Men can't get hard

I believe that many men have experienced the problem of not being able to get an erection during sex. If it is only an occasional problem, then there is no need to worry too much, because it will not cause any harm to human health. However, if it is a long-term problem, the patient needs to pay enough attention to it, because it is likely caused by impotence. Below, I will introduce you to the relevant knowledge about impotence!

1. My boyfriend is not hard

Consider the possibility of impotence. Impotence, also known as erectile dysfunction, refers to the inability of the penis to erect or weak erection when there is sexual desire, or although there is an erection and a certain degree of hardness, it cannot maintain a sufficient time for sexual intercourse, thus hindering sexual intercourse or failing to complete sexual intercourse.

2. Basic treatment of impotence

(1) Correct risk factors: such as smoking, alcoholism, high blood lipids, obesity/drug abuse, etc.

(2) Strengthen the treatment of primary diseases: such as diabetes, hypertension, penile edema, endocrine system diseases, etc.

(3) Adjust mental state: relieve anxiety, tension, depression, etc.

(4) Strengthen sexual medicine education.

(5) Harmonious marital relationship: spouse’s participation and spouse’s encouragement.

3. Drug treatment of impotence

(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 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.