How long does it take to treat sexual dysfunction?

How long does it take to treat sexual dysfunction? There is no unified standard answer - functional problems caused by simple psychological factors or mild work and rest disorders can usually be significantly improved in 1-3 months. ； If it is an organic disease or combined with chronic underlying diseases, it often requires more than 6 months of systemic conditioning, and some severe cases may even require long-term health management.

To be honest, the smoothest case I have ever encountered was a 28-year-old Internet programmer who had just been married for half a year. He had stayed up late for more than two months working on a project. After his first sexual intercourse failed, he had a psychological shadow. He had not succeeded for three consecutive months. He was so panicked that he came to register. The hormones and blood flow to the penis were checked and there was no problem, but the sympathetic nerves were too excited and the physical fitness was severely reduced. The plan given to him was also simple: first adjust his schedule to go to bed before 12 o'clock, run 3 kilometers three nights a week, coupled with two sessions of psychological counseling, and specifically told his wife not to put pressure on her and be more patient. As a result, people came to report the good news within two months, saying that everything was completely normal, and even the back pain that I always had before was much better.

But not everyone is so lucky. A 47-year-old private company owner who received treatment last year did not go so smoothly. I have a 10-year history of diabetes. My blood sugar control is so-so, and I have been unable to get an erection. It took me 2 years to get checked. When I did the test, it was found that the blood vessels in the corpus cavernosum of the penis had become atherosclerotic, and the nerve sensitivity had also decreased. This is a typical organic ED caused by complications of diabetes. This situation will definitely not be cured in two months. We must first control the blood sugar within the standard range, and then use medicine to improve the endothelial function of blood vessels. We also need to do pelvic floor muscle training at home every day. It took almost 8 months before we could finally complete sexual intercourse normally. Now we have to come back every three months to adjust the plan for fear of rebound.

Nowadays, the industry has different ideas for the treatment of sexual dysfunction. The Western medicine system prefers to accurately identify the cause first, and treat any problems: if it is psychological, cognitive behavioral intervention is used. If necessary, take some PDE5 inhibitors to quickly help patients build confidence.； For vascular diseases, drugs to improve circulation can be used, and even in severe cases, surgery can be performed. The advantage is that it takes effect quickly. If the symptoms are correct, the effect may be seen in a week. However, the disadvantage is that if the living habits are not adjusted and the underlying diseases are not well controlled, it is easy to relapse. The idea of ​​traditional Chinese medicine is to regulate the body as a whole, starting from the functions of the liver, kidney and spleen. For example, many people have ED caused by liver stagnation and qi stagnation due to high stress. Instead of simply nourishing the kidneys, it first soothes the liver and relieves stagnation. The effect may be slower, and it often takes 1-2 months to feel the symptoms. But after the adjustment, not only sexual function, but also usual problems such as fatigue, insomnia, and bad temper will be improved, and the effect will be more stable. There are also many patients who choose the combination of Western medicine. While using Western medicine to quickly improve symptoms and break the vicious cycle of anxiety, they use Chinese medicine to adjust their physique. The recovery speed is much faster than using either method alone.

Many people came over and asked me, "Doctor, please give me an accurate estimate of how long it will take to recover." In fact, I really can't give it because there are too many variables in it. I have seen many people who were given a clear plan, asking them to quit smoking and drinking and not stay up late. Then they drank with the client until two in the morning. They also secretly bought "quick-acting aphrodisiacs" online and took them, which further damaged the blood vessels. It was supposed to be cured in three months, but it took half a year to see any improvement. Some partners are uncooperative and sarcastically say "You can't do it" every time they fail to have sex. It is only a mild psychological problem, but it is suddenly turned into severe anxiety. It is strange that it can be cured so quickly.

I have been practicing andrology for almost 10 years. The fastest guy I have ever seen was a young man who just went to college. He masturbated too frequently and was nervous. He could hold hands for a long time during the first relationship, but not when we actually had sex. I came over for half an hour for psychological counseling and told him that there was no problem. He should masturbate less often and relax. After a week, he sent me a message and said it was settled. I have also seen patients who have been undergoing rehabilitation for almost 3 years for sexual dysfunction after spinal cord injury. They went through rehabilitation training bit by bit, from being completely unresponsive to being able to barely complete sexual intercourse. Only the patients themselves know the hard work.

After all, this is just like having a cold and a fever. For a normal cold, you can just drink hot water to cover your sweat for two days. If it turns into pneumonia, you will have to be hospitalized for ten days and a half. You can't just cough twice and chase the doctor and ask "How many days will it take for me to feel better?" right? Don't stare at the calendar and count the days every day. The more anxious you are, the more it will affect your recovery. Go to a regular hospital to find out what the problem is, follow the doctor's instructions to adjust your living habits, and communicate more with your partner. On the contrary, you can avoid many detours and get better faster.