How long does it take for sexual dysfunction treatment to improve?

There is no unified standard answer - if it is a mild functional problem caused by short-term stress or disordered work and rest, you will feel significant improvement in as fast as 2 to 4 weeks.； If you have organic damage caused by underlying diseases such as diabetes and hypertension, or are combined with psychological problems such as severe anxiety or relationship conflicts, it often takes 3 to 6 months or even longer for standardized conditioning to gradually improve.

A 28-year-old Internet programmer I just followed up last week fell into the former category. He worked on a project until 2 or 3 o'clock every day for three months. He had a big fight with his girlfriend and had a cold war for half a month. When he finally reconciled and had sex, he found that he couldn't get hard. After he finally got hard, he ejaculated within two minutes. He was so panicked that he checked Baidu for a week to see if he was "wasted." Six items of sex hormones and an ultrasound of cavernosal blood flow were checked and there was no problem. It was a typical functional problem. He was prescribed a Chinese patent medicine for soothing the liver and relieving depression for a week. He was told to take 20 minutes to run every day and go to bed before 11 o'clock. He was also given a two-page guide for sexy concentration training with a partner, telling him not to rush to have sex and follow the exercises first. As a result, he sent me a message just 20 days later, saying that he tried it yesterday and the time hardness returned to the previous state. He finally let go of his worries for a long time.

But not everyone recovers so quickly. Two years ago, I treated a 45-year-old private company owner who had type 2 diabetes for 8 years. He often forgot to take anti-diabetic drugs when he was busy, and his blood sugar fluctuated. He had erectile dysfunction for more than two years. I secretly bought a lot of "impotence pills" and they worked at the time. But the next day, I had a severe headache and panic, and it became even worse after I stopped. When I came here for examination, I had already developed mild peripheral neuropathy and vascular endothelial damage. There was no need to rush. First, he had to ask his colleagues in the endocrinology department to help him control his blood sugar within a stable range, and then use drugs to improve endothelial function, nourish nerves, and daily pelvic floor muscle training. He wanted to give up several times because of the slow results, but his lover came with him for follow-up consultations and learned training methods to cheer him up. After more than 5 months of adjustment, he was finally able to achieve a satisfactory sex life.

Nowadays, the industry does have different tendencies in judging the conditioning cycle. Western medicine prefers targeted intervention. What is missing is supplemented. For example, if androgen is low, regular supplementation of testosterone undecanoate is required. If vascular blood supply is insufficient, PDE5 inhibitors such as tadalafil can be taken on demand or regularly. Most symptomatic patients can see clear functional improvement in 1 to 3 months.； The idea of ​​​​TCM is more towards overall conditioning, emphasizing the multi-pronged approach of soothing the liver, tonifying the kidneys, and activating blood circulation. Especially for chronic problems that have been delayed for three to five years, many experienced TCM doctors will recommend at least a 3-month cycle. Don't bet on speed, otherwise it will easily damage the root. There is no absolute right or wrong between the two ideas. The specific choice depends on personal circumstances and acceptance.

In fact, in addition to the type of problem itself, whether you follow the doctor's instructions well is also the key to the speed of recovery. I have seen many people take medicine to recover, while socializing, drinking and staying up late every day. They have to have sex three or four times a week. After half a year of adjustment, they still have no improvement. On the other hand, there are also people whose problems were not serious at first. They obeyed and quit smoking and drinking. They followed the clock and exercise every day. Their partners did not put any pressure on them, and their recovery speed was more than twice as fast as expected. There are also many people who occasionally perform poorly once or twice, scaring themselves and thinking about it every day. The more nervous they are, the more likely they are to function abnormally, forming a vicious circle. This may require psychological counseling. If they cannot get over that hurdle, even if their health is fine, they may not get better. I met a 25-year-old guy before. He was too nervous to have sex for the first time and failed. He couldn't do it for half a year. His physical examination was normal. I gave him three psychological counseling sessions and asked his girlfriend to encourage him. He was fine in less than a month.

In fact, there is really no need to stick to the number "how long it will take to recover." Everyone's physical condition, living habits, and even partner relationships are different, so the recovery speed naturally varies widely. Instead of worrying blindly by browsing the "7-day cure" advertisements on the Internet every day, it is better to find a specialist in a regular hospital to evaluate and clearly understand what your problem is, adjust your work and rest, and take medicine when you should. Taking it slowly and steadily is more reliable than any folk prescription.