With the development of the times and changes in ideas, people are no longer as taboo about sexual topics as they used to be. However, when it comes to face-related issues such as "whether men can do it", most people still keep it secret, and even appear Related symptoms include going to pharmacies to buy medicines or tonic decoctions on your own. As a result, early warning signs of chronic diseases such as cardiovascular and cerebrovascular diseases are often ignored. Experts remind that erectile dysfunction is called a "men's health indicator" and should not be ignored.

The medical treatment rate for erectile dysfunction is only 10%

The incidence of erectile dysfunction (hereinafter referred to as ED) is not low. "A survey was conducted in the United States and the incidence rate of ED in men over 40 years old reached 52%; in China, the survey showed that the incidence rate of ED in men over 40 years old was 40.2%." said Zhao Shanchao, Chief Physician of the Department of Urology, Nanfang Hospital, Southern Medical University (Expert Appointment) .

Moreover, the incidence of ED increases with age. Wei Anyang, chief physician of the Department of Urology at Nanfang Hospital of Southern Medical University, pointed out that the older you get, the higher the proportion of erectile dysfunction. "According to statistics, the incidence of ED in men over 40 years old is about 40%, and by the age of 60, it is close to 60%."

However, there is an interesting phenomenon. Statistics and outpatient visit rates are not directly proportional. Professor Wei Anyang said that through clinical outpatient clinics, he found that many ED patients, especially senile ED, believe that it is normal for sexual function to decline with age. In addition, they are ashamed to talk about it due to the influence of traditional Chinese thought, and often rarely seek medical treatment. The consultation rate is only 10%.

Erectile dysfunction and chronic disease are closely linked

"This happens to be one of the misunderstandings that most people have about ED." Professor Zhao Shanchao pointed out that ED is not a single disease. In fact, it is inseparable from chronic diseases such as cardiovascular and cerebrovascular diseases, and is known as the vane of men's health.

"First of all, if you suffer from chronic diseases such as cardiovascular and cerebrovascular diseases, the incidence of ED will be significantly higher than that of the normal population. Secondly, ED is an early warning signal for certain chronic diseases such as cardiovascular and cerebrovascular diseases, diabetes, hypertension, etc. Before they appear When typical symptoms occur, ED often appears first. "Professor Zhao Shanchao said that because the arterial blood vessels of the corpus cavernosum are smaller and more sensitive than the cardiovascular and cerebrovascular vessels, even if they are only slightly blocked, the blood flow into the penis will not be sufficient. It is easy to feel a decrease in sexual function. The typical symptoms of cardiovascular and cerebrovascular diseases often erupt in the middle and late stages. ”

Therefore, Professor Zhao Shanchao reminded that men should pay special attention to their erection status, especially men over 40 years old. If they find problems, they should go to a regular medical institution as soon as possible and receive active treatment. Buying medicines by yourself will not only fail to take them in a scientific and reasonable way, but will not be effective in treating the disease itself. It will also miss the best time for early detection of other diseases.

For women, don’t think that ED is only a male problem. In fact, it has a lot to do with women as well. Zuo Zuo, head nurse of the Department of Urology at Nanfang Hospital of Southern Medical University, said that for women, a healthy and harmonious sexual relationship can not only delay aging, but also enhance the body's immunity. Simply put, it can make women look radiant. Therefore, from a woman’s perspective, we should increase our knowledge in this area, don’t be shy, and be frank in making requests to our partners. This can greatly increase women’s happiness.

Oral drugs are still the first-line treatment option for ED

Currently, there are many treatment options for ED. How to choose a treatment plan that suits you? You should choose a single plan or a combination of treatments based on your own condition and the doctor's clinical experience and suggestions.

Drug treatment: Oral drugs are the first-line treatment option for ED and have been proven safe and effective internationally. Common drugs in the domestic market include PDE-5 inhibitors such as PDE-5 inhibitors, tadalafil, and Levitra, which are what everyone calls "anti-inflammatory drugs". Of course, some Chinese medicines or Chinese patent medicines, when taken under the guidance of a doctor, can also be helpful in regulating the condition.

Vacuum negative pressure suction treatment: Use negative pressure equipment to apply moderate negative pressure to the penis to improve blood circulation in the penis and achieve erection. In recent years, some manufacturers have also produced simple equipment that patients can use for treatment at home.

Low-energy shock wave treatment: Special equipment is used to deliver low-energy shock wave treatment to the penis to improve local damage caused by blood vessels and achieve the effect of repairing and strengthening erection. Mainly for vascular ED.

Surgical treatment: If conservative treatments such as oral medications and cavernous injections are ineffective, surgical treatment can be selected. Mainly penile prosthesis implantation surgery.

"Prosthesis implantation mainly involves surgically implanting implants into the patient's bilateral corpus cavernosum. The entire prosthesis consists of three parts: the penis support body, the water pump and the water bladder. When having sex, just turn on the water pump. By turning the switch on and off, the liquid stored in the water bladder flows into the support body, which can help the penis to erect; after sexual intercourse, the liquid is returned to the water bladder through the water pump switch, and the penis returns to a weak state." Professor Zhao Shanchao introduced.

How to take "*" drugs correctly?

In particular, drug treatment has benefited a large number of ED patients from the emergence of oral PDE-5 inhibitors. Professor Wei Anyang mentioned that before 1998, ED treatment usually involved injecting vasodilator drugs into the corpus cavernosum of the penis to make the penis erect. However, the injection process was painful and was jokingly called "painful and happy." After 1998, with the The launch of * not only brings about changes in treatment methods, but also allows ED patients to understand that ED is also a common disease and can be treated.

Of course, when it comes to drug treatment, many patients worry that taking drugs will lead to addiction. Professor Zhao Shanchao said that this kind of worry is unnecessary.

"What is addiction? It refers to the human being's psychological or physical dependence on a certain drug component. When he stops taking it, he will have obvious special psychological or physical symptoms. And PDE-5 inhibitors, no matter how long you take them, even if you have If you stop taking the medicine for one day, there will be no physical discomfort or symptoms of addiction, so there is no addiction. ”

In addition, some patients equate PDE-5 inhibitors with aphrodisiacs. In fact, this is also one of the misunderstandings. "Aphrodisiacs can stimulate people's sexual desire and achieve aphrodisiac effect after being taken. However, the target of PDE-5 inhibitors is on the blood vessels of the corpus cavernosum of the penis. They only act when you want to have sex or when you are sexually stimulated. It will work to help men have better erections and longer erections. Therefore, PDE-5 inhibitors are not actually aphrodisiacs, nor do they aphrodisiac.”

How should these drugs be taken correctly? Professor Zhao Shanchao introduced that it has actually gone through an evolution process. Initially, for ED patients, the recommended usage regimen is on-demand use. That is, you need to take medicine before you want to have sex. However, with the enrichment of clinical experience, many experts have proposed another medication plan, which is to use it regularly, at a prescribed time or at a prescribed dose, so that the PDE-5 inhibitors can always be maintained at a relatively low concentration in the blood. "It should be noted that, whether taken on demand or regularly, PDE-5 inhibitors cannot be used at the same time as nitrate drugs, otherwise it may easily cause severe hypotension and lead to the occurrence of cardiovascular disease."

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