A few days ago, a netizen asked about her boyfriend's sexual dysfunction after a brain injury:
(Courtesy of the Taiwan Society of Rehabilitation Medicine)
In fact, such cases are not rare.
Many patients with central nervous system injuries suffer from sexual dysfunction, however, based on cultural factors, this problem has always been a difficult nuisance for patients to talk about. As the survival rates for stroke, brain injury, spinal cord injury, and other conditions increase, and as the quality of life of patients and their partners improves, more patients are willing to discuss this topic with their healthcare providers. The problem is that many people are suffering from peripheral neuropathy such as diabetes, cardiopulmonary diseases, general population due to unknown reasons, and even athletes.
"Lifting weak men" condition is different first find out what the problem is?
Since it's important to get to the heart of the problem in order to treat it, it's critical that the physician get the diagnosis right to be able to help the patient.
Neurological problems: After damage to the central and peripheral nerves, sensory inputs, reflexes, and muscular innervation deteriorate, resulting in the inability of the pelvic muscles and the *** to function properly. Cognitive problems: Because of brain damage, cognitive judgment is poor, and it is not possible to respond to the current situation to make appropriate behavior, and *** decline. Mental Factors: Stroke, brain damage, or many long term illnesses can lead to depression and other mental conditions that can affect sexual behavior. Medications: Some blood pressure-lowering, sedative, and anti-stress medications, psychiatric medications, and oncology medications may have an effect. Endocrine problems: The concentration of testosterone in the body and many endocrine may affect sexual behavior. (Recommended reading: 1/4 male testosterone insufficient to avoid "lifting weak" rely on this 2 strokes) *** etiology child: cardiovascular disease, diabetes and other chronic diseases or after surgery of the prostate gland, resulting in the surrounding blood vessel damage, may make *** oxygen content is insufficient, which will induce to promote the *** tissue collagen hyperplasia, which will lead to *** fiber and venous leakage, and the ***. Erectile dysfunction. Pelvic muscle activity tension is too high, can not coordinate the contraction is easy to produce chronic pain, then directly or indirectly lead to erectile dysfunction. Lifestyle Habits: Bad lifestyle habits such as smoking and drinking affect the health of blood vessels and nerves, which in turn affects function. Exercise habits: A sedentary lifestyle with too little activity, overtrained athletes, and sports positions that tend to put pressure on the perineum for long periods of time (e.g., prolonged cross-country cycling) are all potential risk factors.
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Research evidence suggests that moderate-intensity exercise for 40 minutes or more four times a week can reduce the incidence of sexual dysfunction. While seeking treatment from a sexual dysfunction-related physician, you can also discuss lifestyle, exercise modification, or whether sexual dysfunction is related to a specific sports injury with your rehab provider, and arrange therapeutic training exercises for your pelvic muscles as appropriate.
Male sexual dysfunction treatment and rehabilitation 6 feasible ways
Male sexual dysfunction, I think the first thing that comes to mind is to look for urology, however, many times the rehabilitation department can also work with urology on many levels, so that the patient can get a better treatment:
Pelvic floor muscle training: Just like any other muscle, therapeutic training can make the pelvic muscle more coordinated, and the pelvic muscle can also be used to improve the quality of life, so that it is more suitable for the patient. As with other muscles, therapeutic training allows the pelvic muscles to contract in a more coordinated manner, which in turn improves function. Oral medication: Oral phosphodiesterase inhibitor type 5 (PDE5-I) can be used daily, twice or three times a week, or as needed, depending on the dosage form, and current research suggests that there is no particular difference in how they are selected. (Recommended reading: do not lift the drug which is the most effective?)There are three types of oral erection medications approved by the health authorities (Viagra / Cialis / Levitra), and in general, the use of medications is the most convenient and most commonly used way to effectively assist patients in the process of *** to maintain sufficient *** erection. Vacuum suction negative pressure erection aid: the erection aid tube on the ***, the use of negative pressure passive *** blood flow increase, and thus achieve the purpose of rehabilitation. It is usually considered when oral medications are not effective. Considering the potential for side effects such as overcongestive injury or pain, it should be evaluated by a physician before purchase and use. *** Sponge injections: Prostaglandin (PGE1) injections into the sponge of the *** are also a treatment option for erectile dysfunction, but the injections are relatively invasive and painful, and are not well tolerated by the general population. Low-energy extracorporeal shockwave (LESW) therapy: As the newest form of erectile dysfunction treatment, the European Association of Urology (EAU) listed LESW as the first line of treatment for erectile dysfunction in 2014, and has even replaced the first line of oral medication with this treatment.
In Taiwan, the Ministry of Health and Welfare (MOHW) began approving the use of Low Energy Extracorporeal Shockwave (LESW) for the treatment of erectile dysfunction in 2015. This treatment utilizes a low energy shockwave device that emits a low energy shockwave directed at the *** body or pelvic cavity to stimulate the *** body or pelvic cavity to produce new blood vessels, improve local blood circulation, and allow the oxygen-deprived soft tissues to restore the blood supply, which in turn improves the erectile function and increases the hardness of the erection. Implantation of artificial ***: Patients with organic erectile dysfunction due to surgical risk, if the previous treatments fail to achieve significant results, can be implanted through artificial *** surgery, to replace the original cavernous body with artificial *** to improve erectile function.
(The authors of this article are Xingqing Lin, an attending physician in the Department of Rehabilitation at Chang Gung Memorial Hospital in Linkou, and Yulin Tsai, an attending physician in the Department of Rehabilitation at Chang Gung Memorial Hospital in Linkou)