Patient's question:
This year, I entered marriage for the second time, and my wife is six years younger than me. After the marriage, however, I discovered that my sexual function was experiencing "troubles," not only struggling with erections but also being unable to last. Many attempts ended in failure. I am just over forty, and in my first marriage, our sexual life was quite harmonious, with no recurring issues. I have a very good relationship with my current wife. How can I effectively treat erectile dysfunction?Doctor's answer:
1. Sexual hormones: Suitable for premature ejaculation caused by hypogonadism, testosterone propionate 25 mg, intramuscular injection, once every other day, alternating for 2 weeks; gonadotropin 500-1000 units, intramuscular injection, once or twice a week, alternating for 4 weeks. (Hypothalamic and pituitary disorders)2. Psychological: Counseling and sex education should be the foundation, supplemented by medication. The condition of premature ejaculation is prone to recurrence, requiring long-term oral medication. Additionally, male patients should promptly seek professional and reputable medical treatment, considering therapy based on thorough examination results. Furthermore, it is important to quit smoking and drinking, as well as maintain good personal hygiene.