Patient: Doctor, you talked about the many diagnostic methods of impotence last time, what practical significance does this have for treatment? A: We all know that there is a target, right? Only through diagnosis to figure out the specific causes of ED, the cause of treatment to achieve the desired therapeutic effect. Patients: Can you introduce us to the specific treatment methods according to the different causes? A: Yes! First of all, talk about the treatment of psychological ED. As the saying goes, heart disease must be treated by the heart, psychological ED mainly relies on psychotherapy. Psychotherapy has two theoretical systems, one is Freud’s psychoanalysis, that is, psychological counseling, through communication with a psychiatrist to find the crux of the psychological disorder. For example, some people occasionally due to a sexual failure that doubts their sexual ability, followed by the psychological fear of failure of sexual intercourse, each sexual intercourse that anxiety, fear, thus causing ED. find these factors, through explanation, education, encouragement, remove these undesirable factors, you can achieve the purpose of treating ED. Psychological counseling requires a lot of time, a quiet environment and a separate consultation room, and there are not many domestic psychologists to meet the needs of patients. Another set is Masters and Johnson’s behavior therapy method, through behavioral training, can relax the spirit, to relieve anxiety and fear. The most effective behavioral therapy method is sexy concentration training. The basic idea is that both husband and wife do it together, and the whole course of treatment is divided into three stages. The first stage is that both husband and wife touch all parts of each other except the genitals to improve body sensation, eliminate the patient’s tension and experience their comfort. The second stage is for the couple to touch each other’s genital organs to further eliminate fear and arouse sexual response, but without sexual intercourse. The third stage is genital insertion into the vagina with controlled pumping. Each stage lasts for about a week, and through the gradual implementation of the above treatment, the patient is completely relaxed, relieved of depression, anxiety and tension, and achieves satisfactory sexual intercourse. It should be noted that sexual concentration training is an excellent treatment for impotence and premature ejaculation. Psychological ED sometimes also requires drugs to assist in the treatment, because drugs can help the penis erection, restore the patient’s confidence and adjust the body’s neurological and endocrine functions. Turning to the treatment of neurogenic ED. The first is the treatment for nerve damage or neuropathy, such as repairing damaged nerves and giving nerve-nourishing drugs, and the second is the treatment for ED itself, which can be done with vacuum reduction devices, penile cavernous drug injections and oral phosphodiesterase inhibitors. Endocrine ED to treat the primary disease, and the use of hormone therapy. For example, hyperthyroidism causes ED, to treat hyperthyroidism, primary hypogonadism, to apply androgens, secondary hypogonadism, to apply chorionic gonadotropin. Vascular ED is generally treated surgically, is the arterial blood supply is inadequate, to carry out revascularization surgery, is the venous blood leakage, to carry out venous ligation surgery.