What are the symptoms of impotence and how to treat them?

Hello, the main symptoms of impotence are: when a man has sex, his penis can't erect, or his erection is not firm or soon, so he can't complete normal sexual life, or his penis can't be inserted into the vagina for sexual intercourse at all. It should be noted that occasional sexual failure cannot be diagnosed as impotence. Generally, the onset of mental impotence is more urgent, and the penis can erect spontaneously, but it can't erect when you want to have sex; Or the penis can be hard and erect when it just touches the female body, but it is weak when trying to insert it. In addition, accompanied by mental symptoms, such as anxiety, anxiety, depression, listlessness and so on. Some may be accompanied by premature ejaculation or sexual intercourse without ejaculation. The main manifestation of organic impotence is that the penis cannot erect under any circumstances, and the onset is slow and gradually aggravated.

Treatment:

1. Basic therapy

(1) Correct risk factors: smoking, alcoholism, hyperlipidemia, obesity/drug abuse, etc.

(2) Strengthen the treatment of primary diseases, such as diabetes, hypertension, penis induration and endocrine system diseases.

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

(4) Strengthen sexual medical education.

(5) Harmonious relationship between husband and wife: spouse participates and spouse encourages.

2. Drug therapy

(1) Selective phosphodiesterase type 5 inhibitor (PDE5i)PDE5i includes sildenafil, vardenafil and tadalafil. . Taking PDE5i in sexual life, if used properly and in sufficient dosage, may improve the curative effect, but as a one-time erectile induction drug, it cannot fundamentally treat ed. One-time mild headache, dizziness, facial flushing, etc. It is the main adverse reaction of PDE5i, and the incidence rate is about 15%. Because PDE5i can slightly dilate peripheral blood vessels, it is forbidden to use nitrates. PDE5i is prohibited in ed patients with cardiovascular risk factors.

(2) Apomorphine hydrochloride buccal tablets Apomorphine has certain curative effect on mild and moderate ED and ED patients caused by mental factors. The main adverse reactions are nausea, dizziness, sweating, drowsiness and yawning. In rare cases, syncope will occur.

(3) Testosterone supplementation therapy is effective for ED patients with low testosterone level, if other endocrine and testicular dysfunction are excluded, androgen supplementation or combined with PDE5i is effective. However, for patients with prostate cancer or suspected prostate cancer, androgen supplementation is contraindicated. Therefore, before androgen supplementation, routine digital prostate and rectum examination (DRE), PSA determination and liver function examination should be performed. Patients receiving testosterone supplementation should regularly check their liver function and prostate cancer indicators.

3. Surgical therapy

4. Psychotherapy