How to treat sexual dysfunction

Patient's question:

Symptoms appeared from April and May 2012 to the present: Unable to get erect while standing, only able to get erect after lying down and stroking for 3-5 minutes.

Doctor's answer:

The causes of penile abnormal erection can be divided into primary and secondary categories. The primary causes of penile abnormal erection include the following four types of secondary causes:
A. Neurological: Caused by lesions of the spinal nerves or nerves surrounding the genital area, such as spinal cord trauma, neurosyphilis, etc.
B. Mechanical: Caused by late-stage pelvic tumors, invasive compression, persistent pressure on the base of the penis from external forces (e.g., metal rings), or local trauma to the penis.
C. Hematological: Including leukemia, true polycythemia, sickle cell anemia, thrombophlebitis, and phosphoglucoisomerase deficiency, etc.
D. Medication-related: Thiazide diuretics, testosterone

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