What medicine should I use if my sexual function is not good?

Sexual dysfunction can be improved through drug treatment. Commonly used drugs include PDE5 inhibitors such as sildenafil, tadalafil, and vardenafil, and hormonal drugs such as testosterone undecanoate. The specific medication needs to be selected by a doctor after evaluation based on the cause of the disease. Common influencing factors include vascular factors, abnormal hormone levels, psychological stress, chronic diseases and drug side effects.

1. PDE5 inhibitors:

Sildenafil, tadalafil and other drugs improve erectile function by enhancing blood flow to the penis and are suitable for vascular erectile dysfunction. This type of drug needs to be effective under sexual stimulation. Common side effects include headache and facial flushing. Patients with cardiovascular disease should use it with caution. Contraindications to nitrates must be ruled out before use.

2. Androgen replacement:

Testosterone Undecanoate is indicated for the treatment of decreased libido and erectile dysfunction caused by low testosterone levels. Hormone deficiency needs to be confirmed by blood testing, and prostate-specific antigen and hematocrit should be monitored with long-term use. Hormone therapy is not effective in people who are not hormone deficient.

3. Psychological adjustment drugs:

Antidepressants such as paroxetine can be used short-term when accompanied by anxiety and depression. Such drugs may temporarily aggravate erectile dysfunction and require psychological consultation. Selective serotonin reuptake inhibitors can improve premature ejaculation.

4. Chinese patent medicine auxiliary:

Chinese patent medicines such as Compound Xuanju Capsules and Shugan Yiyang Capsules can improve functional erectile dysfunction. It needs to be used according to syndrome differentiation. It has a slower onset but fewer side effects. Traditional Chinese medicine treatment needs to be continued for 1-2 months to observe the effect.

5. Treatment of primary disease:

Chronic diseases such as diabetes and hypertension require priority to control underlying diseases. Some antihypertensive drugs may affect sexual function, so you can consult your doctor to adjust your medication regimen. Good blood sugar and blood pressure control helps improve blood vessel function.

Improving sexual function requires comprehensive conditioning. It is recommended to maintain a regular schedule and moderate exercise, and perform aerobic exercise such as brisk walking or swimming 3-5 times a week. Pay attention to supplementing nutrients such as zinc and arginine in your diet, and eat oysters, nuts and other foods in moderation. Strengthen emotional communication between partners and reduce psychological stress. Avoid overwork and staying up late for long periods of time, quit smoking and limit alcohol consumption. If the symptoms last for more than 3 months or are accompanied by other physical discomforts, you should go to the men's department or endocrinology department in time to complete the testing of sex hormones, blood sugar, and blood lipids to rule out organic diseases. Never buy impotence drugs with unknown ingredients on your own.