1. What is ED? ED is an abbreviation for Erectile Dysfunction, which refers to an erection that is not hard enough for vaginal penetration during sexual intercourse, or an erection that does not last long enough to complete a satisfactory sexual life. The first thing you need to do is to have a good time. Among them, people often say impotence usually belongs to the severe degree of ED. Premature ejaculation is different from ED or impotence, although they both belong to the common disease of abnormal male sexual life, they have different definitions and different treatments. Premature ejaculation is the most common ejaculatory dysfunction, while ED/impotence/erectile dysfunction is the most common male sexual dysfunction. The definition of premature ejaculation is controversial and is usually evaluated by the ejaculatory latency of men or the frequency of women reaching orgasm during sexual intercourse, such as ejaculation before or just after penile insertion into the vagina if a man loses the ability to control ejaculation during sexual intercourse; or by less than 50% frequency of women reaching orgasm during sexual intercourse. Case sharing 1: Patient Li, male, 24 years old, came to the outpatient clinic with difficulties in sexual life. The main problem was that he could not complete sexual life well and was very distressed. After questioning, he learned that he could get an erection, but he ejaculated as soon as he touched the vagina, and then he became soft, so his girlfriend was afraid that he was “no good” and wanted to break up with him. It just so happens that a friend of his also has a similar disease, so after consulting a friend who had seen a doctor, he did not bother to go to the hospital to see a doctor, and went directly to buy Viagra according to the medicine prescribed by the doctor to his friend, but the treatment effect was not good, and he thought he could not do it, his friends were cured but he could not be cured, very low self-esteem, and finally The “exclusion of all difficulties” to seek medical advice. Because Li’s friend is to see the hospital after the doctor diagnosed ED and prescribed drugs to treat, of course, the effect is better than Li, and Li thought he was in the same situation as his friend, to buy drugs on their own, and the purchase is not a real prescription drugs, but other channels to buy counterfeit health drugs. First of all, is this condition of his considered impotence? Or is it premature ejaculation? In this case, it does not belong to impotence, but to premature ejaculation, because the penis becomes soft and cannot complete a satisfactory sex life because it happens after premature ejaculation, and it is normal for the penis to become soft and shrink after ejaculation, so this situation should be treated according to premature ejaculation. The first thing you need to do is to get your own diagnosis and buy your own medication blindly, which often does not work, or buy medication from non-normal channels, the treatment effect is not good, but more importantly, the indications and time of medication, dosage, side effects, etc. are not evaluated and guided by professional doctors, which may lead to serious adverse consequences, and serious cases may lead to sudden death. Later, Li under the guidance of the doctor for treatment, to obtain a satisfactory sex life, but also with his girlfriend and reconciliation as before. 3. How to know if you have ED? Case 2: (Please make sure you are 18 years old before reading on) Patient Su, male, 43 years old, came to the clinic with low sexual desire and weak erection. He is now remarried, his wife is 28 years old and is not satisfied with a sex life of 2-3 times a month, while the patient is under pressure to start a second business, so the couple’s life has been coping. Now the patient’s career is gradually on track, but sexual life has not improved, after consulting friends to buy “aphrodisiac drugs, supplements, wine” and other conditioning, because the effect is not good and come to the clinic. Is this patient ED and does he need treatment? First of all, let’s look at the definition of ED, refers to the attempted sexual intercourse, the erection of the penis is not hard enough to penetrate the vagina, or the erection of the penis is not hard enough to maintain the time to complete a satisfactory sexual life, the pursuit of his sex life (here to add a sentence, by the way, to educate all patients who come to the clinic, see the male doctor is generally one patient in to see, due to privacy issues refused to crowd), the first married sex life is no problem, 3-8 times a week, that is, sometimes, the patient is not a patient. -8 times, that is, sometimes 2 times a day, each time can be 5-40 minutes ranging, and after remarriage due to work pressure and fatigue, sex only 2-3 times a month, and mostly coping type, rarely initiate the sexual request, and it is difficult to erect, or erection after hardness is not enough to smoothly insert the vagina, the face of his wife’s disappointed, lost expression, more aggravated his psychological burden, despite his wife to comfort him, but this made him feel more guilty. He was still in this situation, so he could be diagnosed with ED, but at the same time, we told him not to worry too much, there was no need to talk about ED as if it was a tiger, and finally after the doctor’s treatment and guidance, the patient’s sexual life gradually improved, and finally obtained a more satisfactory sex life and did not develop drug dependence. Treatment methods, please see the treatment chapter. Why do you have this disease? Will masturbation lead to ED and infertility? The actual fact is that you can still get married and have children? 1, the cause of the disease. (2) organic erectile dysfunction: commonly caused by penile vascular abnormalities, penile lesions themselves, penile injuries, endocrine diseases and certain drugs. (3) Mixed ED refers to erectile dysfunction caused by psychosomatic factors and organic etiology together. The specific cause of what, please go to the regular hospital for diagnosis, so that the right medicine, do not self-diagnosis. 2.Will masturbation/masturbation lead to ED? First of all, it is certain to tell you that moderate masturbation/masturbation will not lead to erectile dysfunction (ED). I believe that many people are concerned about this because there are actually many people who have the habit of masturbation, and people who have the habit of masturbation are often worried about causing abnormal sexual function, such as erectile dysfunction. The term “masturbation” is widely used, but since “masturbation” is a derogatory term in Chinese and is used to refer to a form of sexual behavior, the term “masturbation” should be eliminated and the scientific term should be masturbation. The scientific term should be masturbation. In the clinic, patients often ask: “Dr. Liang, I have masturbation, is it okay?” “Dr. Liang, I had a checkup at a certain male hospital and it said that I have prostate and it is caused by masturbation, is it serious?” “Doctor, I’ve been masturbating for a long time, that kind of doesn’t work, and I’ve seen many hospitals with bad results.” …… Many radio programs and advertisements tend to exaggerate the dangers of masturbation, and even some doctors do the same, thinking that this will make patients comply better, but this will Add to their mindset and affect the psychological and therapeutic effects. It is not appropriate to blame those who have masturbation, let alone use exaggerated and intimidating approaches, and I prefer to give patients an objective understanding of masturbation. Do you want to know how many people have ever masturbated? Recently, the campus media of Sun Yat-sen University, “CU Youth” launched a survey, the survey said that more than 80% of college students have masturbated, nearly 30% think it is beneficial to health. The proportion of male students masturbating is as high as 96% and female students as high as 70%. In fact, masturbation is very common, but people are ashamed to talk about it, thinking that only they “are so bad”. Masturbation can occur in men and women of all ages, and its causes vary. The masturbation that occurs during childhood is mostly due to unconscious occasional play with the genitals, or because of the stimulation and pleasure caused by rubbing the genitals when wearing tight pants or riding across activities, and generally without orgasm. Both men and women, after puberty, due to physical changes in the body, and the resulting sexual impulses and sexual desire, full of longing, curiosity and fantasy about sex. Normal sexual desire is the basic requirement for human maturity and reproduction of offspring, and is a normal physiological phenomenon. But from sexual maturity to be able to legally declare sexual energy, to meet the sexual requirements (registered marriage) generally have to wait a few years or more, and the sexual needs of this period of time is often the highest, always looking for opportunities to vent the full sexual desire. Both men and women may occasionally stimulate their genital organs and reach orgasm at unconscious opportunities, thus a hair-raising and uncontrollable habit of masturbation. There are also those who are induced or assisted by others to learn to masturbate and become uncontrollable. The masturbation in moderation will not cause any harm to the body, nor will it cause impotence/ED/erectile dysfunction. It can also be used to make up for the fact that people cannot have sex with each other, such as unmarried young people, separated couples, divorced and widowed people, people with sexually transmitted diseases, people with disabilities, people whose spouses are ill and cannot have sex, which helps to bring out more enthusiasm and energy for work. Masturbation can also be used to collect semen specimens for clinical examination, and healthy men can also donate their semen through masturbation. Masturbation does not transmit any sexually transmitted diseases, nor does it involve others, or get involved in deranged sexual behavior and emotional entanglements, nor does it lead to the occurrence of sexual assault or even sexual crimes, and avoids moral and social problems caused by sexual issues. So, masturbation itself is harmless, must be natural, do not have the psychological pressure, so as not to produce guilt afterwards, self-blame and other emotions, and easy to masturbation misunderstanding of fear, and many “imaginary” disease, or their own disease and masturbation far-fetched associated with. Only if masturbation is too frequent and disrupts normal work and study, and if self-cure is difficult to achieve the desired effect, should you receive the necessary medical advice and complementary treatment, including medication. 3.Will it lead to infertility? Is it still possible to get married and have children? ED can lead to infertility, mainly related to the degree of ED and sexual life, ED leads to inability to complete normal sexual life, that is, unable to perform intravaginal ejaculation, will lead to infertility; and ED and after treatment can complete normal sexual life, there is a chance to have children. So, can ED patients get married and have children? As already mentioned, ED and after treatment can complete normal sex life, there is a chance to have children; however, for difficult or incurable ED (such as prostate removal, total cystectomy and radical rectal cancer surgery, may damage the autonomic nerve innervating the penis and lead to ED; spinal cord injury can not be repaired resulting in ED, etc.), these patients can not complete normal sex life, but the couple has fertility requirements. What to do? In the past, such patients are absolutely sterile, but now, they can achieve the desire to have children through assisted reproductive technology (artificial insemination or in vitro fertilization). Third, can it be cured? How long does the treatment take? What are the treatment drugs? What should be noted for treatment? 1, can ED be cured? We can tell you for sure that ED is a treatable disease. However, you must go to a regular hospital, for the specific circumstances, specific conditions for treatment. Some people buy their own “aphrodisiac drugs” or listen to what “old prescriptions”, “secret recipes” and so on, expect to rely on food to eat it back, are not desirable. So far the medical profession has not admitted that there is any kind of food or health products can really improve sexual function completely. So, if you want to “make up for it” and believe in the exclusive recipes of the so-called health experts, you will only end up with a lot of frustration and disappointment. What is more alarming is not these natural foods, but some businesses disregard the law and people’s health, illegal to claim that natural, pure Chinese medicine food or health care products are not standardized mixed with the ingredients of Western medicine, claiming that a course of treatment or a few can completely cure ED, deceive the masses. These aphrodisiacs are unstable because of the ingredients, the lack of monitoring of the effectiveness of the drug, it is easy to cause potential harm to the body. 2, how long does the treatment take? Should I treat it for life? What are the treatment drugs? What should I pay attention to in treatment? For different causes, the method of ED treatment and the course of treatment is different. For example, some vascular ED, can be treated by surgery, soon after surgery to restore normal erectile function; and some drugs caused by ED, after the drug can gradually improve; in short, ED is a treatable disease, the key is not to blindly treat, and should go to a regular hospital for examination and treatment. Treatment of ED we are more familiar with “Viagra”, some people think that this is “aphrodisiac”, eat more bad; some people think it is very effective, very respected; but, we really on “Viagra “How much do you really know about Viagra? In fact, what we call “Viagra” usually refers to the first generation PDE-5 inhibitor Sildenafil (Sildenafil) is an oral treatment of erectile dysfunction drugs, 25-60 minutes of onset of action with foreplay time required to adjust the time of intercourse in the highest drug concentration time, to help couples to get satisfied with sex. It helps both spouses to have a satisfactory sex life. The second generation of PDE-5 inhibitors with higher selectivity have also entered clinical use, including Tadalafil (Tadalafil) developed by Eli Lilly and Company, whose trade name is Cialis (Cialis), and Vardenafil (Vardenafil) developed by Bayer Germany, whose trade name is Elidel, which is more representative. Cialis has an onset of action of 30 minutes and an effective duration of 36 hours, a feature that allows patients to organize their sexual lives more freely and without time pressure. When taking medication, it is important to do so under the guidance of a male or urological surgeon at a regular hospital. Do not purchase oral medication on your own, as the indications, contraindications and interactions with other medications are difficult for patients to grasp on their own, and the consequences can sometimes be fatal.