Resolving sexual problems with the help of these treatments
What are the different stages of treatment for men’s sexual problems, what methods can we use to solve them, what medicines and foods help us in this field?
* Dr. Mohammad Reza SafarinejadFrom now on, in this column, we will examine the physical and mental disorders that endanger sexual health and provide treatment solutions for them.
Last week, we examined the issue of erectile dysfunction; A common male sexual disease that is caused by mental causes, nervous system problems, vascular causes, hormonal causes, taking some drugs, etc. You should know that there are many ways to treat erectile dysfunction (Impotence). However, herbal medicines or supplements that are advertised through satellite channels are not approved by reputable scientific societies. In fact, we do not have any medicine that can cure all types of sexual disorders in all patients 100%. For the treatment of erectile dysfunction, there are four lines of treatment that we examine, and the doctor decides, for example, to start with the third line of treatment according to the patient’s condition.
First line treatment: In many cases, there is no need to prescribe medication. It is enough for the patient to modify his lifestyle. Quitting smoking and drug use, healthy eating, regular daily exercise and fitness, reducing daily stress, diabetes control, regular use of cardiovascular drugs, lowering blood cholesterol, changing erectile dysfunction drugs, dealing with false beliefs about sexual issues and The treatment of male menopause is one of the effective methods.
Second line treatment: Oral drugs with peripheral effects (drugs that affect the location) and oral drugs with central effects (drugs that affect certain parts of the brain), counseling and education means increasing information and awareness and referring the patient to a psychologist and finally using devices. They are placed in this section. Of course, we mean the vacuum device, which is only useful in some patients, but the devices advertised on satellite are not recommended at all.
Third line treatment: Local drugs are used in this line of treatment. For example, we teach the patient to inject a drug in the right place; Like diabetic patients who inject themselves with insulin. Sometimes a medicinal substance in the form of a suppository enters the urethra with a special device and is absorbed through the mucosa of the urethra and causes an erection. In some cases, certain medicinal substances are applied to the skin in the form of ointments or creams.
Fourth line of treatment: Surgery is performed in this line of treatment. In cases where the blood supply artery has been cut off due to a hip fracture, blood supply can be re-established by vascular grafting. If the patient does not respond to any of the mentioned treatments, a prosthesis can be placed for the patient. There are different types of prostheses used in these cases. One type is two-piece, made of silicone and semi-solid, and it can be easily bent and straightened. After placing this type of prosthesis, the erection is always maintained. In the other type, which is known as three-piece, the patient can create an erection using the device when needed and then remove it. Of course, the disadvantage of the three-piece type is that it is expensive; So that the average type costs 15 thousand dollars (nearly 52 million tomans).
*Surgeon and specialist in kidney and urinary tract diseases
Jam-e-Jam newspaper,
26 May 1395 06:37
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