What medicine should I take if I can't get an erection at the age of 60?

Erectile dysfunction in 60-year-old men can be improved by drugs such as sildenafil, tadalafil, vardenafil, etc. The specific medication needs to be selected according to individual circumstances under the guidance of a doctor. Erectile dysfunction is mainly related to age, vascular disease, decreased hormone levels, psychological factors, chronic diseases and other factors.

1. Sildenafil:

Sildenafil is a type 5 phosphodiesterase inhibitor that improves erectile function by increasing blood flow to the corpus cavernosum of the penis. The drug needs to be taken 30-60 minutes before sexual activity. Common side effects include headache and facial flushing. Patients with cardiovascular disease need to assess risks before use, and use in combination with nitrate drugs is prohibited.

2. Tadalafil:

Tadalafil's effect lasts up to 36 hours, making it suitable for patients who want a natural sex life. The drug has little effect on diet, but may cause side effects such as muscle pain. Those with abnormal liver function need to adjust the dose and monitor blood pressure changes during medication.

3. Vardenafil:

Vardenafil takes about 15-30 minutes to take effect and lasts 4-6 hours. Common adverse reactions include nasal congestion and dizziness. Patients with glaucoma should use with caution. This drug needs to be avoided when used together with alpha-blockers, and alcohol intake should be limited while taking the drug.

4. Hormone replacement:

People with low testosterone levels may consider testosterone replacement therapy, which needs to be confirmed by a blood test. Testosterone supplementation can improve libido and erectile function but may increase the risk of prostate disease. Prostate-specific antigen and hematocrit need to be monitored regularly during treatment.

5. Traditional Chinese medicine conditioning:

Some traditional Chinese medicines, such as epimedium, wolfberry, and cistanche deserticola, have the effect of tonifying the kidneys and strengthening yang. Traditional Chinese medicine conditioning requires syndrome differentiation and a long course of treatment, and is suitable for mild dysfunction or as an auxiliary treatment. When using traditional Chinese medicine, you need to pay attention to drug interactions and avoid self-combining.

Men over 60 years old need comprehensive management to improve erectile function. In addition to standard medication, they should maintain moderate exercise such as brisk walking, swimming and other aerobic activities for 30 minutes a day. Pay attention to supplementing zinc, arginine and other nutrients in your diet, and eat more oysters, nuts, and dark vegetables. Control basic diseases such as high blood pressure and diabetes, quit smoking and limit alcohol consumption. Strengthen emotional communication between partners and reduce psychological stress. Monitor cardiovascular and prostate health with regular physical examinations. If you have persistent erection difficulties, you should seek medical attention promptly to investigate the cause.