How long does it take to treat sexual dysfunction?

There is no unified standard answer for the recovery time of sexual dysfunction: People with purely psychological symptoms and mild symptoms can usually achieve significant improvement in 2 weeks to 3 months. People with underlying diseases such as hypertension and diabetes, and organic damage may require more than half a year or even long-term management. About 15% of refractory cases require lifelong intervention.

I just gave away a 26-year-old guy last week. After three months of marriage, he failed to have sex time and time again. I secretly bought a bunch of kidney-tonifying pills online and took them for two months, but they didn't work. When I came here to check, there was no organic problem at all. It was just that I was too nervous about getting married. In addition, I had the misconception that "it takes long and hard enough to be normal" from watching short videos. I did three psychological counseling sessions and taught him and his wife a few simple behavioral training methods. Within a month, I sent a message saying that everything was normal.

Many people grabbed me and asked, "Doctor, please give me an accurate estimate of how long it will take for me to recover." Actually, it's not that I don't want to give an accurate estimate. There are too many variables that affect the speed of recovery. The core thing is to first figure out where your problem comes from.

If there is no organic problem after investigation and it is purely caused by mentality, cognition or intimate relationship, then the recovery speed is very flexible. Speaking of which, the academic community has quite obvious differences in intervention ideas for this type of problem: Doctors who follow the psychoanalytic route are accustomed to digging out relevant traumas in the subconscious first, such as whether you were severely reprimanded for sexual-related behaviors as a child, or whether you had had bad sexual experiences before. After this process, it usually takes two or three months to see obvious changes. ； However, doctors who do cognitive behavioral intervention are more direct. They will not dwell on the past causes and directly teach you to do sexy concentration training and desensitization exercises. Many people can clearly feel their control after practicing for a week or two. My own experience is that as long as my partner is willing to cooperate and I am not stubborn, most psychological problems can be solved within 3 months.

But if your problem is caused by a problem with your body's organs, your recovery won't be as fast. I once had a 42-year-old patient with a history of diabetes for 8 years. He had already developed ED caused by atherosclerosis and insufficient blood supply to the cavernous body. When he came up, he asked me if he could adjust it in one month. I told him directly that it was impossible. He had to first control his blood sugar and blood lipids within a safe range, and then take drugs to improve microcirculation and promote blood supply to the corpus cavernosum. It took more than 7 months of adjustment before he slowly returned to a state where he could complete sexual intercourse satisfactorily. There are also many premature ejaculation caused by chronic prostatitis. Mild inflammation can be improved by taking medicine for two weeks. For severe inflammation and long course, it is common to take three or four months. If it is a problem such as nerve damage or congenital developmental abnormalities, it may require long-term or even lifelong medication to control it.

Many people are in a hurry to get better and believe in those magic medicines on the Internet that "take effect in a week and never relapse." I advise you not to take them. Last year, there was a 30-year-old man who bought a "strengthening pill" with no effect on his friend circle. After taking it for half a month, not only did he not improve, but he also suffered from headaches and palpitations every day. When he checked his liver function, he showed transient damage. It was originally just a minor psychological problem, but it took three months to recover.

In addition to the cause of the disease, seemingly unrelated factors such as individual differences and partner attitudes can also directly affect the speed of recovery. The same is true for psychological premature ejaculation. Some people are too conceited and just need to go back and practice a few times after the doctor explains the precautions. Some people are naturally sensitive and have to worry repeatedly about "will I not be able to do it this time" every time they have sex. The more urgent it is, the more likely it is that problems will occur, and the recovery period will naturally be delayed. There was a patient before who was almost recovered after more than two months of medical treatment. However, his condition was not good. His wife said on the spot, "You are not going to be able to do this for the rest of your life." She directly put a psychological shadow on him, and it took him two more months of medical treatment before he recovered.

To be honest, there is really no need to worry about "how long will it take for me to get better?" The more you worry about it, the heavier the psychological burden will be, which will actually slow down the recovery speed. It is better to go to the men's department or urology department of a regular hospital to find out whether it is a psychological problem or a physical problem. Don't guess and take medicine by yourself. Slowly adjust according to the plan that suits you. Most people can get good results. After all, this matter is not an "incurable disease" in the first place. It is better to calm down than anything else.