Male Libido Disorders: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing).
      • Skin, mucous membranes and body structure
    • Inspection and palpation (palpation) of the thyroid gland.
    • Inspection and palpation of the mammae (mammary glands) [very rare: galactorrhea/diseased mammary discharge] [due todifferential diagnosis: hyperprolactinemia/elevation of prolactin levels in the blood].
    • Inspection and palpation of abdomen (belly), inguinal region (groin region), etc. (tenderness?, tapping pain?, release pain?, coughing pain?, guarding pain?, hernial orifices?, renal bearing claudication?)
    • Inspection and palpation of genitalia (penis and scrotum); assessment of:
      • Pubescence (pubic hair).
      • Penis (penis length: between 7-10 cm when flaccid; presence of: Indurations (tissue hardening), anomalies, phimosis / foreskin constriction?)
      • Testicular position and size (if necessary by orchimeter).
    • Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of the prostate in size, shape and consistency, if necessary, detection of indurations (tissue hardening)).
  • Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.