acid level

In this context, it is important to first know that uric acid is created when the body breaks down purines. The building blocks of nucleic acid are purines. During purine breakdown, the human body produces around one gram or 1000 milligrams of uric acid per day – and ideally this is exactly the amount that can be broken down per day. If this balance gets out of hand, however, this can either be the result of a disease that has already broken out or it can cause gout in the long term. Because uric acid, which the body cannot excrete, turns into uric acid crystals, which are mainly deposited in the joints. There, the uric acid crystals can cause painful inflammation and damage. Crystal deposits in the kidney are also possible;

In men, uric acid levels can also have negative effects on erections. Studies have shown that with increased uric acid levels, the nitric oxide level in the blood is also reduced. This nitric oxide level is in turn very important for building a good erection. This means that an increased uric acid level not only damages the small penile vessels, but can also partially affect the trigger substances that are important for an erection.

When the uric acid level is considered too high

In men, a value above 6.4 mg / dl (women: 6.0 mg / dl) is referred to as hyperuricemia. Doctors assume that in Western Europe 20 to 30 percent of men have too much uric acid in their bodies. The number is lower for women, but the risk increases with the onset of menopause.

How the uric acid level can be influenced and regulated

The key to this is eating and drinking behavior. The focus is on the aforementioned purine. Because the less purine is supplied to the body, the less it then has to break down again. Or, the other way around: If the body has to process a lot of purine, it may eventually reach its limits, the balance between absorption and breakdown is then destroyed and the uric acid level rises.

People who have an elevated uric acid level must therefore – in addition to any drug treatment – urgently pay attention to a low-purine diet. Anyone who has already been diagnosed with gout should immediately begin regular therapy to lower uric acid.

Here are a few figures: The one gram of uric acid that the human body can usually break down with ease per day is made up of two pillars. The human organism automatically produces around 300 to 400 milligrams of purines every day – the other purines come with food. We speak of a low-purine diet if only around 500 milligrams of purines are consumed daily. 

Change of diet if the uric acid level is too high

The change in diet should in any case be discussed individually with the attending physician. If you want or have to eat a low-purine diet, you should reduce your consumption of meat and sausages significantly. We also advise against all innards such as the liver or lungs as well as the skin of animals. Shellfish, salmon, tuna, anchovies and sprats are also considered rich in purine.

Whole grain products, potatoes, eggs and low-fat milk and dairy products are especially recommended for a low-purine diet. With fruits and vegetables, which are basically good for everybody, some restrictions must be observed. Legumes in particular (peas, lentils, beans, asparagus, soy) should be avoided because they have a relatively high purine content. Cauliflower, broccoli, spinach or mushrooms are only advisable in smaller quantities. On the other hand, tomatoes, apples or pumpkins are ideal. Honey is also purine-free.

And what about the drinking? The basic rule is that you should drink a lot because it stimulates uric acid excretion in the kidneys. The rule of thumb is to drink at least two liters a day. We recommend primarily (mineral) water, but you can also drink fruit juices, cocoa and tea in moderation. But coffee is particularly recommended. Studies have shown that coffee even helps to lower the uric acid level in the blood. Incidentally, this also applies to decaffeinated coffee. However, you should not drink more than four to six cups of coffee per day.

Alcohol has a particularly negative effect

The exact opposite of helpful coffee is alcohol. Because it is bad for two reasons if you have to pay attention to a diet that is low in purine: Alcohol not only promotes the formation of uric acid in the liver, but also slows down the subsequent excretion via the kidneys. There is even a third negative effect with beer, because beer (and alcohol-free ones too!) Contains additional purines.

The negative consequences of alcohol for the body and especially for the uric acid level can also be determined from the fact that many people have their first attack of gout – that is, severe pain in a joint, usually initially in the big toe – often at night after consuming too much alcohol.

Special risk groups who may be affected by hyperuricaemia

An increased uric acid level is predominantly genetic. In around ten percent of those affected, however, the trigger can also be found in increased alcohol consumption, increased drug intake or a certain disease (renal insufficiency, chronic myeloid leukemia, polycythemia Vera).

It is advisable to have the uric acid level checked regularly by a doctor.  If you belong to one of the risk groups mentioned, you can easily check your uric acid yourself at home. This can be compared with diabetics who regularly measure their blood sugar. There are both small uric acid test strips that are held in the urine collected for 24 hours, as well as measuring devices that are often already integrated into blood glucose meters. One drop of blood is required to determine uric acid with a measuring device.

Finally, the question should be asked, what actually happens when the uric acid level is too low? In this case one speaks of a hypouricemia. The reasons for a too low uric acid level can be, for example, liver weakness (liver insufficiency) or metabolic disorders. Often hypouricemia has to do with the use of medication and especially gout medication (overdose of allopurinol).


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