What's wrong with a sudden decline in male sexual function

Sudden decline in male sexual function may be caused by psychological stress, abnormal hormone levels, vascular dysfunction, neurological disorders, medication side effects, etc. It can be improved through psychological counseling, hormone replacement therapy, lifestyle adjustments, medication treatment, surgical intervention, and other methods.

1. Psychological stress

Long term work stress or emotional conflicts may lead to decreased libido and erectile dysfunction. Emotional problems such as anxiety and depression can inhibit the function of the hypothalamic pituitary gonadal axis and affect testosterone secretion. It is recommended to relieve stress through mindfulness training and seek help from a psychological counselor if necessary. communication barriers between partners may also lead to sexual avoidance behavior and require relationship counseling.

2. Abnormal hormone levels

Testosterone deficiency is a common cause in men over 40 years old, which may be accompanied by hot flashes and reduced body hair. hypothyroidism can lead to decreased libido and delayed ejaculation. Insulin resistance caused by diabetes may interfere with hormone synthesis. Serum levels of free testosterone and luteinizing hormone need to be tested, and alternative treatments such as testosterone undecylate capsules can be considered after diagnosis.

III. Vascular dysfunction

Atherosclerosis will reduce the blood flow perfusion of the cavernous body of the penis, which is manifested by insufficient erectile stiffness. Impaired endothelial function in hypertensive patients may affect the maintenance of erection. Smoking can worsen the degree of vascular disease. It is recommended to perform a penile blood flow Doppler examination and follow the doctor's advice to use phosphodiesterase inhibitors such as Tadalafil to improve circulation.

4. Neurological disorders

Lumbar disc herniation may compress the sacral nerve roots that innervate the penis. Abnormal central nervous system conduction in patients with multiple sclerosis can affect the transmission of sexual arousal. Diabetes peripheral neuropathy may lead to hypoesthesia. Assessment through electromyography and nerve conduction tests may be helpful with neurotrophic drugs such as methylcobalamin.

V. Drug Side Effects

Antidepressants such as paroxetine may delay ejaculation, while antihypertensive drugs such as metoprolol can affect erectile function. Long term use of glucocorticoids can inhibit testosterone synthesis. Chemotherapy drugs may cause irreversible gonadal damage. It is recommended to record the medication history and communicate with the attending physician to adjust the plan. Do not discontinue medication on your own.

It is recommended to maintain regular aerobic exercise to improve vascular elasticity, and a Mediterranean diet can help maintain hormone balance. Ensuring sufficient sleep can promote testosterone secretion at night, avoid excessive masturbation, and prevent a decrease in sexual sensitivity. Sudden decline in sexual function may indicate serious health problems, and early medical attention should be sought to rule out the risk of cardiovascular disease and tumors. Partners should avoid blaming and pressure, and participate in the treatment process together for better results. Regularly monitor basic indicators such as blood glucose and blood lipids to control weight within the normal range. When necessary, auxiliary treatment methods such as vacuum negative pressure devices or penile prosthesis implantation can be considered.