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Nevertheless, some of the above examinations are recommended to be carried out regularly, regardless of health and age.
These include a biochemical blood test, urine analysis and PSA determination. An increase in the concentration of ACTH, combined with an increased level of sugar and obesity, is a sign of Itsenko-Cushing's disease.
The presence of the above signs with a reduced level of ACTH indicates the development of Itsenko-Cushing's syndrome.
In the first case, the pathology arises from a tumor of the pituitary gland, in the second - the adrenal glands.
Decreased insulin occurs in type I diabetes. An increase in its concentration, in combination with an increased glucose content, is most often observed in type II diabetes mellitus.
An increase in prolactin content, in most cases, indicates the presence of a hormone-producing pituitary tumor.
A decrease in testosterone levels can occur with various pathologies, including: Increased prolactin levels; Hypogonadism; Against the background of chronic prostatitis; With obesity; Due to long-term use of drugs based on glucocorticosteroids Prednisolone, Methylprednisolone, Hydrocortisone, Dexamethasone, etc.
Increased concentration of total cholesterol and its fractions LDL, triglycerides ; Decreased HDL levels; Increased CRP.
It is important to note that this analysis is informative only in the absence of inflammatory diseases in the patient ARVI, rheumatoid arthritis, pyelonephritis, etc.
With the help of analyzes, it is possible to exclude or confirm the presence of the following diseases: dyslipidemia and atherosclerosis, diabetes mellitus or prediabetes, endocrine pathologies, chronic heart failure and a number of other conditions.
Referrals to some of them can be obtained free of charge, when contacting a therapist or as part of a medical examination blood biochemistry, clinical urinalysis.
Other studies, unfortunately, are available only for money, since they are not covered by the compulsory medical insurance policy.. For men over years old, questioning and interviewing are less important.
At this age, as a rule, the personality is stable, the man is weakly susceptible to criticism and self-criticism, therefore, psychological impotence after 50 is quite rare.
It is necessary to focus on the search for organic diseases, especially atherosclerosis, diseases of the cardiovascular system and prostate.
Also, after 50 years, at any visit to a surgeon or urologist, a rectal examination should be performed to exclude oncological diseases of the prostate gland.
Diagnosis of the cause of impotence depends on age. In young patients, it is important to pay attention to the psychological state, it is necessary to try to determine whether a man has hidden complexes or desires, the circumstances of unsuccessful sexual contacts with women, to assess the level of his anxiety or depression.
This can be done with the help of tactful questioning, the HADS questionnaire see above , consultation with a psychologist or sex therapist.
After excluding psychological reasons, you should carefully examine the penis for congenital defects curvatures, phimosis, etc.
Further, you need to exclude other possible causes. The search for other organic diseases or psychological problems is recommended after excluding the above diseases.
This will help save time and money spent on diagnostics and unnecessary therapy. It is not difficult to detect the presence of erectile dysfunction, which cannot be said about finding out the cause of this condition.
A large number of reasons lead to it, so the diagnosis can be quite complex and lengthy. There is only one way to reduce its duration and research costs - to contact a qualified urologist-andrologist.
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