What are the medicines for treating sexual dysfunction?

Currently, the regular drugs used in clinical treatment of sexual dysfunction mainly include PDE5 inhibitors for erectile dysfunction, serotonin reuptake inhibitors for premature ejaculation, symptomatic hormones, and Chinese patent medicines used for syndrome differentiation. However, all drugs must be used under the guidance of a doctor's evaluation and must not be purchased and taken by oneself.

Not long ago, I married a 28-year-old young man who works as an e-commerce operator. He stayed up late for three or four years in a row. When he first got married, he couldn't get sexual intercourse. I was so panicked that I secretly bought several "kidney-tonifying and yang-enhancing pills" online and took them for two months. They didn't work at all. Instead, I got angry and broke out in acne. I came to check the hormones and erectile function and found no organic problems, so I prescribed sildenafil and told him to take it as needed one hour before intercourse, not every day. As a result, he took it three times, and after adjusting his work and rest, he gradually became able to have intercourse normally without taking medicine. Don’t think this is an “aphrodisiac”. It is essentially a PDE5 inhibitor. Its function is to relax the vascular smooth muscle of the corpus cavernosum, which is equivalent to clearing the passage of a blocked water pipe. It only takes effect when there is sexual stimulation. There is no dependence at all. Now Tadalafil is also used more clinically. Its efficacy lasts for 36 hours and its side effects are lighter. It is more convenient for people who have frequent sexual intercourse. However, people with severe heart disease and taking nitrate antihypertensive drugs must not use it, as it can easily induce severe hypotension.

After talking about the problem of erection, let’s talk about the problem of premature ejaculation that everyone asks more about. The corresponding logic of conditioning drugs is completely different. Currently, the only drug approved specifically for the treatment of premature ejaculation is dapoxetine, which is a serotonin reuptake inhibitor. Its function is to prolong the latency of the ejaculation reflex. It can also be taken as needed, and it can be used 1-3 hours in advance. There used to be a 30-year-old programmer who had just been married for half a year. He ejaculated within a minute every time he had sex. He was so stressed that he avoided his wife and slept in a separate room. When he came to see a doctor, he was completely exhausted. He was prescribed dapoxetine and told him to take it 2-3 times a week, along with pelvic floor muscle training. After using it for about four weeks, the time was basically stable at more than 5 minutes. When he came back for a follow-up check-up, he felt completely different.

There are also a small number of people who have poor desire and insufficient erection due to low androgen levels. In this case, they need to supplement androgens, such as testosterone undecanoate soft capsules. This medicine must not be taken casually. You must have a fasting blood test to check the sex hormones to confirm that the testosterone level is lower than the normal value before using it. Supplementing too much will affect your own hormone secretion and even increase the risk of prostate disease.

As for the Chinese patent medicines that people often ask about, in fact, there has been a lot of controversy. Some people think that Chinese medicines treat the root cause and have no side effects, while others think that they are all IQ taxes. To put it bluntly, it still depends on whether they are correct for the symptoms. There was a 40-year-old patient who loved to drink and eat barbecue. His tongue coating was thick and greasy, his scrotum was very moist, and his sexual intercourse was not hard. He secretly took Liuwei Rehmannia Pills for half a year, but his symptoms became more and more severe. Later, he came to the Department of Traditional Chinese Medicine for consultation. The diagnosis was damp-heat, and he was prescribed a prescription to clear away damp-heat. After two months of treatment, he gradually improved. If you don’t care what your physique is and just buy it blindly after seeing the advertisement saying “tonifying the kidneys and strengthening yang”, it will be easy for the more supplements you take, the worse it will be.

Finally, I would like to remind you that you should never touch the "quick-acting aphrodisiacs" sold online for tens of dollars a pill. Most of them are illegally added with large doses of PDE5 inhibitors. The dosage is several times higher than the standard. Taking them can cause dizziness and nausea in mild cases, and can cause cardiovascular accidents in severe cases. If you really have any problems, you should first seek treatment at the men's department or urology department of a regular hospital. Don't delay your health by trying medicines blindly.