What medicine should men take if their sexual function is not good?

Male sexual dysfunction can be improved through drug treatment. Commonly used drugs include PDE5 inhibitors such as sildenafil, tadalafil, and vardenafil, and androgen supplements such as testosterone undecanoate. The specific medication needs to be selected based on the cause of the disease. The main influencing factors include the type of erectile dysfunction, hormone levels, cardiovascular health, etc.

1. PDE5 inhibitors:

Sildenafil enhances penile blood flow by inhibiting phosphodiesterase 5 and is suitable for psychological or mild organic erectile dysfunction. Common adverse reactions include headache and facial flushing, and it is contraindicated in patients with severe cardiovascular disease. Tadalafil has a longer duration of action, while vardenafil has a faster onset of action. All three require sexual stimulation to work.

2. Androgen preparations:

Testosterone undecanoate is used for loss of sexual desire and erectile dysfunction caused by testosterone deficiency, and it needs to be used after testing serum testosterone levels. Side effects such as increased red blood cells and abnormal liver function may occur, and it is absolutely contraindicated in patients with prostate cancer. Hormone levels and prostate-specific antigen need to be monitored regularly during medication.

3. Traditional Chinese medicine conditioning:

Compound Xuanju Capsules contain black ant extract, which can improve kidney-yang deficiency type dysfunction. Shugan Yiyang Capsules are suitable for patients with liver stagnation and kidney deficiency, and Wuzi Yanzong Pills are suitable for patients with essence and blood deficiency. Traditional Chinese medicine needs to be used based on syndrome differentiation, and the course of treatment usually takes 2-3 months. Combination with Western medicine may enhance the efficacy.

4. Adjuvant treatment drugs:

Apomorphine is a dopamine receptor agonist and is suitable for some patients who are ineffective with PDE5 inhibitors. Yohimbine improves erections by blocking alpha2 adrenergic receptors, but may cause blood pressure fluctuations. These second-line drugs need to be used under strict medical supervision.

5. Medication for basic diseases:

People with hypertension need to optimize their antihypertensive plan and avoid using diuretics and beta-blockers. Diabetic patients should control blood sugar and improve microcirculation disorders. Patients with depression need to adjust their antidepressant medications, and selective serotonin reuptake inhibitors may worsen dysfunction.

Improving sexual function requires comprehensive management. It is recommended to increase the intake of nutrients such as zinc and arginine, and to perform moderate Kegel exercises to enhance pelvic floor muscle strength. Avoid overwork and anxiety, quit smoking and limit alcohol consumption, and maintain a regular sex life. When combined with chronic diseases such as diabetes and cardiovascular disease, priority should be given to controlling underlying diseases. If you have abnormal vision or an erection that lasts for more than 4 hours during medication, you need to seek medical attention immediately. Regular andrology follow-up visits are conducted to evaluate the treatment effect, and if necessary, combined with physical therapy such as psychological therapy or vacuum negative pressure devices.