Patient's question:
Patient is male, 37 years old, with a history of masturbation and sexual activity before marriage. After marriage, sexual life has always been harmonious. The main manifestations are insufficient rigidity of erection, short duration of intercourse, weak ejaculation, and no climax.Doctor's answer:
For the treatment of erectile dysfunction, PDE5 inhibitors are the first-line choice, such as sildenafil, vardenafil, and tadalafil. Premature ejaculation can be treated with selective 5-hydroxytryptamine reuptake inhibitors. Oral levodopa and ephedrine have a promoting effect on ejaculation. Tricyclic antidepressants are the first-line drugs for treating sexual phobia and depression. Estrogen replacement therapy can increase clitoral sensitivity and sexual desire, reduce sexual intercourse pain. For individuals with anxiety or depression and other psychological disorders, corresponding medication should be administered.4. Physical therapy