What kind of medicine is good for a 60-year-old man with poor sexual function?

Sexual dysfunction in men aged sixty can be improved through drug treatment. Commonly used drugs include sildenafil, tadalafil, testosterone undecanoate, etc. Sexual dysfunction may be related to aging, chronic diseases, decreased hormone levels, psychological factors and bad living habits.

1. Sildenafil:

Sildenafil is a phosphodiesterase 5 inhibitor that improves erectile function by enhancing blood flow to the corpus cavernosum of the penis. This drug needs to be taken as needed before sexual activity and is effective for most organic or psychological erectile dysfunction. During medication, care should be taken to avoid taking it with nitrate drugs. Patients with cardiovascular disease should use it after evaluation by a doctor.

2. Tadalafil:

Tadalafil's mechanism of action is similar to sildenafil, but its effect lasts up to 36 hours. Suitable for patients who want a more natural approach to sex, common side effects include headaches and indigestion. Patients with severe hepatic and renal insufficiency need to adjust the dose and monitor blood pressure changes during medication.

3. Testosterone undecanoate:

For older men with low testosterone levels, testosterone undecanoate can supplement male hormones. It needs to be used after confirming testosterone deficiency through blood tests, and can improve low sexual desire and erectile function. Long-term use requires regular monitoring of prostate-specific antigen and hematocrit, and is contraindicated in patients with prostate cancer.

4. Chronic disease management:

Chronic diseases such as diabetes and hypertension can damage blood vessel and nerve function. Controlling blood sugar and blood pressure within the target range can delay the decline of sexual function. When selecting antihypertensive drugs, priority can be given to angiotensin receptor blockers that have less impact on sexual function.

5. Lifestyle adjustments:

Smoking cigarettes, limiting alcohol intake, and exercising regularly can improve vascular endothelial function. The Mediterranean diet is rich in antioxidants, which help maintain blood flow to the penis. Ensuring adequate sleep and stress reduction training can help improve psychogenic dysfunction.

Maintenance of sexual function in elderly men requires comprehensive intervention. In addition to standardized medication, it is recommended to perform 150 minutes of moderate-intensity aerobic exercise every week, such as brisk walking or swimming, combined with lower limb strength training to enhance the function of the pelvic floor muscles. In the diet, consume more arginine-rich walnuts and seafood, and supplement zinc and vitamin E. Maintaining a moderate frequency of sexual life can help maintain sexual organ function, and strengthening emotional communication with your partner can reduce psychological stress. Perform regular physical examinations to check for underlying diseases such as diabetes and cardiovascular disease, and avoid taking self-imposed health care products. If symptoms persist or worsen, you need to go to the andrology clinic for professional evaluation such as nighttime erection monitoring and hormone levels.