What's the best medicine for men who can't do it?

Male sexual dysfunction can be improved through drug treatment. Commonly used drugs include PDE5 inhibitors such as sildenafil, tadalafil, and vardenafil. Drug selection needs to be based on individual health conditions, drug tolerance and doctor's recommendations.

1. Sildenafil:

Sildenafil, a first-line drug for the treatment of erectile dysfunction, enhances cavernous congestion by inhibiting the PDE5 enzyme. The drug needs to be taken 30-60 minutes before sexual activity. Common side effects include headache and facial flushing. Patients with cardiovascular disease should use it with caution, and it is prohibited to use it in combination with nitrates.

2. Tadalafil:

Tadalafil's effect lasts up to 36 hours, making it suitable for patients who want a natural sex life. This medicine is not affected by diet but may cause muscle soreness. Patients with abnormal liver function need to adjust the dose, and patients with glaucoma should avoid use.

3. Vardenafil:

Vardenafil takes about 15 minutes to take effect and has a significant effect on mild to moderate erectile dysfunction. Common adverse reactions include nasal congestion and visual abnormalities. Elderly patients over 65 years old should start using it at a low dose and avoid taking it at the same time as α-blockers.

4. Testosterone replacement:

For the loss of sexual desire caused by testosterone deficiency, preparations such as testosterone undecanoate can be used. Low hormone levels need to be confirmed through blood tests first, and prostate indicators and hematocrit need to be monitored regularly during treatment. It is contraindicated for those at risk of prostate cancer.

3. Traditional Chinese medicine conditioning:

For kidney-yang deficiency type dysfunction, Chinese patent medicines such as Jingui Shenqi Pills and Wuzi Yanzong Pills can be considered. This type of medicine needs to be taken for a long time to be effective and is suitable for mild symptoms or as auxiliary treatment. Do not eat raw or cold food while taking it. Use should be suspended when you have a cold or fever.

Improving sexual dysfunction requires comprehensive conditioning. It is recommended to maintain a regular schedule and moderate exercise, and perform 150 minutes of aerobic exercise every week. In the diet, consume more seafood and nuts rich in zinc, and supplement vitamin E and arginine. To avoid excessive fatigue and mental stress, your partner should provide full understanding and support. Smoking and drinking will aggravate blood vessel damage and need to be stopped gradually. 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 urology department for a timely examination to rule out the influence of underlying diseases such as diabetes and hypertension. Medication treatment must be carried out under the guidance of a professional physician. Do not increase or decrease the dosage or mix medications on your own.