How long does it take to recover from sexual dysfunction treatment?

There is really no unified standard for this question. I have been in the men's clinic for almost 8 years, and I have seen patients with psychogenic erectile dysfunction who recovered completely in more than two weeks. There are also organic patients with underlying diseases who took more than a year to slowly be able to have normal intercourse. Individual differences are very large.

There was a 27-year-old boy who was too nervous to have sex with his girlfriend for the first time and failed. After that, he tried three times in a row but it didn't work. He searched at home for a long time and was so scared that he thought his life was useless. When he came for a check-up, his hormones and nighttime erection monitoring were all normal. It was purely due to too much psychological baggage. I gave him half an hour of counseling, and prescribed some low-dose PDE5 inhibitors for him to take half an hour before intercourse. To put it bluntly, it was to give him a "reassurance pill" to help him break the vicious cycle of fear of failure. As a result, he came for a follow-up visit the next week and said that he succeeded after taking only one dose. After that, he was fine without taking any medicine. He took less than 20 days of treatment. Situations like this without organic damage are mostly problems of mentality, atmosphere or partner's cooperation. As long as you open up your heart, sometimes you don't even need to take medicine, and you can adjust the rhythm and environment of sex, you can quickly recover.

But if there is real organic damage, then there is really no rush. The 45-year-old diabetic patient I met previously had a 10-year history of diabetes and had never taken medication to control his sugar levels. It was common for his daily blood sugar to soar above 10. When he came to see a doctor, he had been unable to have an erection for two years. It was found that the endothelium of the cavernous blood vessels had suffered minor irreversible damage, and the blood supply could not keep up. In this case, we must first stabilize the blood sugar to the normal range, and then gradually adjust it with drugs that improve blood supply and nourish nerves. In the first three months, he had almost no physical changes. It was only in the fourth month that he came to me and told me that morning erections were slowly returning. It took 11 months of adjustment before he could complete normal intercourse. He still has to control his blood sugar every day. If the control is stopped, it may recur.

More common are mixed problems between the two. For example, Internet workers who often stay up late and sit for long periods of time have chronic prostatitis and slightly low androgen levels. They usually have insufficient hardness or short intercourse time. They are also psychologically frightened. The more afraid they are, the more likely they are to have problems. As long as you adjust your work and rest and take the right medication, you can usually see significant improvement in two or three months. Of course, there are also people who can't control themselves. One person is taking medication and the other is drinking heavily and staying up late every day. It's not uncommon to see no improvement after half a year of medication.

Nowadays, there are always people arguing on the Internet, saying that Western medicine works quickly but causes dependence, and Chinese medicine removes the root but is too slow. In fact, it is not so absolute. The PDE5 inhibitor that the young man used just now stopped after only one use, which is not dependable at all. Many patients with organic diseases use a combination of Chinese and Western medicine, and the recovery speed is much faster than using either medicine alone. There is no need to stand on one's own. It is best to suit your own situation. Many patients ask if they can be cured in a month when they come in. In fact, there is really no need to worry about time. Do a check-up first to find out what kind of problem you have. Don't just randomly buy kidney-tonifying pills.