Penile analysis is the most important test and effective treatment

Are you experiencing erectile dysfunction, low sex drive, or issues with ejaculation? Don’t ignore it—these symptoms may signal an underlying health condition that requires accurate diagnosis and early treatment.In this comprehensive guide from Daleely Medical, we walk you through male genital examinations, the types of tests involved, reasons to get tested, and essential tips to ensure accurate results and effective treatment.

What Is Male Genital Examination?

A male genital examination refers to a set of medical, hormonal, and imaging tests used to evaluate the health and function of the penis, and to identify the causes behind sexual or reproductive issues in men.

It is not a single test, but rather a general term that includes blood tests, hormone assessments, semen analysis, Doppler ultrasound, and other exams chosen by the doctor based on the patient's symptoms.

Why Do Doctors Request These Tests?

Doctors may recommend male genital examinations in cases such as:

Erectile dysfunction or complete loss of erection
Low sex drive or loss of libido
Premature or delayed ejaculation
Pain or curvature in the penis
Fertility problems or delayed conception
Changes in penis shape or size
Signs of infection or inflammation (itching, discharge, sores)

Most Common Tests for Male Genital Health

1. Testosterone Test (Total & Free Testosterone)

What is it? The primary male hormone responsible for libido and erection.
Why is it important? Low levels may cause fatigue, reduced sex drive, and erectile dysfunction.
When to test? Early morning, when levels are naturally highest.

2. Pituitary Hormones (LH & FSH)

Role: These hormones regulate testosterone production and sperm formation.
Why test them? To detect testicular failure or hormonal imbalances affecting fertility.

3. Prolactin Test

What is it? A hormone usually found in small amounts in men.
Why test it? High prolactin levels can reduce libido and cause erectile issues.
Causes of elevation: Pituitary tumors, medications, or chronic stress.

4. Thyroid Hormone Tests (TSH & Free T4)

Why needed? Thyroid dysfunction can negatively affect sexual function and energy levels.

5. Blood Sugar and Cholesterol Tests

Include:

HbA1c (Average Blood Sugar)
Lipid Profile (Cholesterol and Triglycerides)
Why? Chronic conditions like diabetes and high cholesterol can reduce blood flow to the penis and cause erectile dysfunction.

6. Semen Analysis

When is it required? In cases of infertility or ejaculation problems.
What it evaluates:
- Sperm count
- Sperm motility and speed
- Sperm shape and morphology
- Signs of pus cells or blood in semen

7. Penile Doppler Ultrasound

What is it? An imaging test using sound waves to evaluate blood flow in the penis.
When is it needed? In unexplained erectile dysfunction.
Is it painful? No, but it may involve injecting a substance to stimulate erection during the test.

8. Sexually Transmitted Infection (STI) Tests

Includes testing for:

Chlamydia
Gonorrhea
Herpes
Human Papillomavirus (HPV)

STI tests are important if there are:

Genital sores
Unusual discharge
Painful urination

What Happens During a Physical Examination?

A doctor may perform the following:

External inspection: To check penis shape, skin condition, signs of infections or deformities.
Prostate exam: Especially in cases of painful ejaculation or urination issues.
Nerve function test: If neurological damage is suspected, especially after spine injuries.

When Should You See a Doctor Immediately?

You should not delay a medical consultation if you notice:

Sudden or ongoing erectile dysfunction
Persistent penile pain
Lumps or sores on the penis
Changes in color, shape, or curvature
Foul-smelling or unusual discharge

Medical Specialties Involved in Male Genital Examinations

Condition	Specialist
Erectile dysfunction	Andrologist (Male Health Doctor)
Hormonal imbalances	Endocrinologist
Infections or inflammations	Urologist or Dermatologist
Psychological causes	Sexual health psychiatrist

Tips for Accurate Test Results

Avoid sexual activity for 3–5 days before semen analysis.
Do hormonal tests early in the morning.
Inform your doctor about any medications you're currently taking.
Be completely honest about your symptoms, even if they feel embarrassing.

Do All Cases Require Medication?

Not necessarily. Treatment depends on the underlying cause and may include:

Hormone therapy: For low testosterone levels
ED medications: Such as Viagra or Cialis
Psychological therapy: For stress-related or anxiety-induced problems
Surgery: For structural issues like Peyronie’s disease
Lifestyle changes: Improving diet, sleep, exercise, and quitting smoking

Frequently Asked Questions (FAQs)

Can I do these tests at any lab?

It’s best to choose a reputable and certified lab—especially for semen analysis and penile Doppler tests.

Could the problem be psychological, not physical?

Yes. Many cases of erectile dysfunction are linked to stress, anxiety, or relationship issues, not just medical conditions.

How often should I do these tests?

It depends on your symptoms. If problems persist, doctors may recommend retesting every few months.

Final Words

Male genital examination is nothing to be ashamed of.
It’s a crucial step in protecting your sexual and reproductive health. Ignoring early warning signs could lead to serious complications later.
Consult a doctor, do the right tests, and begin the proper treatment at the right time.