Patient's question:
I have schizophrenia and have been taking medication for 2 years. When I first started taking the medication, I noticed that my penis erection was not as good as before. Gradually, I now have erectile dysfunction. I can get an erection during masturbation, but it's not hard enough. There is no erection at night. Could you please tell me what medication can treat this?The medications I am taking include Chlorpromazine Hydrochloride, Oryzanol, and Phenobarbital Hydrochloride. After taking them, my appetite has been poor. About 1 year ago, I had a check-up, and my heart rate was only 59, so the doctor added Salvia Miltiorrhiza and Inosine Tablets. I also have a 7-year history of masturbation. Please, doctor, help me. My family doesn't know yet, and I feel embarrassed to tell them. I am only 21 years old, and I...
Doctor's answer:
During sexual activity, if the penis cannot effectively erect or maintain a firm erection, it is a common sexual dysfunction in men. It is caused by psychological factors and organic lesions. Among them, psychological factors account for approximately 50% to 70%, while organic factors account for approximately 30% to 50%.Psychological factors include: prolonged masturbation during youth, exaggerated awareness of the dangers of masturbation, psychological trauma related to sexual issues during childhood, failure during first sexual intercourse, lack of mutual cooperation between partners, unpleasant emotions during intercourse, hostility toward the female partner, lack of understanding or trust, lack of attraction from the female partner, disharmony in the relationship between the sexual partners, fear of sexual life, and concerns about penis size, which can lead to anxiety, depression, guilt, and a lack of confidence, among others.
Organic diseases include abnormal penis development, cardiovascular diseases, endocrine diseases, blood diseases, urogenital system diseases, and the use of certain medications, among others. It is recommended that you come to the hospital for examination to clarify the diagnosis and treatment. Additionally, it is advisable to engage in regular exercise and maintain a positive mood in daily life.