Chinese ED patients, how far from first-line treatment? Currently, first-line treatment for erectile dysfunction (ED) can be as effective as 60-80%. The so-called first-line treatment is to improve erectile function by taking PDE5 inhibitors (commonly known as Viagra). More than a decade ago, when ED treatment, generally using drugs such as androgens and poppies, the first-line treatment at that time was basically not much use. The domestic male experts have shared the survey data in several cities in China, at least 60% of the patients, when the ED just appeared, first choose to take a variety of Chinese medicine to treat “kidney deficiency”. After a period of tossing and turning and finding little success, only to turn to the regular hospital urology or men’s department for treatment. These patients are actually taking a detour. It is not surprising that some patients feel effective when they receive TCM treatment under psychological suggestion. Many patients also choose Chinese medicine because they believe that the use of “Viagra” can not cure the root cause. In this regard, a large proportion of ED patients are accompanied by organic diseases, in most of these underlying diseases is unlikely to be cured (such as diabetes, coronary heart disease, etc.), so out of drugs will still “not work”. Unlike some young people with psychogenic ED, who can gain confidence by taking medication and eventually enter a virtuous cycle after getting off medication. Most of the ED has organic problems, blood vessels, nerves will be affected, but through the “Viagra” and other drugs, can help patients complete the process of sexual intercourse, of course, some Chinese medicine in the ED treatment process can play a complementary role, especially from the overall level of conditioning, to enhance or / and optimize the role of PDE5 inhibitors. Self-test assessment score, so you know whether you need to go to the hospital? Some EDs may improve with proper conditioning and rest, while others need to go to the hospital, so how can patients tell for themselves? Professor Sun pointed out that patients can self-test through the International Inventory of Erectile Function (IIEF), which scores 25 out of 25, with 21-25 being normal, and those with less than 21 being classified as mild, moderate or severe. For mild ED, you can try to improve your lifestyle through 3-6 months as well as exercise, etc. If it doesn’t work again, you will need to visit a hospital. Many ED is actually a vane of diabetes, cardiovascular disease, through early consultation ED, but also early detection of diabetes and other diseases, so as not to make these major diseases more and more serious. In the case of diabetic patients, for example, they are often found before diabetes, often with ED as the main complaint, and there is no typical diabetes “three more and one less” symptoms. When you go to the male clinic, you will find that your blood sugar is very high. These patients, if they do not come to the clinic, it may also be difficult to know early that they have diabetes. If not, it will be too late to come to the serious stage such as diabetic foot and diabetic nephropathy. The United States reimburses 7 pills of Viagra per month, what about China? In terms of male diseases and men’s health, still not enough attention from the public and the government. The current level of male diagnosis and treatment is mixed and chaotic, the health administration should pay attention to this reality, pay attention to ED, premature ejaculation, androgen underground and other diseases that affect the sexual well-being of men and even families, social harmony, as well as the overall health vane of male medicine, so as to pay attention to and guide the healthy development of male science in China. In the United States, health insurance can reimburse ED patients up to 7 pills of Viagra per month, while in China, the treatment of male diseases, including ED and male infertility, has not yet been included in the scope of medical insurance. In addition, the public is not given the right information in terms of perception, so that patients do not go to regular hospitals to receive treatment by male professionals, in private institutions repeatedly cheated.