What should I do if my roommate can’t get straight?

Erectile dysfunction can be intervened through psychological adjustment, lifestyle improvement, drug treatment, device assistance and traditional Chinese medicine conditioning. Common causes include psychological stress, vascular disease, hormonal imbalances, nerve damage, and medication side effects.

1. Psychological adjustment:

Anxiety, depression, or relationship tension can inhibit the arousal reflex. Cognitive behavioral therapy can alleviate performance anxiety, and participating in therapy with a partner can increase a sense of security. Short-term psychological consultation combined with relaxation training has a significant effect, and severe cases need to be referred to a psychology department.

2. Improvement of lifestyle:

Smoking cigarettes and limiting alcohol consumption can reduce vascular endothelial damage, and 150 minutes of aerobic exercise per week can improve blood circulation. The Mediterranean diet is rich in antioxidants and ensures 7 hours of sleep to maintain testosterone levels. Weight loss of 5%-10% in obese patients can significantly improve function.

3. Drug treatment:

Phosphodiesterase 5 inhibitors such as sildenafil and tadalafil can enhance blood perfusion and need to be used under the guidance of a doctor. Androgen replacement therapy is suitable for patients with testosterone lower than 8 nmol/L, and patients with diabetes need to control blood sugar simultaneously.

4. Instrument assistance:

The vacuum negative pressure device promotes congestion through physical means and is suitable for those with drug contraindications. Low-intensity shock wave therapy promotes angiogenesis, twice a week for 6 weeks. Penile prosthesis implantation surgery may be considered for severe organic lesions.

3. Traditional Chinese Medicine conditioning:

For patients with kidney yang deficiency, Yougui Pills can be used to warm and replenish kidney yang, while for patients with liver stagnation and qi stagnation, Xiaoyao Powder can be used to soothe the liver and relieve stagnation. Acupuncture is performed on acupoints such as Guanyuan and Shenshu, combined with moxibustion on Mingmen acupoint. Treatment needs to be based on syndrome differentiation to avoid mistaken supplementation.

You can eat more zinc-containing foods such as oysters and walnuts every day to avoid sitting for long periods of time, which may compress perineal blood circulation. Warm water sitz baths promote local blood flow, and levator ani exercises strengthen the pelvic floor muscles. It is recommended to record the frequency of morning erections as an observation indicator. Sudden unprovoked erectile dysfunction needs to be investigated for cardiovascular diseases. Maintaining a regular frequency of sexual life can help maintain function, but avoid over-focusing on performance and increasing the psychological burden.