Can sexual dysfunction be cured?

Patient's question:

Age-related condition description: Currently suffering from a lack of sexual desire for over 2 years. During February, when female partners were involved, it was also characterized by erectile dysfunction and premature ejaculation. In February of this year, I visited the Urology Department of the Second People's Hospital of the Armed Police and had some test results that were normal but slightly low. I forgot what medication was used, and I have also seen a traditional Chinese medicine practitioner.
History of treatment and effectiveness: The condition has not improved and has worsened with treatment.
What kind of help I am seeking: I am 52 years old this year. Can it still be treated?

Doctor's answer:

Before treatment begins, it is important to help the patient as much as possible to understand their condition based on the relevant causes and to develop appropriate treatment measures. If low libido is related to environmental or family factors, the issue should be pointed out to the patient, and suitable solutions should be proposed. For those with significant abnormal experiences during childhood or adolescence, psychoanalytic therapy can be tried, and in traditional Chinese medicine, ginseng can be used for healing.
A harmonious marital relationship, mutual understanding, mutual respect, and open communication are necessary conditions for improving low libido. Improving the sexual relationship between spouses should be a key focus of treatment. The treatment plan should be tailored to specific circumstances and needs, and before formulating the plan, the types of sexual behavior should be pre-determined for the couple.
There are three types of thoughts that may negatively impact the sexual relationship between spouses and may be harmful:
The first thought is that sexual satisfaction and pleasure depend on initial sexual interest. This idea confuses sexual contact and sexual arousal. If there is a temporary lack of interest in sexual activity due to certain objective reasons, the person may later believe that they cannot participate in sexual activity.
The second thought is that sexual activity will always lead to intercourse and orgasm.
The third thought is that habitual, routine sexual behavior cannot be changed.

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