It is necessary to make clear the cause, and carry out drug therapy, behavioral therapy and psychotherapy according to the cause.
What treatment measures does impotence and premature ejaculation generally have?
(sexual) impotence
Improve lifestyle
It is necessary to give up smoking, alcohol and drugs, and eliminate the influence of bad living habits on erectile function. Avoiding staying up late, ensuring adequate sleep, moderate aerobic exercise, reasonable diet and weight control can improve erectile function.
Psychological consultation
Patients should be encouraged to establish confidence, strive for the understanding and cooperation of their spouses, and let both spouses know the importance of improving gender relations.
Sexual life guidance
Patients who lack sexual knowledge and experience should be consulted, which is especially important for patients in China.
Treatment of basic diseases
For patients with definite underlying diseases, basic diseases, such as cardiovascular diseases, should be treated.
depressed
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premature ejaculation
Education and treatment: Men with spontaneous variation of premature ejaculation should take education and treatment, correctly understand sexual behavior and sexual psychology, and overcome misunderstanding and guilt about sexual behavior. Suffering from premature ejaculation-like ejaculation dysfunction
50% of men need special psychotherapy.
What medicine does impotence and premature ejaculation have?
Because of individual differences, there is no absolutely best, fastest and most effective medication. In addition to the commonly used over-the-counter drugs, we should also choose the most suitable drugs under the guidance of doctors and in full combination with personal circumstances.
(sexual) impotence
Phosphodiesterase 5(PDE-5) inhibitor
Sildenafil is a first-line drug to treat impotence, which can improve the relaxation function of smooth muscle cells of corpus cavernosum and increase blood perfusion of corpus cavernosum.
Tadalafil
Avanafil
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androgen
Used for impotence patients with endocrine dysfunction, which can improve sexual desire, energy, mood and self-feeling, including testosterone undecanoate capsules, injections and patches.
premature ejaculation
Selective serotonin reuptake inhibitor (SSRIs)
Drugs for targeted treatment of premature ejaculation are also the first choice for comprehensive treatment of premature ejaculation. Its mechanism is to selectively inhibit the binding of ejaculatory transmitter 5-H with postsynaptic 5-HT2c receptor. The commonly used drug is dapoxetine.
Paroxetine
, sertraline
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Novocaine
Before sexual intercourse, the spray or ointment of local anesthetic drugs is applied to the penis head to reduce the sensitivity of penis sensation and delay the latent period of ejaculation through local anesthesia. This method should strictly control the action time of drugs, otherwise it may lead to sexual pleasure disorder. Lidocaine and other commonly used drugs
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