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How is ED diagnosed?

Patient History

A person's medical and sexual histories help define the degree and nature of ED. The medical history can disclose diseases that lead to ED, and a simple recounting of sexual activity might identify problems with sexual desire, erection, ejaculation, or orgasm.

Use of certain prescription or illegal drugs can suggest a chemical cause because drug effects are a frequent cause of ED.

Physical Examination

A physical examination can give clues to systemic problems. For example, if the penis is not sensitive to physical touch, a problem in the nervous system may be the cause. Abnormal secondary sex characteristics, such as unusual hair pattern or breast enlargement, can point to hormonal problems, which would mean the endocrine system is involved. The doctor might discover a circulatory problem by observing decreased pulses in the wrist or ankles. And unusual characteristics of the penis itself could suggest the source of the problem-for example, a penis that bends or curves when erect could be the result of Peyronie’s disease.

Laboratory Tests

Several laboratory tests can help diagnose ED. Tests for systemic diseases include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. Measuring the amount of available testosterone in the blood can yield information about problems with the endocrine system and may explain why a patient has decreased sexual desire.

Other Tests

Monitoring erections that occur during sleep-nocturnal erections-can help rule out certain psychological causes of ED. Healthy men have involuntary erections during sleep. If nocturnal erections do not occur, then ED is likely to have a physical rather than a psychological cause. Tests for nocturnal erections are not completely reliable, however. Scientists have not standardized such tests and have not determined when they should be conducted for best results.

Psychosocial Examination

A psychosocial examination, using an interview and a questionnaire, can reveal psychological factors. A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse.

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Acting audition

An acting audition is used in the casting process to demonstrate the level and range of a performer's talent, and functions as well as finding the right actor for the work written. For actors, the audition piece is typically not from the show being considered. Some auditions involve cold reading, or performing a script that the actor is not familiar with. An actor may be called back multiple times during an acting audition for a certain role. Any actor knows that in order to build a career and to start landing paying jobs, you have to audition. Visit auditions to find out everything you need to know about auditioning. An acting audition is an interview for a role in a performance for TV, film, commercials or theatre.

Acting auditions are used in the casting process to demonstrate the level and range of a performer's talent. Some auditions involve cold reading, or performing a scene from sides (pages from a script) that the actor is given in advance or when arriving at the audition. An actor may be called back multiple times during an acting audition for a certain role. Acting auditions are a large part of any actors' career and will be for many years. Any additional information an actor has regarding the audition process can only help. To get more information about auditions, go to audition.