• Erectile Dysfunction;
  • Diagnosis;
  • Physical Examination;
  • Laboratory Tests


Introduction.  Physical examination and laboratory evaluation of men with erectile dysfunction (ED) are opportunities to identify potentially life-threatening etiologies and comorbid conditions.

Aim.  To review genital anatomy, identify any physical abnormalities, assess for comorbid conditions, and reveal significant risk factors for ED.

Methods.  Expert opinion was based on evidence-based medical literature and consensus discussions between members of this International Society for Sexual Medicine (ISSM) standards committee.

Results.  For men with ED, a general examination including blood pressure and pulse measurements and a focused genital exam are advised. Fasting blood sugar, serum total testosterone, prolactin levels, and a lipid profile may reveal significant comorbid conditions.

Conclusions.  Though physical examination and laboratory evaluation of most men with ED may not reveal the exact diagnosis, these opportunities to identify critical comorbid conditions should not be missed. Ghanem HM, Salonia A, and Martin-Morales A. SOP: Physical examination and laboratory testing for men with erectile dysfunction. J Sex Med **;**:**–**.