In the clinic, I met some young guys in their early twenties, with a little shyness on their tender faces, hiding their desire to talk. Nowadays, people are almost free to talk about their “sexual” interests. But in the clinic, where there is a greater need to talk about sexuality, such talk is rare. Even when we know how important “sex” is to our lives, it’s still hard to talk about it. Traditionally, we believe that older people should not have sex anymore or they are “old fashioned”. We also think that young people should not have sex too early or they are “hooligans”. Therefore, patients feel uncomfortable and reluctant when they communicate about sex, and they feel psychologically resistant, hesitant to mention sex in the first place, and even think that doctors may not care about their sexual problems. In fact, doctors talk about sexual problems as professionally and naturally as they talk about other systemic diseases, which are the same as other systemic diseases such as face, chest, abdomen, lungs, heart and liver. Normal sleep and erection Normal sleep erection involves brain and spinal cord regulation, and once these structures are damaged, erectile dysfunction can occur. Patients with sleep disorders are more likely to develop erectile dysfunction, which is two times more common than in the general population. Adequate sleep contributes to erections, and spontaneous penile erection during sleep provides sufficient oxygen to erectile tissue and facilitates metabolite excretion. Patients with sleep disorders have decreased testosterone levels, chronic hypoxia, decreased diastolic substances, endothelial dysfunction and autonomic disorders causing changes in penile structure and function. Therefore, improving nocturnal ventilation, correcting sleep disorders, protecting vascular endothelium, and supplementing testosterone can improve erectile function. This shows how important it is that we often say that early to bed and early to rise is good for the body! Beauty sleep is not only needed for women, it is also vital for men! If you stay up late, why don’t you just wash up and go to bed? Normal exercise and erection Exercise can help people maintain a healthy weight and reduce cardiovascular morbidity, this is already a commonly accepted view. At the same time, exercise can also provide a potential benefit that people are not familiar with, that is, it can improve sexual function. Regardless of race, men who do heavy physical work have better erectile and sexual function. One study noted that these benefits are only apparent when exercise is performed at a minimum of 18 hours of metabolic equivalent (MET) per week, which equates to a total of 2 hours of extremely intense exercise such as running or swimming, 3.5 hours of vigorous exercise or 6 hours of light exercise. Nowadays, more and more young people are sedentary office workers, going out to take a taxi, going home to lie down, exercise is only a few steps from the office to the parking garage that sporadic walk, to know that high-intensity exercise than sedentary people in the erectile/sexual function assessment of the total score is 17.3 points higher. It is clear that exercise is important, no wonder we have had physical education classes since childhood, playing around while invisibly strengthening the body function. In the future, please don’t treat going to the health and fitness room as a show-off photo in your friends’ status, but seriously do more sets of pull-ups and lift more sets of barbells. Adults need to do at least 30 minutes of moderate intensity exercise, at least five times a week, in order to improve their health through exercise. In addition to exercising more and not staying up late, how does behavioral therapy for premature ejaculation work? Most psychological causes of premature ejaculation can be treated with behavioral therapy. Here is the “Premature Ejaculation Behavioral Therapy Training Tutorial” shared by a friend of Medical Pulse in the urology circle. The tutorial is from the Chinese Medical Science Center, and it demonstrates the behavioral therapy training for premature ejaculation with many pictures, fresh drawings and clear explanations.