How long does it take for sexual dysfunction to return to normal?

There is really no unified standard answer to this question. Among the patients I have contacted in the outpatient clinic, mild functional problems can return to normal levels in 2 to 4 weeks. For those with chronic diseases or organic damage, it often takes 3 to 6 months or even longer. Some serious cases may require long-term maintenance and adjustment.

Last week, I met a 26-year-old young man who had just been married for 3 months. He was too nervous to have sex for the first time and failed. After that, he has been suffering from psychological shadow. He was unable to do it several times in a row. He was so anxious that a handful of his hair fell out. He came to check his hormones and nightly erectile function monitoring, and there was no problem. It was a purely psychogenic problem. I gave him psychological counseling for half an hour, prescribed some short-acting auxiliary medication and asked him to go back and try it. He also specifically told his wife to cooperate more and not to put pressure on him. As a result, only 10 days later, he came over to report the good news, saying that there was no problem at all. He adjusted his mentality for two weeks and never did it again.

But if you procrastinate for a long time and have many underlying diseases, don’t expect a quick fix. There used to be a 45-year-old private company owner who had high blood pressure and high blood lipids for almost 10 years. He also socialized, drank, and smoked every day. He had poor erection for almost 3 years before he came to see a doctor. It was found that he had atherosclerosis in the vagina, and the blood supply could not keep up, so he could not have a normal erection. This requires treating chronic diseases first, and then slowly improving functions. In the first two months, he strictly followed the doctor's instructions to control blood pressure, quit smoking and drinking, and was barely able to respond. After more than 5 months of steady adjustment, he was finally able to have a satisfactory sex life. Now he still has to take medicine to control blood lipids for a long time, otherwise he will relapse if he doesn't pay attention.

Moreover, different types of problems have completely different recovery speeds. For example, if it is only primary premature ejaculation caused by high sensitivity of the glans and no other basic problems, most of the time can be adjusted to a satisfactory range by following 1 to 2 months of movement-stop training, squeezing training, and a small amount of topical allergy-reducing drugs.； However, if pelvic surgery or spinal cord injury damages the nerves that control sexual function, the recovery period must be calculated in years. There are even some patients with irreversible injuries who cannot fully return to their previous state and can only improve their quality of life through intervention.

Nowadays, the industry has different views on the conditioning cycle. Some doctors think that as long as the symptoms improve, intervention methods can be gradually reduced and there is no need to deliberately lengthen the cycle. Some experts believe that sexual function is strongly bound to the overall physical and mental state. A healthy schedule and regular life must be maintained for at least 3 months to be truly stable. Otherwise, it will easily rebound as soon as the medication is stopped and people stay up late. My own clinical experience is that this thing is really similar to muscle training. You can't go to the gym and train for half a month to develop eight-pack abs. The same is true for conditioning. As soon as you get better, you will drift away, and you will go back to stay up late and continue to indulge in sex. No matter how good the conditioning plan is, it will be useless.

Don’t believe the “7-day cure for sexual dysfunction” gimmicks on the Internet. Most of them add a large dose of drugs with unknown ingredients. It is effective at the time, but will destroy the body later. If there is a problem, go to a regular hospital to find out the cause first, and then adjust it slowly. If you are anxious, it will easily lead to trouble.