How to treat mild impotence?

Male impotence is a very serious disease that hurts one's self-esteem, especially when facing accusations from one's partner and when the condition is known to outsiders. The psychological damage is extremely great. Impotence can be mild or severe. Mild impotence can be cured with treatment. During this period, it is best not to use aphrodisiac drugs, which will stimulate reproductive health. So how do middle-aged men treat mild impotence?

General treatment

Change unhealthy lifestyles, prevent and treat high-risk factors, such as increasing exercise, losing weight and taking drugs that can cause ED, and actively treat diabetes and hypertension. For example, primary testicular diseases caused by insufficient testosterone secretion or secondary pituitary and hypothalamic diseases, as well as delayed gonadal dysfunction in the middle-aged and elderly, can be treated with testosterone supplementation.

Psychotherapy

For patients with obvious mental illness, psychosexual therapy can be used alone or in combination with other treatments. However, psychosexual therapy takes time and its effectiveness is uncertain.

First Line Treatment

Phosphodiesterase 5 (PDE5) is an enzyme widely distributed in the corpus cavernosum of the penis, which can hydrolyze cyclic guanosine monophosphate (cGMP). Inhibiting PDE5 activity can block the hydrolysis of cGMP and increase its concentration, inducing relaxation of penile blood vessels and cavernous sinus smooth muscles, increasing penile arterial blood flow and inducing penile erection. Currently, highly selective PDE5 inhibitors such as sildenafil (Viagra), talenafil (Cialis) and vardenafil (Ailida) have a clinical efficacy of 70-80% when taken before sexual intercourse. The most common side effects of PDE5 inhibitors are headache, flushing, indigestion and nasal congestion, all of which work through the nitric oxide-cyclic guanidine phosphate (NO-cGMP) pathway. Their contraindications are patients taking long-acting or short-acting nitrates. The following patients may be at risk for taking PDE5 inhibitors: active coronary heart disease, congenital heart disease with heart failure, hypotension, significantly enlarged heart, use of combination drugs to fight hypertension, and use of drugs that extend the half-life of PDE5.

Second line treatment

Vacuum negative pressure device therapy: When using a negative pressure device, a negative pressure ring is placed at the base of the penis to prevent blood from flowing back. The negative pressure acts on the cavernous body of the penis, attracting blood into the penis, causing the penis to passively erect. Generally, young patients are not easy to accept negative pressure devices. Elderly patients with erectile dysfunction who have a low frequency of sexual intercourse and patients who prefer non-invasive, non-drug treatments are more likely to accept negative pressure therapy. Side effects include penile pain, numbness, and inability to ejaculate.

Penile corpus cavernosum drug injection therapy: Injection of vasodilators such as prostaglandin E1, poplar alkaloids, and phentolamine into the penile corpus cavernosum can induce penile erection through local vasodilation. However, the dosage and injection method of the drug must be determined under the guidance of a doctor to avoid serious complications. The clinical efficacy of penile corpus cavernosum drug injection therapy is 70-80%, and adverse reactions include prolonged erection or persistent abnormal erection, penile pain, or fibrosis of the corpus cavernosum. If the penis continues to be erect for more than 4 hours, the patient should be treated immediately by the urology department for emergency treatment.

The above article explains how middle-aged men can treat mild impotence. At this time, patients need to find the cause of the disease. Treatment of the cause can alleviate the symptoms of impotence, such as stress, excessive masturbation, etc. Patients can adjust their mental state and cooperate with certain psychological treatments to restore sexual function. If the condition improves over a period of time, it can be cured.