What should I do if I can’t get an erection? Suzhou Hospital

Erectile dysfunction can be improved through lifestyle adjustments, psychological intervention, medication, physical therapy and surgery. Erectile dysfunction may be related to factors such as psychological stress, vascular disease, nerve damage, abnormal hormone levels, or drug side effects. It is recommended to go to the men's department or urology department of a regular Suzhou hospital in time to identify the cause and then provide targeted treatment.

1. Lifestyle adjustment

Maintain a regular schedule and avoid staying up late and being overtired. Stop smoking and limit alcohol consumption, reduce high-fat diet, and appropriately increase aerobic exercise such as brisk walking and swimming. Overweight people need to control their weight. Obesity may aggravate the damage to vascular endothelial function. A balanced intake of zinc-rich seafood, nuts and dark vegetables can help maintain testicular function.

2. Psychological intervention

Emotional problems such as anxiety and depression can be alleviated through psychological counseling, and joint participation in therapy by partners can improve the tension in intimate relationships. Avoid focusing too much on erection performance and use sensory focus training to reduce the stress of sexual intercourse. Some patients have childhood sexual trauma or religious and cultural repression, and require the intervention of professional psychologists.

3. Drug treatment

Follow your doctor's advice and use phosphodiesterase 5 inhibitors such as sildenafil citrate tablets and tadalafil tablets to improve penile blood flow. Those with androgen deficiency can supplement testosterone undecanoate capsules, and patients with diabetes and vascular disease need to use drugs to improve microcirculation such as prostaglandin E1 injection. Do not take aphrodisiac health products by yourself to avoid drug interactions.

4. Physical therapy

Low-intensity extracorporeal shock wave therapy can promote penile angiogenesis, and vacuum negative pressure devices can help establish temporary erections. After some hospitals in Suzhou carry out penile blood flow Doppler testing, they will customize a combined red light physiotherapy or magnetic resonance plan based on the results. Physical therapy needs to last for multiple courses, and the effect is better when combined with medication.

5. Surgical treatment

Patients with severe arterial insufficiency may require penile vascular reconstruction, and deep dorsal penile vein ligation may be used for venous leakage dysfunction. Penile prosthesis implantation can be considered for those who are ineffective in drug treatment. Most tertiary hospitals in Suzhou carry out expandable prosthesis implantation. Strict prevention of infection and regular review after surgery are required.

Class A hospitals such as the First Affiliated Hospital of Suzhou University and Suzhou Municipal Hospital all have andrology diagnosis and treatment centers. It is recommended to make an appointment with a specialist in advance. Keep a diary of erection hardness for at least 1 month before treatment, and bring along previous physical examination reports and medication history. During treatment, maintain a moderate sexual frequency and avoid excessive abstinence or indulgence. The understanding and support of your spouse is crucial to recovery and they can participate in the diagnosis and treatment process together. In daily life, avoid long-term pressure on the perineum caused by cycling, and pay attention to controlling basic diseases such as blood pressure and blood sugar.