How to prepare for a video visit about Erectile Dysfunction (ED) - Evaluation

Audience: pediatric

Erectile Dysfunction (ED) is uncommon in pediatric patients but can sometimes occur due to medical or psychological reasons. Preparing for a video visit about ED evaluation involves understanding the condition, gathering relevant health information, and being ready to discuss symptoms openly with your healthcare provider. During the visit, the provider will ask questions about medical history, lifestyle, and emotional health to help understand possible causes. Telemedicine can offer a convenient way to start this conversation safely from home. However, some situations may require in-person exams or tests. This guide helps pediatric patients and their caregivers prepare for a telemedicine visit about ED evaluation, what to expect, and when to seek urgent care.

Red flags — go in person / ER

• Painful erections lasting more than 4 hours (priapism) — seek emergency care immediately.
• Sudden inability to urinate or severe urinary pain — contact healthcare provider promptly.
• Severe mood changes, depression, or thoughts of self-harm — seek urgent mental health support.

What telemedicine can do

• Initial discussion of symptoms and medical history related to ED.
• Providing education about ED and lifestyle factors.
• Guidance on emotional and psychological support options.
• Referrals for in-person exams or tests if needed.

What telemedicine cannot do

• Physical examination requiring hands-on assessment.
• Immediate treatment of emergency conditions like priapism.
• Diagnostic procedures such as blood tests or imaging.
• Prescribing controlled medications without prior in-person evaluation.

What is Erectile Dysfunction (ED) in Pediatric Patients?

ED means having trouble getting or keeping an erection. While it is more common in adults, some boys and teens may experience ED due to health issues, hormonal changes, or emotional stress. It is important to talk about these concerns with a doctor to find the cause and get support.

How to Prepare for Your Video Visit

Before your video visit, gather information such as your medical history, any medications or supplements you take, and details about your symptoms. Find a quiet, private place with good internet connection. Make a list of questions or concerns you want to discuss. Having a parent or trusted adult nearby may help if you feel more comfortable.

What to Expect During the Video Visit

The healthcare provider will ask about your health, lifestyle, and how ED affects you. They may inquire about sleep, mood, stress, and any other symptoms. Physical exams cannot be done through video, but the provider may suggest tests or in-person visits if needed. The goal is to understand your situation and plan next steps.

When to Seek In-Person Care or Emergency Help

If you have sudden, painful erections lasting more than 4 hours, severe pain, or signs of infection, seek emergency care immediately. Also, if you notice other serious symptoms like chest pain or severe mood changes, contact a healthcare provider right away. Some problems require hands-on exams or urgent treatment.

Tips for Talking About ED with Your Provider

It is normal to feel nervous about discussing ED. Remember that your provider is there to help, not judge. Be honest and open about your symptoms and feelings. This helps them give the best advice and care.

How to prepare for your tele-visit

• Find a private, quiet space with good internet connection for your video visit.
• Have a list of your symptoms, including when they started and how often they occur.
• Gather information about your medical history and any medications or supplements you take.
• Prepare questions or concerns you want to discuss with your provider.
• Ensure a trusted adult is available to assist if needed during the visit.

After your tele-visit

• Follow any recommendations given by your healthcare provider, such as scheduling in-person visits or tests.
• Keep track of your symptoms and any changes after the visit.
• Reach out to your provider if symptoms worsen or new concerns arise.
• Consider emotional or psychological support if recommended.
• Maintain open communication with your healthcare team for ongoing care.

FAQs

Is erectile dysfunction common in children and teens?

ED is uncommon in pediatric patients but can happen due to medical, hormonal, or psychological reasons. It is important to discuss any concerns with a healthcare provider for proper evaluation.

What causes ED in young people?

Causes may include hormonal imbalances, stress, anxiety, depression, certain medications, or underlying health conditions. A healthcare provider can help identify possible causes.

Can a video visit diagnose ED?

A video visit can help start the conversation and gather important information but cannot provide a full diagnosis. Physical exams and tests may be needed in person.

What should I do if I have a painful erection lasting more than 4 hours?

This is a medical emergency called priapism. You should seek emergency care immediately to prevent damage.

Will my privacy be protected during a telemedicine visit?

Yes, healthcare providers use secure platforms to protect your privacy. Make sure you are in a private space during the visit to maintain confidentiality.

Sources

1. Erectile Dysfunction — MedlinePlus, U.S. National Library of Medicine.
2. Erectile Dysfunction: Overview — Mayo Clinic.
3. Erectile Dysfunction — Merck Manuals Consumer Version.
4. Telehealth: What You Need to Know — Centers for Disease Control and Prevention (CDC).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have urgent symptoms or concerns, please seek immediate medical attention or visit a healthcare facility.