How long does it take to treat sexual dysfunction?

If it is a mild psychogenic disorder caused by an occasional failure, significant improvement can be seen in 2 weeks to 1 month.； Most patients with mild to moderate organic disease and disease duration within 1 year can return to a satisfactory level after 3 to 6 months of standard treatment. ； If the disease lasts for more than 3 years and there is irreversible organic damage caused by underlying diseases (diabetes, hypertension, etc.), it may require long-term medication control and cannot be completely cured.

I have been practicing men's medicine for almost 10 years. The fastest patient I have ever seen returned to normal in 2 weeks. He was a 26-year-old young man who had just gotten married. He was too nervous to have sex for the first time and failed to succeed. After that, he had shadows for three consecutive months and could not get hard. All blood tests and cavernosal ultrasound were done, and everything was normal. It was purely a problem caused by anxiety. I gave him two cognitive counseling sessions and prescribed some on-demand PDE5 inhibitors (drugs like sildenafil that everyone often hears about). I went back and practiced movement-stop training with my wife for 2 weeks. On the third week, I sent a message saying that I could complete sexual intercourse normally. I even stopped taking the medicine and there was no recurrence.

But the 42-year-old Brother Liu who came for a follow-up visit last week had a completely different situation. He had a 10-year history of diabetes, high blood pressure and had been taking antihypertensive drugs for 5 years. It took 3 years before he dared to come for a check-up. The results showed that the cavernosal artery had been significantly narrowed, which is a typical vascular erectile dysfunction. This is definitely not going to happen quickly. He must first let the endocrinology department cooperate to stabilize his blood sugar and blood pressure to the standard line, and then take vasodilator medicine and negative pressure suction physical training twice a week. His mentality is also stable. It took 2 months for him to have morning erections for the first time. Now it is almost 5 months, and he can basically meet the needs of normal sexual life. He will continue to adjust for half a year to see if the dosage can be reduced.

Speaking of the conditioning cycle, the judgment standards of doctors from different schools are quite different. Western medicine generally follows an evidence-based medicine course of treatment. If PDE5 inhibitors are taken as standard for mild to moderate sexual dysfunction, 8 to 12 weeks, that is, 2-3 months, is the standard observation period. Most people can see clear effects at this stage. However, the conditioning logic of traditional Chinese medicine is completely different. Many traditional Chinese medicine practitioners believe that this type of problem is related to kidney deficiency, liver stagnation, and qi and blood stagnation. Especially for people who stay up late, drink alcohol, and indulge in excessive sexual activities, they must first regulate the rhythm of qi and blood throughout the body, and cannot rush to seek results. The treatment cycle is generally set at 3 to 6 months. It is true that there are many patients who feel dizzy and have obvious side effects of hot face after taking Western medicine. They seek regular TCM syndrome differentiation and conditioning for three to four months and slowly recover. There is no absolute right or wrong between the two ideas. Only the one that suits you will work.

There are actually many more variables that affect recovery speed than you think. I used to have a 30-year-old programmer patient. It was found that the problem was mild to moderate. I prescribed medicine to keep him regular. As a result, he worked on projects until two or three in the morning every day. Also, the attitude of the partner really has a great influence. There used to be a female patient who accompanied her husband to the doctor. Every time she went to the doctor, she would sarcastically say that he was "useless". The man had a high proportion of psychological factors, and it had not improved after almost half a year of treatment. Later, I talked to his wife alone twice and asked her to give more positive feedback. Within two weeks, the man came over and told me that he could have sex normally. Do you think this is weird?

I also remind everyone not to believe the "7-day cure" and "30-day return to 18 years old" propaganda on the Internet. They are purely leeks. Even for the mildest psychological problems, mentality adjustment and behavioral training will take time to adapt. It is impossible to be completely cured in a few days. Don’t just take supplements on your own. Many people assume that they have kidney deficiency at first sight. Taking Liuwei Dihuang Pills and Jingui Shenqi Pills all at once will aggravate the problem and slow down recovery if they are not symptomatic.

In fact, you really don’t need to worry too much about the specific recovery time. The more you count the days, the more anxious you will be and the slower you will get better. As long as you go to the men's department or urology department of a regular hospital, adjust your living habits according to the doctor's instructions, and cooperate with the treatment, most people's problems can be significantly improved. Procrastinating and thinking about it on your own is the biggest killer of slowing down recovery.