How long does it take for sexual dysfunction to get better?

There is no standard answer. Sexual dysfunction caused by mild psychological factors usually improves significantly in 2 weeks to 3 months ； For mild organic or mixed problems, most satisfactory results can be achieved with standard treatment for 3-6 months. ； If it is a chronic problem caused by a serious underlying disease or the disease has lasted for more than 5 years, it may require more than 12 months of intervention, and in some cases, long-term maintenance conditioning may be required.

I just saw a 28-year-old programmer last week. She was married for half a year. She stayed up for three months working on a project. She was too nervous to have sex for the first time and didn’t succeed. After that, she was afraid of losing the relationship every time. The more afraid she became, the worse it became. The couple almost got divorced. When she came, the first thing she asked was, "Do I need to be cured for three to five years before I can get better?" ”. I checked his hormones and cavernous blood vessel function and everything was fine, but he was under too much stress and had a psychological shadow. I prescribed low-dose short-acting erection-stimulating drugs for him to use as needed to help him break the vicious cycle of "fear of failure - more failure". I also gave him two psychological counseling sessions, telling him not to regard sex as a KPI and to just go back to a regular schedule. Last week, he sent a message saying that he was completely normal, and it had only been 47 days since he was full.

Of course not everyone can be that fast. Problems among young people under the age of 30 are likely to be related to psychological factors, either because they are inexperienced and too nervous, or because they performed poorly and were criticized by their partners, or they masturbate too frequently, which puts a psychological shackles on themselves: "I can't do it." Nowadays, the industry has different tendencies in dealing with such problems: Western medicine andrology even recommends using medication to quickly complete several successful intercourses to build up confidence. After a lot of people relax, they can even get better without any follow-up treatment. ； The school of sexual psychology pays more attention to the solution of the root problem. They believe that if the knot is not opened, it will easily relapse even if it is temporarily cured. It is also recommended to cooperate with long-term cognitive adjustment. There is no difference between the two ideas. If you are eager to improve the relationship, give priority to the former. ； If you have had psychological shadows for several years, it is more recommended to take your time. The slowest case I have ever seen was that when I was young, I was ridiculed by my ex for my sexual function. The knot had been buried for 8 years. It took 10 months of intermittent psychological intervention before I could finally relax and have sex.

If it turns out it's an organic problem, there's really no need to rush. To put it bluntly, it means that the body is really damaged, such as diabetes and high blood pressure that damage the cavernous blood vessels over a long period of time, chronic prostatitis and repeated inflammation affect ejaculation control, or long-term low male hormones drag down sexual desire and hardness. The speed of recovery from such problems depends entirely on how well you control your underlying diseases. The 42-year-old patient who went back for a follow-up visit last month had neglected his diabetes for 5 years. His fasting blood sugar had spiked to 12, and he had been suffering from poor erection for more than a year. When he first came here, he was chasing me for a miracle drug that would "result in 7 days." I persuaded him to go back to the endocrinology department to control his blood sugar first. He also stopped drinking coke. He took a half-hour walk every day and took medicine to improve the vascular endothelium. It was only in the fourth month that he came to me and told me that he could finally have normal intercourse. He is still maintaining the treatment and hopes to reduce the dosage of medicine by the end of the year. Here we must also talk about the differences between Chinese and Western medicine. Many people believe that Chinese medicine "treats the root cause". Indeed, Chinese medicine's ideas of nourishing the kidneys, activating blood circulation, and overall conditioning have obvious advantages in improving the general condition and reducing recurrences. However, the cycle is long. Many people give up after drinking Chinese medicine for a month and feel that it has no effect, which delays things. ； Western medicine’s targeted drugs work quickly and can be used as needed. However, if the underlying disease is not corrected, it is easy to return to the original state after stopping the drug. In fact, the combination of the two options is the most effective, and there is no need to take sides.

Many people get better quickly, but they step into pitfalls and slow down their progress. I have come across too many people who are too embarrassed to go to a regular hospital and secretly buy the "one pill for three days" three-free aphrodisiac drug on WeChat Moments and second-hand platforms. It does work on the day of taking it, but it is full of illegally added large doses of western medicine ingredients. Long-term use will not only cause dependence, but also cause additional damage to blood vessels. It was originally just a mild psychological problem, but taking the medicine for half a year has turned into moderate to severe erectile dysfunction. When the time comes, it will take at least twice as long to adjust. Some people are too anxious. After two weeks of treatment, they feel that it has no effect, so they change doctors and folk prescriptions. After a lot of tossing and tossing, their mentality collapses. It was supposed to be cured in three months, but it was delayed to half a year.

I have been practicing men's medicine for almost 10 years, and I really feel that this is similar to a cold. Some people have a good foundation, and a cold can be cured by drinking water for two days. Some people have basic diseases such as rhinitis and asthma. A cold can last half a month or even a month. Is there any unified recovery timetable? I really want to get well soon. There are no fancy tips, just three very practical suggestions: Don’t force yourself to do it. If you have any problems, go to the men’s department of a regular hospital for examination as soon as possible. Don’t frighten yourself by browsing Baidu. ； Don’t do it. During the treatment period, smoke as little as possible if you can. Don’t drink alcohol if you can. Don’t drink and play games all night long while taking medicine. Even gods can’t save you. ； Finally, don’t take it too seriously. The more you focus on the time to calculate the progress, the tighter your nerves will be, and the easier it will be for problems to occur. Keep your mind calm, and things will often get better much faster than you think.