What medicine should men take for sexual dysfunction

The decline of male sexual function includes erectile dysfunction and male ejaculation dysfunction, that is, impotence and premature ejaculation. It will make men lose their self-confidence, leading to inner work pressure, and in the long run it will also cause certain effects on the heart. So what Chinese medicine should men take for the decline of sexual function?

When men find that their sexual function has declined, if it is due to excessive mental stress recently, or the habit of staying up late and drinking alcohol often causes the body to be distracted, or the diet is lacking in vitamin A, it is necessary to adjust the diet and lifestyle. After a period of time, if the symptoms have not improved significantly, you can take Chinese herbal medicines, such as Jizi Xuanju Capsules, Libu Jinqiu Capsules, Wuzi Yanzong Pills and other Chinese herbal medicines. If the six sex hormone tests show that the male's testosterone level is slightly low, it is recommended that the male supplement exogenously with androgen Chinese medicine preparations, such as testosterone propionate or methyltestosterone tablets, which can restore the male's male sexual function to normal levels. At the same time, during the treatment period, you should avoid staying up late frequently. In terms of diet, consuming more high-quality protein and meat products can provide richer cholesterol, which can increase the level of testosterone produced by the body, thereby achieving the goal of improving men's sexual function.

Treatment

1. Estrogen is generally used to treat male sexual dysfunction. Among them, high-efficiency testosterone ester and 19-nortestosterone are intramuscular injection drugs, and the dosage is 100-200 mg every 1-3 weeks (usually 100 mg per week, 200 mg every half a month, and 300 mg every three weeks). In addition, testosterone compounds containing alkyl groups at the 17th position are oral drugs, and the dosage is hydroxytestosterone; 5-5b250g per day. It is generally believed that intramuscular injection of testosterone is more effective than oral administration. The latter has certain side effects on the liver, which can cause an increase in liver enzyme levels, and sometimes may also cause cholestatic jaundice and liver tumors.

2. Postmenopausal gonadotropin (HMG) contains 75U of FSH and LH each, which promotes spermatogenesis and metabolism of male testicular hormones. It is injected intramuscularly 3 times a week. To enhance reproductive function, HCG 1500U can be used at the same time, 3 times a week, intramuscularly. Sperm testing should be done regularly. Generally, one year of treatment is required to achieve adequate fertility.

3. GnRH monopulse treatment uses a small syringe pump to inject monopulse subcutaneously 3 times every 90 minutes. Each monopulse lasts for 1 minute. Each injection is 50μl of solution, containing 5-10μg of GnRH. Monopulse is given 16 times a day, and the dressing is changed once a week. A course of treatment is 90 days. Continuous treatment for more than 2 years can expand the volume of male testicles, induce spermatogenesis and produce testosterone.

4. Clomiphene is a non-steroidal estrogen antagonist with weak estrogen effect. It inhibits the feedback inhibition of estrogen on the hypothalamus and pituitary gland, stimulates the release of pituitary FSH and LH, 50~100mg/d, oral, one course of treatment for 3 months. Vitamin E and Chinese medicine deer antler essence can also be used.

5. Androgen therapy can restore muscle strength, increase the relative density of bone hyperplasia, improve hair distribution and sexual desire, and also improve the patient's personal feelings and depression. However, the effect on the elderly is usually not as obvious as that on young people. Therefore, it can be used for three months first. If it is ineffective, it can be changed to a high-efficiency Chinese medicine preparation or the use of the drug can be stopped.

Androgens also stimulate the metabolism of hematopoietin, thereby increasing hematocrit. In addition, by increasing the specificity of hepatic triglyceride lipase, they lower HDL-c levels and increase sensitivity to anticoagulants. Sometimes the male prostate also has a certain degree of enlargement, accompanied by an increase in the level of prostate-specific antigen (PSA), but slowly progressive prostate urethral obstruction is rare. For patients with high or critical PSA levels, androgen treatment is generally not suitable, because it may cause prostate tumors, but the effect of androgens is ultimately more beneficial than harmful, so it is safe and reasonable as long as you observe carefully.