What are the symptoms of sexual impotence?

Sexual impotence mainly manifests as erectile dysfunction, loss of sexual desire, abnormal ejaculation and other symptoms, which are usually related to factors such as psychological stress, chronic diseases, hormone imbalance, vascular disease or nerve damage.

1. Erectile dysfunction:

The penis continues to be unable to achieve or maintain sufficient hardness for sexual intercourse, which may be accompanied by a decrease in morning erections. It is common in patients with chronic diseases such as diabetes and hypertension, or in people with long-term anxiety and depression. Mild cases can be improved through psychological counseling, while severe cases require drug intervention such as phosphodiesterase inhibitors such as sildenafil and tadalafil.

2. Low sexual desire:

Interest in sexual activities decreased significantly, with frequency reduced to less than 2 times per month. Decreased testosterone levels are the main physiological trigger, and psychological factors such as strained relationships with partners and work pressure account for a higher proportion. It is recommended to check hormone levels and supplement testosterone preparations if necessary.

3. Premature ejaculation problem:

Ejaculation latency is shorter than 3 minutes and cannot be controlled voluntarily, which is mostly related to high glans sensitivity or abnormal 5-hydroxytryptamine receptor function. Behavioral training such as the stop-motion method can improve it. In severe cases, it needs to be combined with dapoxetine and other delayed ejaculation drugs.

4. Ejaculation disorders:

Including delayed ejaculation, retrograde ejaculation or reduced semen volume, which are common in patients with a history of prostate surgery and neurological diseases. Diabetic neuropathy or drug side effects need to be investigated. Alpha-receptor agonists may improve symptoms.

3. Lack of climax:

Inability to obtain satisfaction from sexual stimulation, more common in women but can also occur in men. Related to depression medication, spinal cord injury, or chronic pelvic pain. Nerve conduction function needs to be evaluated, and pelvic floor muscle training may relieve symptoms.

It is recommended to maintain a regular schedule and a balanced diet, and to supplement nutrients such as zinc and vitamin E in appropriate amounts. Aerobic exercise three times a week can improve blood vessel function, and Kegel exercises can enhance pelvic floor muscle control. Partner participation in treatment can relieve psychological stress and avoid over-reliance on aphrodisiac drugs. Men over the age of 40 should have their blood sugar, blood lipids and testosterone levels checked every year. Those with cardiovascular disease need selective treatment under the guidance of a doctor.