Erectile Dysfunction Center

A Thorough Diagnostic Process

Obsidian comprehensively evaluates erectile dysfunction — the best way to pinpoint the specific cause and devise the optimal treatment.

Obsidian offers an array of diagnostic testing for clients with erectile dysfunction. We'll work with you to get your complete medical history and give you a thorough physical exam. Extensive laboratory tests — bloodwork to detect diabetes, high cholesterol, liver disease and thyroid abnormalities — will help determine what might be wrong and how to fix it.

Your Diagnostic Process May Include:

Complete Medical History

This helps us identify current conditions that may be affecting your ability to get and maintain an erection — or that might affect treatment going forward.

Sexual History

We'll document the duration and severity of your ED: how long it's been occurring, your libido and ability to ejaculate, and whether you have any other sexual dysfunction that might be affecting performance.

Physical Examination

A targeted urologic exam is essential. The exam considers your secondary sexual characteristics and looks for signs of cardiovascular, endocrinological and neurological disease.

Lab Testing

Fasting glucose tests, lipid profiles, cardiovascular tests, kidney, liver and thyroid function evaluations — tailored to your medical history.

Hormonal Investigation

Testosterone deficiency is one common yet often overlooked cause of ED. We'll do advanced lab testing including measurements of bioavailable and free testosterone.

Vascular Evaluation

Penile injection using vasoactive agents, followed by ultrasound assessment of penile arteries to determine the presence of a blockage.

Neurologic Testing

When neurologic disease is suspected — nocturnal-tumescence testing and nerve-conduction studies, for example.

Imaging

In complex cases, imaging of the pelvic arteries via arteriography may be necessary. If venous leakage is suspected, a cavernosogram will help identify its source.

Ready to Take the Next Step?

Schedule a confidential consultation with a board-certified physician. No sales pitch. No pressure. Just expert care tailored to you.

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📍 8200 Greensboro Drive, Suite 200, McLean, Virginia 22102

📞 703-940-5815