The treatment of sexual dysfunction caused by hyperlipidemia mainly includes causative and symptomatic treatments, the former such as dietary control, and the latter includes medication, psychotherapy, and so on, and the specific treatments should be in accordance with the doctor’s instructions.
1. Treatment for cause: that is, treatment for hyperlipidemia.
It mainly includes ① general treatment: such as diet control, smoking cessation and salt restriction, etc.; ② drug treatment: commonly used lipid-lowering drugs (such as atorvastatin), intestinal cholesterol absorption inhibitors (such as ezetimibe), etc.; ③ surgical treatment: ileocolic resection and other surgical procedures, which is only used for those who can’t tolerate the drug treatment or the results of the conservative treatment are not good.
2. Symptomatic treatment: it is necessary to choose according to the gender of the patient and the specific type of sexual dysfunction. Male sexual dysfunction mainly includes erectile dysfunction, premature ejaculation, etc.; female sexual dysfunction includes pain during sexual intercourse and orgasmic disorder.
(1) Erectile dysfunction: ① medication: type 5 phosphodiesterase inhibitors (such as sildenafil), spongy active drugs (such as prostaglandin), etc.; ② physical therapy: such as low-energy extracorporeal shockwave, vacuum erection device, etc.; ③ surgical treatment: there are penile prosthesis implantation and other surgical procedures, used only for those who are ineffective in conservative treatment.
(2) Orgasmic disorder: ① drug therapy: melanocortin receptor agonists (such as Bumetinotide), benzodiazepines (such as diazepam), etc.; ② psychotherapy: such as cognitive behavioral therapy, marital therapy and so on.
In summary, sexual dysfunction caused by hyperlipidemia, must be under the guidance of the doctor according to the actual situation of the development of individualized treatment programs, do not blindly dispose of their own, in order to avoid improper intervention, resulting in adverse consequences.