Patient's question:
Hello, my husband has frequent urination, incomplete urination, urgency, and erectile dysfunction with premature ejaculation?Doctor's answer:
Erectile dysfunction (ED) refers to a male's inability to achieve or maintain an erection sufficient for satisfactory sexual intercourse, or the inability to engage in normal sexual activity, or the inability to insert the penis into the vagina for sexual intercourse. ED is also known as "inability to achieve an erection" and is the most common male sexual dysfunction disorder. Occasional 1-2 instances of sexual intercourse failure should not be considered as ED. Only when the failure rate exceeds 25% can ED be diagnosed.Guidelines:
Treatment:
1. Hormones: Suitable for hypogonadism-related ED. Testosterone propionate 25 mg, intramuscular injection, every other day, for 2 weeks; Human chorionic gonadotropin (HCG) 500–1000 units, intramuscular injection, once or twice a week, for 4 weeks. (Hypothalamic and pituitary disorders)
2. Psychogenic: Psychological counseling and sex education are the primary approaches, supplemented by medication.
3. Sexual Dysfunction: HCG and thyroid hormone treatment.
4. Hyperprolactinemia: Dopamine agonists (e.g., bromocriptine).
5. Penile cavernous injection: Prazosin 30 mg, administered with a 1 mL syringe and a skin test needle. Inject 30 mg of prazosin into the penile cavernous body by vertically piercing the lateral front of the penile root. Apply pressure to the penile root for 1 minute, then gently massage the penis for 3–5 minutes to achieve an erection.
6. Vitamin E 100 mg, three times daily; Gamma-oryzanol 20 mg, three times daily.
7. Endocrine surgery: Hypothalamic-pituitary tumors, feminizing tumors, Cushing's syndrome, hyperthyroidism may be surgically treated.
8. Penile implants.
The above suggestions are for the question "What should I do about erectile dysfunction, premature ejaculation, frequent urination, urgent urination, and incomplete urination?" Hope it helps you. Wishing you good health!