Psychological Erectile Dysfunction Treatment

The treatments for patients with psychological erectile dysfunction include sexual psychotherapy, oral medication, transdermal and intraurethral drug administration, and vacuum negative pressure device therapy. 1. Psychosexual treatment: it can reduce the behavioral anxiety that hinders erection, improve sexual life skills and arouse good sexual feelings. 2. Oral medication PDE5 inhibitors: such as sildenafil citrate, tadalafil and so on. These drugs can increase blood flow in the intracavernous arteries of the penis and produce erection. Adrenergic receptor antagonists: such as yohimbine, can dilate penile arteries and increase blood flow. Dopamine receptor agonists: e.g., apomorphine, stimulate dopamine receptors associated with sexual stimulation and improve erectile function. 5-hydroxytryptamine receptor antagonists: such as trazodone, both inhibit 5-hydroxytryptamine reabsorption and have anticholinergic effects. 3. Transdermal and intraurethral drug delivery: transdermal drug delivery can be used nitroglycerin, yohimbine cream, etc. Transurethral drug delivery can be given prostaglandin E1. 4. Vacuum negative pressure device treatment: practical and convenient, effective for mild to moderate patients. 5. Intracorporeal injection of vasoactive drugs: commonly used prostaglandin E1, this method is effective after a few minutes and helps to eliminate psychological barriers. 6. Penile prosthesis implantation: only suitable as a last resort, can be used when all kinds of treatment methods are ineffective. 7. Vascular surgery: arterial reconstruction can increase the blood flow of penile artery and correct the insufficient blood supply. Venous blockage can increase the resistance to venous return and increase blood flow. Psychological erectile dysfunction patients should go to the hospital in time, under the guidance of the doctor standardized treatment.