Ma Xiaonian said that when the department was established, it was supported by the Beijing Municipal Health Bureau and the hospital, and it was a characteristic clinic of the hospital. However, in 2003, yuquan hospital was merged into the Affiliated Hospital of Tsinghua University, and its development focus was adjusted. As a result, sex medicine was marginalized and the funds were stretched. Nowadays, compared with the crowded situation of the "top three" hospitals in Beijing, only a few patients in yuquan hospital are just "dimethyl", and the entrance is a bit deserted, and the department of sexual medicine is on the bench-plus there are only two doctors in Ma Xiaonian, and about two or three patients come here every day.
After all, Ma Xiaonian holds the titles of Vice Chairman china sexology association and Chairman of the Professional Committee of Sexual Medicine. His photo not only appeared on the website of Hangzhou Tang Baoshan, but also appeared in the introduction of visiting experts from Beijing Wuzhou Women and Children Hospital. His blog posts are listed below the photo. The first one is about women's "sexual happiness".
Compared with other doctors who can send patients away in a few minutes or ten minutes on average, it takes Ma Xiaonian at least half an hour to see a patient. "Ask sexual history first and find out the problem. Some need to popularize sexual knowledge, and some need psychological counseling. " However, as a male doctor in a regular hospital, Ma Xiaonian is different from other sex therapists, and his main treatment is prescribing drugs.
Statistics show that the incidence of impotence in men aged 40-70 is as high as 52%, that is to say, there are 1 impotence man in every two men. 1998, Viagra, a drug that can treat male sexual dysfunction, was born, which Ma Xiaonian called "the third milestone of modern sexology and a revolution of sexual therapy".
In the United States, in the first week after the listing of Viagra, 6.5438+0.5 million prescriptions were issued every day, which rose to 25,000 in the second week, 35,000 in the third week and 270,000 in the seventh week, setting a new record in the history of global drugs. The share price of Pfizer, which produces Viagra and holds its patent, soared. In the past, the rate of impotence patients in the United States was only 7%, but it rose rapidly to 40% after Viagra went on the market.
In 2000, Viagra entered China. A 50 mg blue pill is worth RMB in 99 yuan, and it is not covered by medical insurance. But it is still favored by male doctors.
By the time he retired in 2005, Ma Xiaonian had seen more than 20,000 patients, 83% of whom were men. More than 90% of the male patients he saw were prescribed drugs, and most of them were Viagra. Ma Xiaonian said that even psychogenic impotence needs Viagra as an adjuvant treatment. "Psychological counseling alone may not be useful, but as long as he can succeed at one time, his psychological anxiety will be swept away."
It's hard to see Pan Suiming at the World Congress of Chinese Sexologists held in Hangzhou. One trick to find him is to wander around corners, garbage bins and other places where you can smoke freely-he spends more time smoking alone than communicating with other participants in the meeting.
Pan Suiming served as the director of the Institute of Sexual Sociology of Renmin University of China until his retirement. As a sexual sociologist who is far away from the practical field, Pan Suiming remained "indifferent" at the meeting, just as he was indifferent to Viagra. He believes that in history, impotence and premature ejaculation are regarded as "diseases" because they are not conducive to pregnancy, thus damaging the "reproductive teleology of sex." Now it is mainly quacks who want to make money. Pan Suiming said that impotence and premature ejaculation is actually just a problem of sexual disharmony, which can be completely solved through sexual skills of both sides. But some doctors only "treat" men and don't ask women at all. Isn't that ridiculous? Why do people give them money for nothing?
Sex therapy
However, in reality, it is not uncommon for people to "give money for nothing" for sexual health.
Chen Jian, a Canadian from China, works as a sexual health consultant in a medical institution named Zhen Jing International Regenerative Medicine Center. This institution is located in Xingguo Hotel, one of the most fashionable hotels in Shanghai. Chen Jian said that her job is mainly to provide customized sexual health treatment programs for high-end middle-aged people. In fact, the core of this program is the use of sex hormones.
In the case of Chen Jian's treatment, there was a 40-year-old male business owner. He is not ill, but he often feels tired, listless and has low sexual desire. His wife is not satisfied with their sex life. He came here with great admiration. First of all, he had a detailed physical examination including the hormone level in his body. The results showed that his testosterone (androgen) level was very low, although it did not reach the standard of "disease", but it was close to the lower limit of normal value. Therefore, Chen Jian, who has no prescription right, asked the clinician to give the boss a comprehensive plan, including eating according to the Mediterranean diet structure and strengthening exercise. In fact, no matter how you adjust your diet, this treatment ultimately depends on testosterone supplementation.
Ma Xiaonian said that it is common for postmenopausal women and men to receive sex hormone replacement therapy in the United States. Therefore, sex hormone therapy is a very huge market, but there are not many in China at present. According to Chen Jian, the fees charged by medical institutions in Zhen Jing for such treatment are very expensive, ranging from 50,000 yuan to/kloc-0.0 million yuan. However, she also admitted that "the use of sex hormones needs to be very careful, because blind hormone supplementation can lead to prostate cancer, breast cancer and ovarian cancer."
What discipline does sex therapy belong to? People with all kinds of sexual problems may be stuck in the triage desk if they enter public hospitals-yuquan hospital, a doctor from Ma Xiaonian, is almost the only exception-while in general hospitals, urology, obstetrics and gynecology and even dermatology are all related to sexual problems, but there is no special clinic and experts to have sex.
So, who should I ask to solve my sexual problems? Seeing people's secret needs, people with different educational and professional backgrounds join the sex therapy industry in different forms. They even "customized" various titles for themselves according to their own situation: sex consultant, anti-aging expert, sex coach, adult observer, sex rehabilitation expert, clinical hypnotist and so on.