Male sexual dysfunction may be related to factors such as psychological stress, organic diseases, drug side effects, lifestyle habits, and changes in hormone levels. Sexual dysfunction usually manifests as symptoms such as difficulty in erection, decreased libido, premature ejaculation, etc. Targeted interventions should be taken based on specific causes.
1. Psychological stress
Long term work stress or emotional conflicts may inhibit sexual arousal transmission. Anxiety and depression can interfere with the cerebral cortex's response to sexual stimuli, leading to a vicious cycle of anxiety in intimate relationships among some individuals. Psychological counseling can alleviate tension, and partner participation in treatment can help improve.
2. Organic diseases
diabetes and cardiovascular diseases may damage the endothelial function of the penis. The insufficient blood supply to the corpus cavernosum caused by hypertension accounts for a large proportion of cases of organic erectile dysfunction, which often accompanies symptoms of lower limb numbness or chest tightness. It is necessary to first control the underlying diseases before considering the use of drugs such as phosphodiesterase inhibitors.
3. Drug side effects
Some antidepressants and antihypertensive drugs may interfere with neurotransmitter balance. Selective serotonin reuptake inhibitors are common side effects that can lead to decreased libido, while diuretics may affect erectile hardness. In such situations, medication plans should be adjusted under the guidance of a doctor.
4. Lifestyle Habits
Long term staying up late and excessive alcohol consumption can reduce testosterone secretion levels. The vasoconstrictive effect of nicotine on blood vessels may continue to affect penile blood flow, and individuals who lack exercise generally have poor vascular elasticity. It is recommended to maintain a regular schedule and engage in moderate aerobic exercise.
5. Hormonal level changes
The natural decrease in testosterone levels in middle-aged and elderly men may cause sexual dysfunction. Some patients with pituitary tumors may experience abnormal secretion of gonadotropins, which needs to be diagnosed through blood tests. Hormone replacement therapy requires strict assessment of cardiovascular risk before implementation. Improving sexual dysfunction requires establishing a healthy lifestyle, ensuring adequate sleep, and controlling weight. Proper supplementation of zinc and vitamin E can help maintain reproductive system function, and deep-sea fish and nut based foods can be used as daily choices. Avoiding excessive masturbation or frequent changes in sexual partners, effective communication in intimate relationships is more important than simply pursuing medication effects. If the symptoms persist for more than three months, it is recommended to seek medical attention from a urology or endocrinology department. If necessary, nocturnal erection monitoring and six hormone tests should be performed.
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