Some men cannot have a normal erection during sexual intercourse, which is collectively referred to as erectile dysfunction. There are many reasons for this situation, and the situation is relatively complicated. Depending on the cause, the correct treatment method chosen is also different. 1. Causes of erectile dysfunction Erectile dysfunction is a male disease, also known as male dysfunction, which is an important cause of reproductive failure. The incidence rate reaches a peak in the elderly male population, so the occurrence of this disease is closely related to the occurrence of age. The next one provides you with the causes of erectile dysfunction. 2. Disease factors of the causes of erectile dysfunction Chronic renal insufficiency, prostatitis The probability of chronic renal insufficiency, prostate and penis diseases inducing erectile dysfunction can reach more than 40%. Hyperlipidemia can also lead to this disease. The higher the serum total cholesterol and the lower the high-density lipoprotein, the greater the probability of its occurrence. Neurological diseases such as multiple sclerosis, demyelinating disease, Alzheimer's disease, stroke, etc. can also induce erectile dysfunction. In addition, endocrine diseases such as hypopituitarism, hyperprolactinemia, hypogonadism, adrenal disease, hypothyroidism and hypofunction are also related to this syndrome. Ulcers, arthritis, allergies, alcoholic cirrhosis, and chronic obstructive pulmonary disease can all be associated with erectile dysfunction. III. Treatment of erectile dysfunction 1. Psychological treatment Sensory training and sexual focus training should be given to both men and women at the same time. 2. Drug treatment ①Yohimbine It is a bidirectional α2-adrenaline receptor blocker that dilates the penile arteries and stimulates the central sympathetic nerves to increase reproductive desire. 15-30 mg/d, divided into 3 doses, for 4-8 weeks, can be used for low reproductive desire, and the efficacy for psychological ED is 46%. ②Phentolamine It is an adrenaline receptor blocker that can cause arterial and smooth muscle dilation and block venous reflux to cause penile erection. 40 mg/time, orally 30-60 minutes before sexual intercourse. ③Apomorphine It is a D2 receptor stimulant, a central and peripheral dopamine agonist, commonly used for hyperprolactinemia ED, 2-6 mg/time, sublingually. The efficacy for all types of ED is up to 60%. ④ Bromocriptine It is also a dopaminergic active drug used to treat hyperprolactinemia ED, 2.5-7.5 mg/d. |
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