Post Date April, 15 2023
Male sexual dysfunction was formerly known as impotence. There are many reasons for male sexual dysfunction, which can be roughly divided into psychological problems, functional male sexual dysfunction caused by abnormalities of penis cavernous body and related blood vessels, nerves and endocrine environment.
Why do men have sexual dysfunction?
1. Male dysfunction
Functional male sexual dysfunction is caused by mental problems such as neurosis. Many newly married male sexual dysfunction is functional male sexual dysfunction. Including anxiety, excessive tension, stress, interpersonal tension, depression and other psychological problems.
2. Organic male sexual dysfunction
Organic male sexual dysfunction is a male sexual dysfunction caused by vascular, neural and endocrine environment. Smoking, diabetes, heart failure, hypertension and arteriosclerosis are closely related to male sexual dysfunction. Surgery for rectal cancer and prostate cancer can also lead to high male sexual dysfunction, which may also be caused by some antidepressants, peptic ulcer drugs, psychotropic drugs and other drugs.
Can PDE inhibitors treat male sexual dysfunction?
At present, the first-line treatment of male sexual dysfunction is called PDE oral drug and inhibitor. The efficiency of PDE inhibitor is as high as 70-80% regardless of its function or organic property. However, efficiency may vary depending on the severity of the underlying disease.
PDE inhibitor is a very safe drug, and most patients can take it safely. However, when using drugs such as nitrates for angina pectoris, blood pressure drops as high as 50% mmHg. Therefore, only patients taking nitrates should not take them.
PDE5 inhibitor, a drug used to treat male sexual dysfunction, has a great impact on male sexual dysfunction after prostate cancer surgery, because the incidence of male sexual dysfunction after radical prostatectomy is high, leading to sexual life problems. Therefore, nerve preservation is usually performed on the patient's cavernous penis. If nerve preservation surgery is performed, PDE5 inhibitors such as * have a great impact on the recovery of erection after surgery.
The single dose of PDE5 inhibitor shall not exceed 50 mg. Patients should take it after eating, because taking it on an empty stomach will cause erectile dysfunction, and excessive drinking will reduce the impact of *.
Male sexual dysfunction will also increase with age. Therefore, sexual dysfunction is one of the main problems affecting the quality of life of elderly patients. The inhibitors of PDE for the treatment of male sexual dysfunction are ineffective, and further tests are needed to determine the treatment method.
