Erectile dysfunction in middle age should refer to erectile dysfunction disease in middle-aged patients. Those who are diagnosed with erectile dysfunction should undergo standardized causative and symptomatic treatments in a timely manner in order to strive for a good prognosis, with the former including interventions for the primary causes such as anatomical abnormalities, and the latter such as medications and psychological treatments.
1. Causative treatment: that is, the treatment for the primary causes, common primary causes include penile anatomical abnormalities, psychological diseases, endocrine metabolic diseases, and so on.
(1) Penile anatomical abnormalities: such as small penis, penile curvature, etc., need to be surgically corrected.
(2) Psychological abnormalities: such as depression, anxiety, etc., need to carry out the appropriate drug therapy (such as fluoxetine) and psychotherapy.
(3) Endocrine metabolic diseases: such as diabetes mellitus, hypogonadism, etc., need to control blood sugar, hormone supplementation or replacement therapy.
2. Symptomatic treatment: that is, the treatment for erectile dysfunction itself, mainly including general treatment and drug, psychological treatment.
(1) General treatment: such as strengthening exercise, weight control, etc., which is important for long-term prognosis.
(2) Drug therapy: commonly used type 5 phosphodiesterase inhibitors (e.g. sildenafil), spongy active drugs (e.g. prostaglandin), etc., is the preferred treatment for most patients.
(3) Psychotherapy: psychological intervention, sexual behavior guidance, etc., is an important auxiliary treatment measures.
However, it should be noted that the above only lists some of the treatments for erectile dysfunction, and the specific efficacy of different therapies varies from person to person. Therefore, middle-aged patients diagnosed with this disease must be under the guidance of a doctor, according to the actual situation of the individual to develop a treatment plan, do not blindly dispose of their own, in order to avoid improper intervention, resulting in adverse consequences.