What to do if I can't get an erection?

Erectile dysfunction can be improved by adjusting lifestyle, psychological counseling, drug treatment, physical therapy, surgical treatment, etc. Erectile dysfunction may be related to psychological stress, vascular disease, nerve damage, abnormal hormone levels, drug side effects and other factors. It usually manifests as insufficient erection hardness and difficulty in maintaining an erection.

1. Adjust your lifestyle

Improve the diet structure, reduce the intake of high-fat and high-sugar foods, and increase the proportion of fresh vegetables, fruits and whole grains. Perform regular aerobic exercise, such as brisk walking or swimming, 3-5 times a week. Stop smoking, limit alcohol consumption, and avoid bad habits such as staying up late. These measures can help improve blood vessel function and hormone levels.

2. Psychological counseling

Erection problems caused by psychological factors such as anxiety and depression can be alleviated through psychological counseling or treatment with a partner. Cognitive behavioral therapy can help correct misconceptions about sexual function and alleviate performanceanxiety. Establish a regular sexual rhythm and avoid paying too much attention to erectile status.

3. Drug treatment

Phosphodiesterase 5 inhibitors such as sildenafil tablets and tadalafil tablets can enhance erectile function and should be used under the guidance of a doctor. For those with low testosterone levels, testosterone undecanoate capsules can be used as a supplement as directed by your doctor. Some antidepressants such as dapoxetine hydrochloride tablets can also improve psychogenic erectile dysfunction.

4. Physical therapy

The vacuum negative pressure device induces erection through physical means and is suitable for patients with drug contraindications. Low-intensity extracorporeal shock wave therapy can promote penile angiogenesis and improve local blood circulation. Pelvic floor muscle training can enhance control, and daily Kegel exercises can help.

5. Surgical treatment

For patients with severe vascular lesions, penile vascular reconstruction surgery may be considered. When medical treatment fails, penile prosthesis implantation is the last resort. All surgical plans require strict evaluation of indications, and postoperative rehabilitation training and regular follow-up are required.

It is recommended to maintain a balanced diet and consume zinc-containing foods such as oysters and nuts in moderation. To avoid overwork and mental stress, your partner should provide full understanding and support. Monitor blood pressure and blood sugar regularly to control underlying chronic diseases. If symptoms persist for more than 3 months or are accompanied by other discomforts, you should promptly go to the men's department or urology department for examination to rule out the possibility of organic disease. While following the doctor's instructions and standardizing treatment, establishing a healthy lifestyle is crucial to functional recovery.