Sexual problems can be treated with several appropriate methods, and what are the recommendations of urologists in this regard?
The treatment of sexual problems should be done in a completely scientific way. In medical science, for the diagnosis of any disease, it is necessary to follow certain criteria, for example, when a patient says that he has diabetes due to excessive drinking and excessive urination, his words are not reliable, and it is the doctor’s duty to find out the increase in sugar by taking the history, examining the patient and asking for several tests. let it bleed The sexual problem is the same and needs more and more specialized investigations. To find the main cause of the sexual problem, we follow the algorithm below.
Dr. Mohammadreza Safarinejad; Kidney and urinary tract specialist and university faculty member wrote: “Don’t worry about your sexual problem anymore!” You have seen or heard these advertisements many times on satellite channels. Unfortunately, a large group of men are fooled by these false advertisements and pay a lot of money for such products, which are 100% fake, and they do not get any results after using them. Because diagnosing the type of sexual problem is not as easy as we think, and its treatment is not such that one can prescribe a medicine for all people. For each type of sexual disorder, a specific treatment is chosen. The treatment of sexual problems should be done in a completely scientific way. In medical science, for the diagnosis of any disease, it is necessary to follow certain criteria, for example, when a patient says that he has diabetes due to excessive drinking and excessive urination, his words are not reliable, and it is the doctor’s duty to find out the increase in sugar by taking the history, examining the patient and asking for several tests. let it bleed The sexual problem is the same and needs more and more specialized investigations. To find the main cause of the sexual problem, we follow the algorithm below.
1. History, physical examination and diagnosis of the type of disorder
A detailed description of the patient’s condition should be taken. When a man complains of sexual problems, first you should see what he means by using this word. The questions raised are as follows; Has your sex drive decreased? Do you have ejaculation disorder? Can you have a marriage relationship? According to the patient’s answer to these questions, we find out what kind of disorder the patient has. Sometimes, some men are not really sick, but they have certain expectations of themselves, for example, a person complains of a small penis, but everything is completely normal in the physical examination. Sometimes a person complains of erectile dysfunction with the complaint that he cannot have sexual intercourse twice in a row. From the scientific point of view, these people do not have a problem because men have a period of immobility after intercourse.
2. Test request
There are about 20 types of sexual disorders in men. In order for the doctor to treat the disease successfully, the first step is to diagnose the type of disease, then find the cause of the disease. Finding the cause is a very important issue that unfortunately many doctors ignore. Finding the cause should be done by taking a history and asking questions about underlying diseases, drug use, and sexual problems in the past. In order to find underlying diseases, specialized tests or imaging should be done. Of course, there is no need to request numerous tests, sonography and radiology. The doctor should not use paraclinical tests to diagnose the disease. Paraclinical tests are to confirm the doctor’s diagnosis and it must be a necessity to request it.
3. Diagnosis of physical or mental disorder
When it is determined that, for example, the patient has erectile dysfunction, it becomes easier to continue the treatment. In these cases, it should be determined whether the erectile dysfunction is physical or psychological. If it is rooted in mental disorders, we will not continue and the patient will be referred to a specialist psychiatrist or psychologist, but when a physical problem is diagnosed, the next stage will begin.
4. Primary, secondary or situational diagnosis of the disorder
If there is a problem from the beginning of the first marital relationship, it has an initial problem. If a person has not had any problems for several years and has recently developed a disorder, the disorder is secondary. The next issue is to see if a sexual disorder occurs in a specific situation and with a specific person. This issue can also be understood with the history of the patient, because a stressful factor may occur in a certain situation, these people do not need medicine, and the desired and appropriate conditions should be provided. But there is another person who gets disturbed in any situation, of course, treatment methods can be suggested for these people according to the conditions.
6. Treatment of the disease
After going through all the diagnostic steps, the type of treatment can be determined. Each type of disorder is treated separately. For example, there are 4 types of erectile dysfunction treatment. Oral, topical, performing surgery and placing a prosthesis. The treatment should be as simple as possible, less complicated and less expensive. According to the conducted studies, it is possible to understand which treatment the patient will benefit from the most.
5. Specialized tests
At this stage, some questions are raised for the doctor. Suppose the patient has erectile dysfunction. Several parameters should be considered in this disorder; The normality of the blood flow of the genital tract, the condition of the innervation of the genital tract, the level of sex hormones and the anatomical shape of the genital tract, but to diagnose each of these, we need special paraclinical measures, but again, in order to reach a quick and cost-effective conclusion, the history of the patient is necessary. Is. For example, when a 28-year-old young man has suffered a spinal cord injury due to an accident, the problem is obvious. This person has erectile dysfunction of the nervous type and there is no need for additional tests. Or after examining the patient, we find out that the testicles did not descend as a child and they did not realize that this patient has a hormonal problem because the testicles have disappeared. Therefore, it is important to know whether the patient’s problem existed from the beginning, arose later, occurs in a specific situation and with a specific person, or whether the problem is always with him in any situation. After diagnosing the cause of the disorder, we take the next step.
Erectile dysfunction with venous leakage
One of the worst types of erectile dysfunction is erectile dysfunction with venous leakage. In this type of disorder, blood does not remain in the penis. Radiological method should be used for diagnosis. The best way is to use duplex sonography. If the cause of erectile dysfunction is suspected to be hypofunction of the reproductive glands, a blood test is requested. Another diagnostic way to diagnose erectile dysfunction is to use a computer test in which an electrode is attached to the penis during the night to measure the number of erections. If there is a disorder in the innervation, tests can be used that measure the conduction speed of nerve impulses quantitatively. Today, there are advanced equipments for diagnosing sexual disorders. The most important principle for the treatment of the patient is the correct diagnosis of the type of disorder, so patients should refrain from self-medication with advertised drugs and entrust the treatment to a doctor who is skilled in this field.
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