What to do with impotence? Treatments for impotence

Male sexual function is a very important ability. This ability can play a leading role in the life of a couple and is the source of power for the satisfaction of both parties. However, some men have low sexual function due to various reasons and are useless. This is a pathological sexual dysfunction, also known as impotence and premature ejaculation. Impotence is an important factor affecting male reproductive health, and it will also harm the relationship between the couple and cause a crisis in the relationship between the couple. Therefore, if you have impotence, you must treat it in time, otherwise it will bring serious consequences. Let's take a look at how to treat impotence.

"Impotence" is the former name for "erectile dysfunction (ED)". Erectile dysfunction (ED) refers to the persistent inability of the penis to achieve and maintain an erection sufficient for satisfactory sexual intercourse in the past three months. ED is one of the most common sexual dysfunctions in men. Although ED is not a life-threatening disease, it is closely related to the patient's quality of life, sexual partner relationship, and family stability. It is also an early warning sign of many physical diseases.

(1) Selective phosphodiesterase type 5 inhibitors (PDE5i) PDE5i include sildenafil, vardenafil and tadalafil. PDE5i is taken when sexual intercourse is needed. If used properly, in sufficient dosage and repeatedly, it may improve the efficacy, but as a one-time drug to induce erection, it cannot fundamentally treat ED. One-time mild headache, dizziness, facial flushing, etc. are the main adverse reactions of PDE5i, with an incidence rate of about 15%; because PDE5i has a mild dilating effect on peripheral blood vessels, it is prohibited for those taking nitrate drugs; patients with ED accompanied by cardiovascular risk factors are prohibited from using PDE5i.

(2) Apomorphine hydrochloride lozenges Apomorphine has a certain therapeutic effect on patients with mild to moderate ED and ED caused by mental factors. The main adverse reactions include nausea, dizziness, sweating, drowsiness, yawning, etc., and syncope occurs in very rare cases.

(3) Testosterone supplementation therapy For ED patients with low testosterone levels, if other endocrine testicular dysfunction is excluded, androgen supplementation or combination with PDE5i has a certain effect. However, for patients with prostate cancer or suspected prostate cancer, androgen supplementation therapy is contraindicated. Therefore, before androgen supplementation, a prostate digital rectal examination (DRE) and PSA measurement, as well as liver function tests should be routinely performed. Patients receiving testosterone supplementation therapy should regularly undergo liver function and prostate cancer markers.