Sexual dysfunction

　　Causes of sexual dysfunction

　　The causes of sexual dysfunction are mainly divided into psychological reasons and organic reasons. The psychological reasons for the occurrence of sexual dysfunction are relatively complex. This is mostly related to the patient's life experience and living environment. The traditional Chinese family has always avoided talking about sex, which has caused the delay of sex education, thus causing certain psychological effects on the young. These psychological factors mainly include the following aspects.

　　First, psychological factors

　　1. 'Improper' attitude

　　Sexual anxiety caused by the fear of failure in sexual life may be a common direct cause of impotence or sexual indifference. Inappropriate or excessive demands on sexual ability by the other party may also be a basic cause of sexual disorders. In addition, another important factor in the occurrence of sexual dysfunction is playing the role of a 'spectator', that is, during sexual life, one party is anxious and强迫性地 focuses on his or her own reaction. This role as a spectator will distract energy and hinder the establishment of moderate sexual response and the achievement of orgasm.

　　2. 'Too tortuous' experiences

　　Experts believe that the internal contradictions related to past sexual experiences are a deep-seated cause of sexual dysfunction. If these contradictions control people's sex life to a certain extent, sexual dysfunction may occur. For example, unpleasant experiences of first contact with sex in childhood, confusion caused by the failure of the first sexual experience, and so on.

　　3. Psychological factors of suspicion and jealousy

　　Doubt and jealousy are often important causes of诱发 sexual dysfunction. When both parties in sexual love have doubts and distrust, there are generally two reasons: one is the distrust and unease caused by insufficient understanding; the other is the closed imagination, neither understanding the root of things nor communicating, always judging things according to their own thinking logic. Many jealous husbands have this problem. They always suspect that their wives have affairs outside the family, and this strong jealousy and suspicion make them have sexual dysfunction. The more obstacles they have, the more they suspect that their wives are seeking compensation outside the family, causing a vicious cycle.

　　There is no need to worry too much about the functional disorders caused by sexual psychological disorders, because there is no organic lesion itself. As long as attention is paid to adjusting one's mindset and eliminating anxiety, the psychological disorder will disappear, and the functional disorder will naturally disappear.

　　Second, pathological factors

　　1. Abnormal penile anatomy:

　　Small penis, penile curvature, urethral cleft, hypospadias, abnormal penile position (postscrotal penis), penile deformity (bifid penis), testicular fibrosis, and so on. As well as penile trauma, penile fracture, and so on.

　　2. Respiratory and circulatory system diseases:

　　Respiratory failure, angina, myocardial infarction, and so on.

　　3. Hematological diseases:

　　Hodgkin's disease, acute and chronic leukemia, malignant anemia, and so on.

　　4. Endocrine system diseases:

　　Diabetes, adrenal insufficiency, hypothyroidism, underdeveloped testes, pituitary gland lesions, hyperthyroidism, and so on.

　　5. Vascular diseases:

　　Aneurysms, arteritis, arteriosclerosis, and so on.

　　6. Neurological diseases:

　　The atrophy of side索硬化症, myasthenia gravis, Parkinson's disease, peripheral neuritis, spina bifida, temporal lobe lesions, brain and spinal cord injuries or tumors due to compression or deformation, and so on.

　　7. Genital diseases:

　　Prostatitis, seminal vesiculitis, epididymitis, seminal vesiculitis, epididymitis, varicocele, cystectomy, perineal or prostatectomy, cavernous body sclerosis of the penis, phimosis, persistent erection of the penis (fibrosis of the cavernous body of the penis), urethritis, etc.

　　8. Infectious diseases:

　　Filariasis, reproductive system tuberculosis, gonorrhea, epidemic parotitis complicated with orchitis, etc.

　　9. Drugs:

　　Drug addiction, alcohol, a-methyl dopamine, atropine, barbiturates, Librium, cimetidine, guanidine, cannabis leaves, Yunnan opium, phenothiazines, Propranolol, reserpine, spironolactone, dihydrochlorothiazide.

　　10. Other diseases:

　　Chronic renal failure, liver cirrhosis, obesity, poisoning (insecticides, herbicides) and other diseases.

　　Impotence, premature ejaculation, and various sexual dysfunctions in men are the most common diseases in urology, with a high incidence rate, which can account for more than 10% of the adult male population. It causes great physical and mental harm to men. It makes them feel inferior and ashamed, and the psychological pressure and disorders become more severe. Over time, it will inevitably lead to dysfunction or damage of the whole body system, deterioration of physical and mental state, and ultimately affect normal work and life. Secondly, impotence, premature ejaculation, and other male sexual dysfunctions bring more pain to women, making them feel difficult to express. Long-term lack of sexual satisfaction, irritability, distraction, and depression will make them look pale, lack of luster, rough skin, and even appear symptoms of frigidity and atrophy.

　　Symptoms of male sexual dysfunction:

　　1. Sexual psychological disorders:Such as frigidity, aversion to sex, hypersexuality, fear of sex, or excessive psychological pressure due to one or two unsuccessful sexual lives, which further inhibits sexual function, etc.;

　　2. Sexual dysfunction:Including difficulty in achieving an erection, weak erection, short duration of erection after erection, and short duration of sexual life (premature ejaculation) and other conditions;

　　3. Sexual intercourse disorders:Syncope during sexual intercourse, aphasia during sexual intercourse, hysteria during sexual intercourse, etc.

　　4. Ejaculation disorders:Anorgasmia, retrograde ejaculation, ejaculation pain, blood semen, etc.;

　　5. Sexual sensory disorders:Sexual pain, sexual climax disorders, etc.;

　　6. Sexual orientation disorders:Homosexuality, paraphilia, exhibitionism, peeping, sadism, etc.

　　Sexual dysfunction - preventive measures:

　　1. When encountering troubles and sadness, one should think calmly and not bear the mental burden for a long time. Timely relaxation and adjustment of a tense mindset, and the alleviation and elimination of anxious and restless emotions. Do things you like, such as appreciating music, participating in group activities, reading beneficial books, or confiding in family and friends, which will make you feel more comfortable and the sexual repression will gradually disappear.

　　2. Actively participate in physical exercise: Continuous and appropriate physical exercise and outdoor activities will be beneficial to you. Stick to daily exercise, which can regulate the tension of mental labor or neurohumoral disorders, such as running or walking for 30 minutes every day. Strive for a regular lifestyle, ensure adequate sleep, and actively lose weight.

　　29. 3. Avoid bad habits Avoid unhealthy eating habits, reduce social gatherings, avoid alcoholism, control diet, fully recognize the importance and necessity of quitting smoking.

　　28. 4. In necessary cases, go to the hospital to rule out diseases, such as urinary system diseases such as chronic prostatitis, epididymitis, urethritis, or other diseases such as endocrine diseases, various systemic chronic diseases.

　　27. 5. Family care and harmony are conducive to eliminating tension in work and life. For the husband's decline in libido and sexual ability, the wife should treat it calmly, be tolerant, show care and warmth, eliminate concerns, and actively cooperate with treatment.

　　26. 6. Active treatment for people with emotional discomfort and depression, which is manifested as liver Qi stagnation in traditional Chinese medicine, can take Chinese patent medicine for soothing the liver and resolving depression.

　　Self-examination of sexual dysfunction:

　　22. 1. Erectile dysfunction:Including Yang disease, insufficient rigidity of penis, abnormal penile erection, etc.

　　20. 2. Ejaculation disorder:Including premature ejaculation, seminal emission, anejaculation, retrograde ejaculation, seminal emission pain, seminal emission with blood, etc.

　　18. 3. Sexual activity disorder:Including syncope during sexual activity, aphasia during sexual activity, hysteria during sexual activity, sudden death during sexual activity, sexual phobia, seminal emission syndrome, etc.

　　16. 4. Sexual desire disorder:Including sexual apathy, sexual aversion, sexual hypersexuality, etc.

　　14. 5. Although the above four aspects can occur singly or simultaneously, they are called mixed sexual dysfunction due to common pathogenic causes.

　　11. 1. The diet for male sexual dysfunction should mainly include soft foods and appropriate intake of nourishing foods such as eggs, bone soup, lotus seeds, walnuts, etc. Male sexual dysfunction should supplement zinc, and foods rich in zinc include oysters, beef, chicken liver, eggs, peanuts, etc.

　　10. 2. Pay attention to avoiding fatty, sweet, and salty foods. Stay away from smoking and alcohol. The diet for male sexual dysfunction should include more animal organs. It is advisable to eat foods that invigorate the Yang, such as chives, sparrows, shrimp, chicken, turtle, eel, quail eggs, rose hips, and sea cucumber. It is advisable to eat foods rich in arginine, such as yam, ginkgo, sea cucumber, eel, cuttlefish, and octopus.

　　9. High-quality protein mainly refers to various animal foods such as chicken, duck, fish, lean meat, eggs, which can provide various amino acids needed for sperm production. Some animal foods naturally contain some sex hormones, which are beneficial to increase libido and the production of seminal fluid and sperm.

　　8. Avoid cold and cool foods. For patients with sexual dysfunction, especially those with a longer duration, the essence is deficiency of Yuan Yang, the genitals fail to be nourished, and the tendons fail to be warmed. Clinically, it is common to see lack of vitality, aversion to cold, cold limbs, sore loins and knees, deep, thin, and weak pulse. At this time, it is necessary to avoid cold and cool foods such as mung beans, winter melon, celery, water chestnuts, and cold food.

　　1. Erectile dysfunction

　　1. Non-hormonal drug therapy:

　　Adverse reactions such as palpitations, insomnia, dizziness may occur.

　　2. Endocrine therapy:

　　Mainly used for patients with true hormone deficiency, not to be滥用. For impotence due to hypogonadotropic hypogonadism, both chorionic gonadotropin and testosterone are effective.

　　3. PIPE Treatment:

　　After the PIPE is used for psychogenic impotence, the couple can have sexual intercourse, and generally after 3-5 times, the concerns can be eliminated, the confidence and cooperation of both partners can be increased, and physiological erection can be restored to cure impotence.

　　4. Treatment of Vascular Impotence:

　　A statistical survey of 410 cases of impotence in China, 67.56% were psychogenic impotence, 29.02% were vascular impotence, among which venous impotence accounted for 22.43%, and arterial insufficiency accounted for 66%, and general surgery is adopted.

　　5. Negative Pressure Attraction Passive Erection Method.

　　6. Penile Implant Surgery:

　　Applicable to various organic impotence caused by difficult-to-treat causes, including impotence caused by diabetes, neuropathy, postoperative, and genital deformity, etc. For those who have seen no effect from various methods of long-term treatment and both partners are坚决要求 surgery.

　　II. Premature Ejaculation

　　1. Mental Factors:

　　Overly anxious, nervous, fearful, excited, and other emotions during sexual activity are all causes of premature ejaculation. Some people may experience premature ejaculation in unsuitable situations; local pathological changes of the genitals, such as chronic seminal vesiculitis, prostatitis, phimosis, etc., can also cause premature ejaculation; cerebral arteriosclerosis can also cause premature ejaculation; others are temporary, such as prolonged abstinence in men, excessive sexual stimulation, etc.

　　2. Medication:

　　Traditional Chinese medicine and Chinese herbal medicine have a good therapeutic effect on premature ejaculation, but patients are required to take the medicine for a period of time. Some Western medicine can cause drowsiness, so it is more effective for patients with symptoms such as insomnia, anxiety, and tension.

　　3. Sexual Behavior Therapy:

　　It is the性感集中训练. It should be clear that both partners participating in treatment together can help understand the patient and reduce the patient's psychological pressure, thereby achieving higher efficacy.

　　4. Physical Therapy:

Therapeutic methods such as low-frequency diathermy, warm bath, mineral spring bath, etc., can also assist in treatment.

　　5. Male Sexual Function Treatment Device:

　　It can make the penis adapt to the internal environment of the vagina and sexual stimulation, improve the ejaculation reflex threshold of patients with premature ejaculation, reconstruct benign sexual response, and greatly help patients to resume normal sexual life.

　　III. Retrograde Ejaculation

　　1. Treatment of the Cause:

　　For those caused by medication, ejaculation can gradually return to normal after stopping the drug. For those caused by diabetes, diabetes should be treated actively.

　　2. Surgical Treatment:

　　Using bladder neck plication surgery and bladder neck reconstruction surgery to treat retrograde ejaculation can achieve certain effects.

　　3. Acupuncture and Moxibustion Treatment:

　　Take the acupoints of Shenshu, Zhongji, Guanyuan, Sanyinjiao, Yangguan, and Qugu. Among them, Zhongji and Guanyuan require moxibustion.

　　4. Medication:

　　(1) Adrenergic stimulants.

　　(2) Anticholinergic drugs.

　　5. Traditional Chinese Medicine Treatment

　　IV. Anorgasmia

　　Medication: Some hormone drugs can be used.

　　V. Sexual Dysfunction - Dietary Therapy Methods

　　1. Increase Intake of High-Quality Protein:

　　High-quality protein mainly refers to various animal foods such as chicken, duck, fish, lean meat, eggs, which can provide various amino acids needed for sperm production. Some animal foods naturally contain some sex hormones, which are beneficial to increasing libido and the production of semen and sperm.

　　2. Appropriate Fat Intake:

　　Surveys show that women who have been on a vegetarian diet for a long time delay their first menstrual period, reduce estrogen secretion, lower libido, and affect reproductive ability. Men, due to reduced intake of essential fatty acids, have limited sperm production, decreased libido, and even infertility.

　　3. Supplementing Vitamins and Trace Elements:

　　Research shows that vitamin A and E are vitamins related to maintaining sexual function and delaying aging. They have a decisive role in promoting testicular development, increasing sperm production, and improving its vitality. Vitamin C also has a positive effect on the recovery of sexual function, and it is rich in fresh jujube, hawthorn, green peppers, tomatoes, and other fruits and vegetables.

　　Traditional Chinese medicine emphasizes regulating such diseases through diet, believing that sparrow, walnuts, dog meat, and shrimp have the effect of reinforcing Yang, tonifying the kidney, and consolidating essence. Patients with sexual dysfunction may as well eat more of these foods. In addition, traditional Chinese medicine also believes that foods that damage essence and Yang and are not conducive to sexual function should be used with caution, such as crude cottonseed oil, pork brain, sheep brain, rabbit meat, black fungus, winter melon, water chestnuts, almonds, etc.

　　Sixth, Sexual Dysfunction - Traditional Methods

　　1. Acupuncture Therapy:

　　Traditional Chinese medicine believes that sexual dysfunction is mainly related to the 'kidney', and acupuncture can correct the dysfunction of kidney function through the action of the meridians, used to treat sexual dysfunction such as impotence and seminal emission.

　　2. Psychological Therapy:

　　The Yellow Emperor's Internal Classic summarizes the causes of impotence as 'endless thoughts, unfulfilled desires, indulging in fantasy, and excessive coitus', so treatment must also use heart medicine. That is, 'any means that can satisfy people's desires and relieve their inner sorrow that cannot be expressed to others is called heart medicine.' Find the psychological reasons for the problems that the patient has, and then carry out guidance.

　　3. Massage Therapy:

　　The role of massage in sexual function lies in developing the sexual sensation area, promoting sexual excitement. The Mawangdui Medical Book 'He Yinyang' gives a detailed introduction, such as a set of methods from above to below, from the non-sensitive area to the sensitive area, how men can massage and how women can cooperate, as well as unblocking the meridians, adjusting the Yin and Yang, and improving sexual function. Usually, it is divided into acupoint massage and local massage. According to different conditions and needs, the treatment plan is formulated by the physician and then implemented. It can generally treat male sexual dysfunction such as impotence, premature ejaculation, and seminal emission, as well as female low libido and lack of climax.