Sexual dysfunction treatment methods

The core treatment logic for sexual dysfunction is to "first investigate the organic cause, and then match it with an individualized combination plan of lifestyle intervention, psychological counseling, and standardized medical intervention. There is no universal treatment template suitable for everyone. Do not blindly follow the trend and take folk prescriptions and three-no kidney-tonifying products."

Last week, a 28-year-old programmer was admitted to the outpatient clinic. He worked hard for more than three months to get the project online. I tried it twice with my partner but failed. I secretly bought two boxes of Liuwei Dihuang Pills and took them for almost half a month. However, I always felt that my waist was sore and my legs were weak and I couldn’t lift my energy. I came here to check and found out about testosterone water. The level was nearly one-third lower than the normal value, and coupled with long-term sympathetic nerve hyperactivity, it was not a problem of kidney deficiency at all. I adjusted my schedule, prescribed some medicine to promote testosterone secretion, and took 20 minutes a day to go out for a walk. Within a month, I came back for a follow-up visit and said that it was back to normal. If you have more contact with this type of patients, you will find that eight out of ten of them come to the hospital after a long period of blind adjustment without any effect. There are too many misunderstandings about this issue.

Let’s talk about “should you go to the hospital” that everyone is most concerned about first? The conventional approach of Western medicine is to first conduct investigation: six items of sex hormones, erectile function test, cavernous blood flow angiography, and first rule out organic problems such as abnormal hormone secretion, blood vessel damage, and neuropathy. For example, many patients with long-term hypertension and diabetes have erection problems mostly because the vascular endothelium has been damaged. At this time, no matter what you adjust, it is better to control blood sugar and blood pressure first. Only after the foundation is stabilized can subsequent intervention be effective. Traditional Chinese medicine's approach to conditioning is more focused on overall syndrome differentiation. It does not just replenish the kidneys at the first step. I have talked with colleagues in the Department of Traditional Chinese Medicine. Among young patients, less than 20% of them have real kidney deficiency. Most of them are due to liver stagnation and qi stagnation (that is, long-term stress and emotional suffocation). Or you are addicted to damp heat (you like drinking, eating heavy food, sitting for long periods of time, which makes your private parts hot). At this time, if you eat velvet antler, epimedium and other tonic foods, it will be like stepping on the accelerator when you are stuck in a traffic jam. The more you take, the more congestion you will get, which will worsen the symptoms.

Don’t think that as long as you go to the hospital and prescribe some medicine, everything will be fine. Lifestyle has a much greater impact than many people think. I know a fitness blogger who trains his legs for two hours every day. He tells people everywhere on the Internet that "leg training can stimulate testicles and improve sexual function." However, he stays up late every day to edit videos until two or three o'clock. Some time ago, he didn't come to me to report, and it was found that his testosterone level is not as good as that of ordinary people who don't work out. No matter how hard you train, if you don't sleep enough for 7 hours, your hormone levels will not improve at all. It's all in vain. There was also an engineering boss who drank liquor for socializing every day and weighed almost 200 pounds. His blood lipids and uric acid were high, and the blood supply to the corpus cavernosum was affected. At first, he didn’t want to quit. He asked if he could take medicine to cope with it. I told him that it would be useless if he continued to drink. I quit alcohol for three months, walked 10,000 steps a day, lost 20 pounds, and recovered most of his functions without taking medicine.

The various "delay training" and "desensitization methods" that are so popular on the Internet must also be viewed dialectically. Behavioral training guided by sex therapists in regular hospitals does have a clear effect on psychogenic premature ejaculation and erectile dysfunction, but don't just search for a tutorial from an unknown source and practice blindly. There was a young man who practiced squeezing by himself before. He failed to control the intensity and injured the corpus cavernosum. Instead, he was in pain for almost half a month and dared not have sex. In fact, some people have no physical problem at all, but a psychological shadow left after a failure. Every time they have sex, they are subconsciously nervous "Will I fail this time?" The more nervous the sympathetic nerves are, the more likely they are to have problems. Different doctors have different ways of dealing with this situation. Some will suggest that you do a few cognitive behavioral consultations first to break the psychological suggestion of "I can't do it." Some will suggest that your partner participate in counseling together. To be honest, at this time, your partner should say "It's okay." We are just too impatient." It is more effective than taking half a pill of Viagra. I had a patient before, and my wife never complained. She would try it slowly with him every time. She recovered within two weeks. On the other hand, if your partner loses face when he fails, no matter how much medicine you take, it will be in vain.

As for the question that everyone is most concerned about, "Will taking Viagra lead to dependence?", let me give you the bottom line: regular PDE5 inhibitor drugs have been used clinically for more than 20 years in Western medicine, and have been proven to have no physiological dependence. Many people think that "you can't do it if you don't take it." In fact, it is psychological dependence, and you can stop it normally after slowly adjusting and reducing the dosage. Of course, not everyone is suitable to eat it. People with severe cardiovascular disease must follow the doctor's advice and don't buy it blindly.

In fact, it’s not as shameful as everyone thinks. It’s just like having a cold or fever. Some people are in good health and just need to drink more hot water and sleep for two days. Some people need to take some antipyretics, and some people need intravenous fluids if it’s serious. There is no unified treatment method at all. Don't blame yourself blindly, and don't believe in "ancestral secret recipes" or "quick-acting kidney-tonifying pills". Many Sanwu products contain illegal western medicine ingredients. Taking too much will cause irreversible damage to the cardiovascular system. If you really think there is a problem, go to the men's department or urology department of a regular hospital to register. First, find out what the cause is, and then slowly adjust it. More than 90% of the cases can be significantly improved. There is really no need to secretly speculate on your own, but it will delay the best opportunity for adjustment.