How long does it take to treat sexual dysfunction?

There is no unified fixed cycle for the treatment and recovery of sexual dysfunction. Mild psychological problems can usually be significantly improved in a few weeks to three months. Those with complex symptoms, combined with organic lesions or a disease duration of more than 2 years often require more than half a year of intervention. Some special cases even require long-term maintenance conditioning.

I just followed up a 27-year-old male patient a while ago. He had just been married for half a year. He failed to have sex for the first time because he was too nervous. He was not in good condition for two or three months in a row. When he came for the check-up, his hormones and blood vessel functions were all normal, but he was too mentally burdened. His wife always said "no" half-jokingly. She gave him two psychological counseling sessions and taught him pelvic floor muscle training and desensitization techniques for the couple to work together. When he returned home, he also asked his wife to give him more positive feedback. After just over 40 days, he came back and reported that he was completely normal.

But not everyone can be so smooth. The 42-year-old Mr. Wang who received a consultation last month was not so fast. He has had high blood pressure and diabetes for more than 5 years, and has had erections for almost 2 years. He had bought a lot of impotence supplements before, but after taking them, he would feel dizzy and flustered, or he would feel even more weak after using them. When he was being adjusted, he first had to have his blood pressure and blood sugar stabilized by the internal medicine department, and then he took small doses of PDE5 inhibitors regularly, plus low-energy shock wave therapy. He just reached the passing line in the first three months, and it took him nearly 8 months to slowly reduce the medication until he stopped, and his function was able to remain stable.

The reason why there is such a big gap is that the root of the problem and the basic physical condition of each person are completely different. There are always two extreme opinions on the Internet. One is touting "seven days to cure sexual dysfunction". To put it bluntly, it means adding illegal western medicine ingredients to the product to temporarily expand blood vessels. It does not solve the root problem at all. Stopping the drug will cause rebound, not only harming the body, but also easily delaying the opportunity for conditioning. ； The other is to say "this disease cannot be cured at all", and just throw it away and rely on quick-acting drugs. It is only a minor problem in the first place, but it becomes more difficult to treat when it becomes chronic.

In fact, this kind of conditioning is just like raising a potted plant. If you just forget to water the leaves and the leaves are wilted, water them thoroughly and expose them to the sun for two days to slow them down. If the roots are rotten and there are insects, you must first repair the roots and replace them with soil, and then raise them slowly. It is impossible to grow branches and leaves again in three to five days. Every time I talk to patients about their cycle, I never give a death number. After all, half of the recovery speed depends on the problem itself and half on whether you cooperate. Some people stay up until two or three o'clock every day while taking conditioning medicine, drink four or five heavy drinks a week, and always think about "will I make it this time" when having sex? There is no need to always worry about "when can we completely stop taking the medicine". Some patients with primary premature ejaculation or severe chronic diseases may need long-term low-dose medication for maintenance, just like patients with high blood pressure who take antihypertensive drugs. As long as they can have a satisfactory sexual life quality and do not affect the relationship between the couple, it is considered that the conditioning is in place.