Patient's question:
Medical history: Not taken any medication, not seen a doctor, 22 years old, has been like this for five or six years, suffering from impotence and premature ejaculation. What should I do?Past treatment history and effectiveness: No treatment has been administered.
Desired help: Where should I go to see a doctor?
Doctor's answer:
Currently, the common methods for treating erectile dysfunction (ED) and premature ejaculation (PE) include Western medicine and traditional Chinese medicine. In Western medicine, drug therapy is more prevalent. Among these, phosphodiesterase type 5 (PDE5) inhibitors are effective in treating ED and PE. Sildenafil, vardenafil, and tadalafil are commonly used medications for this purpose. PDE5 inhibitors are classified as on-demand medications for inducing erections, and they may cause some side effects in male patients. Additionally, caution is advised when using these medications in men with cardiovascular diseases, and long-term use is not recommended for ED/PE patients.Another effective treatment for ED and PE is androgen therapy. For patients with low testosterone levels, treating ED/PE can involve combining androgen therapy with PDE5 inhibitors. However, hormonal medications may have side effects, so patients choosing this treatment should pay attention to dosage and usage.