The Complete Guide to Sexual Dysfunction Care: Treatment of Vascular and Psychogenic Erectile Dysfunction and Training to Overcome Premature Ejaculation

How to care for middle-aged men with vascular erectile dysfunction? (1) Restore penile arterial blood supply: Insufficient penile arterial blood supply caused by arteriosclerosis or thrombosis can be treated with drugs that improve arteriosclerosis and dissolve thrombi. By improving arteriosclerosis or eliminating thrombi, the blood supply to the penile arteries can be restored, thereby stimulating erection. (2) Take Chinese herbal decoctions or prepared Chinese medicines: Improve local blood supply and regulate sexual function by invigorating the kidneys and blood, and promoting yang and unblocking the meridians. It can also help regulate emotions. (3) Improve dietary structure: Focus on a low-fat, low-calorie diet, quit smoking, drink alcohol in moderation, and avoid overeating. Each meal should be about 70-80% full. If possible, increase the intake of seafood and reduce meat products. Eat more fresh vegetables and fruits. (4) Increase physical exercise: The principle is to start slowly and then increase, start with less and then increase, and start with shorter and then longer. You can choose activities such as Tai Chi, jogging, running, and swimming. (5) Exercise and weight loss: For obese or overweight individuals, control your diet, lose weight, and persist in appropriate physical exercise. For the treatment of psychogenic erectile dysfunction, establish confidence that it can be cured. As the saying goes, "a mental illness requires a mental cure." As long as you have determination and confidence, erectile dysfunction can be completely cured. (1) Face your "problem" positively: Be brave enough to admit that you have a problem, but believe that you will regain your erectile function soon. (2) Visualization training: Spend 30 to 90 seconds each day visualizing the best erection when you are with your intimate partner, including the entire enjoyable process, and tell yourself that you can do it in reality. (3) Invite your partner to participate in the training: In addition to visualization, you should also invite your partner to participate in the training, touch each other, hug, kiss, experience and improve physical sensitivity. If anxiety occurs, ask your partner to stop you; if it goes smoothly, ask her to continue the stimulation. (4) Massage therapy: Have your partner gently massage from your limbs to your torso. In addition to helping you relax, this can also increase the stimulation of sensitive areas. If an erection occurs, massage can be paused and repeated after the erection subsides. Premature ejaculation refers to ejaculation occurring too early. Strictly speaking, premature ejaculation is defined as ejaculation occurring before or immediately after sexual intercourse, preventing normal sexual intercourse. What effective measures can be taken to overcome premature ejaculation? (1) Both partners should acquire correct sexual knowledge and eliminate any psychological "knots." In particular, the woman should pay special attention to comforting the man and trying to relieve his psychological fear. (2) It is best for the couple to temporarily separate for a period of time, consciously avoid sexual stimulation, and divert their attention from sexual issues. (3) Penile squeezing method, also known as tolerance training, involves squeezing the coronal sulcus of the penis with three fingers (the thumb on the frenulum on the ventral side, and the index and middle fingers on the dorsal side of the penis) after the penis is erect, causing the penis to relax. Then, the process of excitement, erection, and relaxation is repeated to prolong the ability to tolerate stimulation. (4) Try using topical anesthetics, such as 1% dacronin solution, 1%–2% cocaine or tetracaine solution, or 3% ethyl aminobenzoate cream, applied to the glans penis. This can reduce the sensitivity of the glans penis to sexual stimulation. (5) Use condoms to consciously desensitize the glans penis. (6) Appropriately choose to take some sedatives. Taking methylphenidate (methaqualone) or diazepam orally one hour before intercourse can also be effective.