How long does it take for sexual dysfunction to improve?

It would be irresponsible for me to give an accurate estimate. I have been in the men's department for almost ten years. The fastest I have seen is that it can return to normal in two weeks, and the slowest can take almost two years to gradually stabilize. The difference is not even half a star.

The 28-year-old man who was admitted last month was just married for 3 months. He was too nervous to have sex for the first time and failed. After that, he had psychological baggage again and again. He was more and more afraid that it would not work and problems would arise. When he came in, his face was red and he said that he was a waste. I checked his hormones and the blood flow in his penis was normal. It was purely a psychological stress disorder. I gave him two cognitive counseling sessions and taught the couple how to cooperate with foreplay. I also asked him not to think about "must succeed" during that time and just relax and play. After only 12 days, he sent me a message to tell me the good news, saying that it was finally done.

But don’t think that everyone can recover so quickly. Last year, there was a 45-year-old patient with a history of diabetes for 11 years. His blood sugar control was a mess. He had trouble getting an erection and it took him 3 years before he dared to come for a checkup. He had already suffered local nerve damage and endothelial sclerosis. He and his wife separated for almost a year because of this problem, and he was extremely anxious. There is no need to rush this. We need to stabilize blood sugar first, and then use medicine to improve blood flow and nourish nerves. We also need psychological counseling from time to time. It took more than 6 months of adjustments before we were finally able to have sex stably. I am still adhering to the follow-up adjustment plan.

Many people also come to me and ask, can they get better immediately by taking Viagra? Some people think that they are just stressed out and don’t need to take medicine to adjust their mentality. Both of these ideas are actually quite extreme. If there is clear organic damage, such as blocked blood vessels and low hormone levels, it will definitely be useless to just adjust the mentality, and intervention is necessary. ； However, if it is purely a psychological trigger and you blindly take erection aids, it will easily give yourself the psychological hint "I can't do it if I don't take it", which will lead to a chronic problem.

To put it bluntly, this is the same as treating a cold. If you are young and strong and it is just a mild cold caused by catching a cold, just drink more hot water and boil it for two days.； If the fever reaches 39 degrees due to bacterial infection, it may take a week of infusion to reduce the fever. ； If you have underlying diseases such as COPD and asthma, it is normal to wait for half a month or even a month. The same logic applies to sexual function conditioning. The type of problem, severity, personal physical foundation, and whether you can cooperate with the doctor's instructions all affect the speed of recovery.

I would also like to mention that don’t believe the advertisements on the Internet that “can cure sexual dysfunction in 7 days”. Just cut leeks. Last month, there was a patient who had mild psychological premature ejaculation. He blindly went to a private institution for “nerve block surgery” and spent more than 30,000 yuan. On the contrary, the sensitivity was even lower and there was also a psychological shadow. The problem was originally cured in half a month, but it took half a year to slowly recover.

In fact, most patients who do not have serious underlying diseases can see significant improvement within three months as long as they go to a regular hospital to find out the triggers and cooperate with the doctor's plan. There is really no need to be too anxious. The more urgent it is, the more likely it is that problems will arise.