How long does it take to treat sexual dysfunction?

How long does it take to treat sexual dysfunction? There is no unified standard answer: mild symptoms caused by simple psychological triggers can usually be basically recovered in 2 weeks to 3 months. Organic problems combined with chronic underlying diseases may require a conditioning cycle of half a year to 2 years. Some patients with irreversible damage to nerves and blood vessels require long-term intervention and management, and cannot be completely "cured".

I have been doing men's health management for almost 7 years, and the contrasts I have seen can be outrageous: a 27-year-old programmer who just returned for a visit last week was too nervous to have sex with his girlfriend for the first time last month. He failed to get an erection three times in a row. He was so scared that he thought he was useless, and his face turned pale when he came for consultation. I did two psychological counseling sessions, taught him the skills of cooperation between partners, and helped him to change his habit of staying up late and playing games. He didn’t even need any medication, but he sent a message on the 22nd day saying that he was completely normal again. But last year, the 45-year-old business executive who received the treatment had a 12-year history of diabetes, high blood pressure, high blood lipids, and 10 years of chronic prostatitis. It was only in the 11th month of treatment that his erection was finally strong enough to complete normal intercourse. In the middle, he almost returned to his original shape because he stayed up late twice to catch up on projects.

Nowadays, whether it is Western medicine or traditional Chinese medicine, in fact, we do not advocate patting the patient's chest and saying "it will take a long time for recovery". After all, individual differences are too great. Take the most common psychogenic erectile dysfunction as an example. Western medicine's idea is to rule out organic problems first, and then take some PDE5 inhibitors such as sildenafil and tadalafil as needed to help patients build confidence. If it is quick, obvious effects can be seen in a week or two. Many people can stop taking the medicine completely after adjusting for two or three months. However, in the syndrome differentiation of traditional Chinese medicine, most of these are caused by liver qi stagnation or fear and kidney damage. It needs to be slowly adjusted with prescriptions that soothe the liver, relieve stagnation, calm the mind and calm the mind. It may take 2 to 4 months to stabilize. The advantage is that it is not easy to relapse after stopping the medicine, and there are no side effects. There is no absolute right or wrong between the two ideas. It depends on which one is more suitable for you.

If it turns out to be an organic problem, it's even less certain how long it will take. For example, if it is just premature ejaculation caused by chronic prostatitis and there are no other underlying diseases, Western medicine can use some anti-inflammatory drugs and pelvic floor muscle training to improve the ejaculation time quickly in 4 to 6 weeks. But if pelvic surgery damages the cavernous nerves, or if diabetes is not well controlled for many years and damages the blood vessels and nerves in the cavernous bodies, then it is normal to adjust the condition for a year or two, let alone a few months. I have been in contact with a patient who had undergone prostate cancer surgery before. He did pelvic floor rehabilitation three times a week and took a small dose of tadalafil every day. After 14 months, he was finally able to have an erection without relying on drugs. This kind of thing cannot be rushed.

Many people are very impatient. After just a week of treatment but no effect, they think the doctor is not good enough, so they turn around and buy the magic medicine on the Internet that "cures premature ejaculation in seven days", which makes the situation worse. The year before last, I met a 31-year-old young man. His intercourse time was only a little short, about two or three minutes. He bought aphrodisiacs of unknown ingredients online and took them for more than three months. Not only did the time not last longer, but it became difficult to get an erection. It took almost half a year to get it back. It was really not worth the gain.

My feeling over the years is that the length of treatment really depends half on the condition and half on whether you can cooperate. I ask you to quit smoking, limit your drinking, and don’t stay up late. If you socialize and drink until three in the morning every day, I ask you to communicate more with your partner and don’t put too much pressure on yourself. You count the time in your mind every time before having sex, and no matter how good the medicine is, it will be useless. To be honest, this matter is a bit like losing weight. If you keep your mouth shut and move forward, the small base may lose weight in a month or two. If the big base still can't keep your mouth shut, it's normal for there to be no movement for half a year and a year.

There is really no need to worry about the question "when will it be better" every day? The more anxious you are, the greater the psychological pressure will be, and the slower it will be. Go to the men's department or urology department of a regular hospital. Don't believe in any folk remedies. Just follow the doctor's advice and adjust slowly. Most people can get good improvements. Even those with irreversible damage, there are many auxiliary methods that can help you achieve a satisfactory sex life. There is really nothing that you can't overcome.