What medicine is good for middle-aged men with decreased sexual function?

Decreased sexual function in middle-aged men can be improved through drug treatment. Commonly used drugs include PDE5 inhibitors such as sildenafil, tadalafil, and vardenafil, and androgen supplements such as testosterone undecanoate. The specific medication needs to be selected under the guidance of a doctor according to different causes such as erectile dysfunction and androgen deficiency.

1. PDE5 inhibitors:

Sildenafil increases blood flow in the corpus cavernosum of the penis by inhibiting phosphodiesterase 5 and improves erection hardness. It is suitable for psychogenic or mild organic erectile dysfunction. Tadalafil has a longer duration of action, while vardenafil has a faster onset of action. All three require sexual stimulation to work. Common adverse reactions include headache and facial flushing, and it is forbidden to use it in combination with nitrates.

2. Androgen supplementation:

When the serum testosterone level is lower than 8 nmol/L, testosterone undecanoate preparation can be considered, which is suitable for patients with late-onset hypogonadism. Prostate-specific antigen and hematocrit need to be monitored regularly to be alert to the risks of prostatic hyperplasia and thrombosis. Not recommended for those with simple low libido or normal testosterone levels.

3. Traditional Chinese medicine conditioning:

Compound Xuanju capsule contains black ant extract, which can warm the kidneys and strengthen yang.； Shugan Yiyang Capsule for dysfunction caused by liver stagnation and kidney deficiency ； Yougui Pill is suitable for kidney yang deficiency syndrome. Traditional Chinese medicine needs to be used according to syndrome differentiation, and the course of treatment usually takes 2-3 months. The effect is better when combined with lifestyle adjustments.

4. Nutritional supplements:

L-arginine, as a nitric oxide precursor, can improve vascular endothelial function, coenzyme Q10 helps improve cellular energy metabolism, and zinc participates in testosterone synthesis. These supplementary nutrients may have some improvement effect on mild functional impairment, but the evidence for their efficacy is low.

5. Combined treatment plan:

For severe vascular erectile dysfunction, PDE5 inhibitors combined with prostaglandin E1 penile injection may be considered, while for psychological disorders, cognitive behavioral therapy is required. People with underlying diseases such as hypertension and diabetes should give priority to controlling the primary disease. Some antihypertensive drugs may affect sexual function and need to be adjusted.

Comprehensive measures need to be taken to improve sexual function. It is recommended to increase lower limb exercises such as squatting and brisk walking to promote testosterone secretion, and to eat oysters, nuts and other foods rich in zinc and magnesium in moderation. Avoid staying up late for a long time and overexertion, quit smoking and limit alcohol consumption to help maintain blood vessel health. Couple communication and psychological stress reduction are equally important. If necessary, professional medical consultation can be sought. Perform regular physical examinations to check for potential risk factors such as cardiovascular disease, and do not abuse aphrodisiac health products on your own.