According to statistics, 1.7 million Taiwanese men over the age of 30 have sexual dysfunction. These "weakness" crises have become an unspeakable secret for many men. Text/Shi Liangchen The most IN sex, can men do it? In order to show off their virility and maintain an intimate relationship between the sexes, what do men care about when it comes to sex? Let professional doctors debunk many sexual function myths one by one. Doctor, why do I work so hard and my wife always looks like a dead fish every time I have sex? "I'm so discouraged! I've taken so many secret recipes for strengthening the essence and nourishing the kidneys, why is it still not working?!"
Huang Yisheng, an authority in domestic urology and director of the Department of Surgery of Xinguang Hospital, always has a lot of interesting faces in his outpatient clinic. The haggard and depressed man was full of bitterness as soon as he entered the door, complaining repeatedly that in just a few years, he had actually transformed from a woman who was "like a living dragon" to a limp "weak chicken". He was forced to think of a way to help them regain their male dignity.
"This is really a big problem." Huang Yisheng said that according to statistics from Taiwan's urological medical community more than ten years ago, the prevalence rate of male erectile dysfunction was 17.7, and the older the age, the higher the rate. Among them, the prevalence rate among men over 40 is as high as 25 to 26, reaching the point where 1 in 4 people "do not have sex".
Can’t stand it? Strong but not long? Jian Bangping, chairman of the Taiwan Andrology Medical Association and director of the Basic Medical Research Department of Kaohsiung Veterans General Hospital, said that according to the definition of the World Health Organization (WHO), "erectile dysfunction" refers to the inability of men to achieve or maintain an erection, and then complete the erection. Desirable and satisfying sex.
From a clinical perspective, erectile dysfunction can be divided into two categories. One is that the penis cannot be inserted into a woman’s penis; the other is that even if it is inserted, it cannot maintain its original hardness. , it became soft all of a sudden. To put it bluntly, the former is "lifting but not firm" and the *** is not hard enough, while the latter is "firm but not long enough". It was difficult to insert, but it became soft after just two movements. "The wind is gone!"
Lin Xinnan, founding chairman of the Taiwan Andrology Medical Association and chief physician of the Department of Urology at Shutian Clinic in Taipei, described this phenomenon as "giving up halfway" or "losing the package halfway", *** If the hardness is insufficient and the erection time is not long enough, not only will the man be unable to achieve orgasm, but the woman will also be unable to enjoy the pleasure of sexual intercourse, which is the most frustrating.
Jian Bangping said that when a man and a woman have sex, the penis must twitch repeatedly in the vagina to achieve orgasm. As for the length of the fierce battle, it does not matter, as long as the man can continue to twitch to the vagina. **, so that both parties can reach ** at the same time. "A moment is eternity!" It doesn't make much sense to blindly pursue the length of time. The Key to "The Golden Gun" Why do men suffer from erectile dysfunction? Jian Bangping believes that it is caused by insufficient blood flow to the penis. Either too little blood flows in, or too much blood flows out. The vaginal body of the penis does not receive enough blood perfusion, and the support is not enough to stand upright. Of course, it cannot withstand continuous pressure. Violent twitching and thrusting.
In other words, the blood energy flowing continuously into the vagina and being firmly locked in the corpus cavernosum is the key to "invulnerability". Jian Bangping pointed out that vaginal erection relies on the venous occlusion effect. When sexual intercourse occurs, the vaginal arteries open and blood continuously flows into the vagina, causing the vaginal corpus cavernosum and the tunica albuginea to expand, thereby causing the vaginal cavity to expand. When the vaginal veins below the membrane are compressed, the blood will stay in the penis and prevent it from flowing out. Only then will the vagina become erect and stand firm. At this time, the penis is like a small reservoir, storing 50 to 100 ml of blood in it. After the treatment is completed, the venous valves are opened to let the blood leak out, and the penis will soften.
However, as age increases, blood vessel function gradually deteriorates, and the accumulation and discharge of blood in the penis cannot be controlled as desired. Either the penis is not hard enough, or the hardness is enough, but it does not last long. , so they had to settle the matter hastily, which broke their hearts. Therefore, some men have no choice but to seek help from secret recipes and folk remedies in the hope of regaining their glory.
The folk remedies Huang Yisheng hears most often are oysters and animal testicles, because Chinese people have long believed in the dietary therapy theory of "what you eat, what you take". Oysters are rich in trace metals such as zinc, which can indeed improve sexual function; as for testicles, they only have protein and other components. Eating too much will not help much with sex, and at most they only have psychological effects.
For men who like to take these folk remedies or secret recipes, as long as they are not too outrageous, Huang Yisheng will probably not prohibit them. After all, when it comes to sex, men’s psychological level accounts for a large proportion, whether it is suggestion or hypnosis. , as long as it makes them feel that they are pretty good, whatever they do is fine. Skills and hardness are better than length of time. However, in the fierce battle against erectile dysfunction, many men have reached the point of obsession, and their minds are filled with unrealistic myths. For example, they always think that the longer the sexual intercourse lasts, the more the other person can achieve sexual intercourse, and that will satisfy them. The folk remedies that can make the body strong and unyielding, or some so-called "nine-nine magical skills" have taken advantage of the trend and are selling like hotcakes. Jian Bangping believes that these are simply nonsense, because whether the level of sex depends on the skill of sex and the hardness of sex, and has little to do with the length of sex.
Generally speaking, as long as the sex is hard enough and the sex lasts for 5 to 10 minutes, both parties can reach orgasm. Jian Bangping said with a smile that sex is one of the side prizes for men to please women. Every time they have sex, it takes forever. Not only does it make men uncomfortable, but women also find it very annoying. Without sex and romance, *** Instead it became torture.
What’s more terrible is that once you fight for too long, in addition to excessive friction leading to broken skin and infection and inflammation, blood accumulated in the vagina for too long may also lead to perineititis, which is not worth the gain. . Out of your depth? Vascular disease causes trouble! If it is confirmed that it is caused by vascular disease, we should deeply understand the reasons behind it and solve them one by one. Lin Xinnan said that many patients with sexual dysfunction are caused by diabetes, high blood pressure, hyperlipidemia or depression without knowing it. As long as these diseases can be controlled, their function can often be improved.
He gave the example of diabetes. The blood circulation of the patient's peripheral blood vessels is poor. The penis located at the end of the blood vessel does not receive enough blood supply, and the erectile function is insufficient and the hardness is not enough. , Sexual function is of course getting worse and worse. Jian Bangping discovered that after many men who felt "powerless" in sexual intercourse registered for medical treatment, in addition to being diagnosed with mild erectile dysfunction, they were also accidentally tested for high blood sugar, blood pressure and blood lipids, which can be regarded as an unexpected gain. Once the diagnosis is confirmed, they can usually control the symptoms of metabolic syndrome through medication and changes in daily life routines, while also improving sexual function. This can be said to kill two birds with one stone. After ensuring that there is no cardiovascular disease, if these patients can take aphrodisiacs approved by the Department of Health, their sexual function will recover to a greater extent, and many people will regain a happy sex life. Aphrodisiacs are only effective if you take them. But what often makes Jian Bangping laugh is that some women are worried about the person next to them taking aphrodisiacs. After further consultation, they found out that they were worried that if men took too much, they might become addicted and become aphrodisiacs. The prisoner of medicine. Some women are more neurotic and worry that men will be too excited after taking aphrodisiacs. Once there is a violent collision during sexual intercourse, the blood vessels will burst or be blocked, leading to an "immediate wind" accident. It would be too bad to be happy but sad.
"This is another myth.
"Jian Bangping said that Viagra, Cialis, and Leweizhuang are aphrodisiacs, not central nervous system stimulants. They only work if you eat them. How can they become addictive? Lin Xinnan said that after taking aphrodisiacs for 1 hour, the penis will become hard, and it will be metabolized by the body within 24 to 36 hours, so there will be no problem.
Even if side effects such as headache, flushing, nasal congestion, and leg muscle cramps occasionally occur, the symptoms are very mild and do not need to be taken too seriously. Lin Xinnan said: "Even if it is not for sex, taking a 5 mg low-dose Cialis every day can also promote blood circulation, help improve erectile function, and prevent cardiovascular diseases."
Also Studies have confirmed that Viagra can enhance the lungs’ ability to expand, increase the amount of oxygen exchange in the lungs, and improve the symptoms of altitude sickness. As for the baby who suffers from pulmonary hypertension and suffers from hypoxia after birth, and the whole body turns purple, commonly known as "blue baby", the use of low-dose Viagra also has an improvement effect.
Do you have erectile dysfunction? "Don't be embarrassed." Huang Yisheng emphasized that this is a common problem in modern stressful life. As long as you relax or take an aphrodisiac prescribed by a doctor, you can still show the majestic and powerful nature of a man and enjoy the benefits of sexual intercourse. joy. He also reminded all women not to put too much pressure on the man next to them, and don’t forget to give him some encouragement at the right time when the two of them do something in love, "Congratulations, these men are willing to die!" * ** Playing tricks can lead to problems. Another myth is that of entering beads. Jian Bangping discovered that compared with men from other countries, Taiwanese men especially like to install a few beads on their vaginas, making their originally sausage-like penis look like a mace to increase the friction and bring about vaginal penetration. Women have more vaginal discharge and vaginal discharge.
"Thank God that women don't have to die in pain. Where do the vagina and breast come from?" Jian Bangping emphasized that whether breast can be achieved during vaginal intercourse has nothing to do with the intensity of friction between both parties. The feeling and hardness of the penis are the key points. If you install steel balls, glass beads or ivory beads on your lifeblood, if you are not careful, the penis may ulcerate due to infection and inflammation. It is simply asking for trouble.
In the past few years, although fewer men have had beads inserted, the number of men having hyaluronic acid and other fillers injected into their vaginas has increased significantly. Jian Bangping couldn't help but shook his head and sighed, "Isn't this just trying to make someone look fat?" He explained that hyaluronic acid injection only makes the penis bigger, but cannot make the penis harder or improve erectile dysfunction. limited.
For men with these deviant concepts, urologists usually find out the main cause of erectile dysfunction and then prescribe appropriate medicines. If the patient suffers from psychological factors, we can start by eliminating psychological obstacles. As long as they can rebuild their confidence, they can usually become a living dragon again. Aphrodisiacs to give you a boost? In order to show off their prowess, modern medical aphrodisiacs have become the hope for those with erectile dysfunction. How helpful are these drugs for male sexual function? What should I pay attention to when taking these drugs? Men need to be brave, fierce and persistent in bed in order to show their true masculinity. However, as the age increases, due to the decrease of male hormones, the hard "cucumber man" gradually turns into the "banana man" who is yellow on the outside and soft on the inside. , from ancient times to the present, men have been keen on seeking long-lasting secrets, eating, rubbing, or spraying them, from deer penis, Indian sacred oil to Viagra, just to make their "little brother" "croak" in bed!
Wang Qijie, an attending physician at the Department of Urology at Kaohsiung Medical University Affiliated Hospital and chairman of the Taiwan Sexual Dysfunction Committee, said that men’s sexual ability reaches its peak between the ages of 15 and 30, but begins to decline rapidly from the age of 40, even if The same goes for super athletes. When it comes to their sexual abilities, men first need to be hard and then last. Although men are obsessed with long-lasting in bed, young men and older men have different views on "lasting". Insights and requirements.
Young people in their 20s believe that the longer the "little brother" is, the better it is because they can play more poses and tricks. In addition, young people often use "Boom" "Home Party" can last for several hours. Of course, the "little brother" needs to be able to endure in order to pass five levels and defeat six generals. But middle-aged men don’t think so. Instead, they think it’s more important to have a satisfactory sexual relationship with a woman. On the one hand, because they are older, it is no longer easy to last, and if the other half is a woman who is close to menopause. , due to the decline of female hormones, the reduction of vaginal secretions, lack of lubrication, and easier vaginal pain. If men stay in bed for too long, it will be a kind of torture for women. Ignoring the "three highs" makes people feel dejected. In fact, the reason why the "little brother" is not hard enough and does not last long is because of some physical conditions. There are many reasons for male erectile dysfunction, including blood vessel problems and nerve problems. , endocrine and stress are common main factors, of which vascular factors account for 50%. The body's vascular problems are related to the "three highs", namely high blood pressure, high blood sugar and high blood lipids. High blood pressure will cause arteriosclerosis in the long term, making blood vessels less elastic. Diabetes can also be easily combined with vascular disease, causing changes in peripheral blood circulation. Otherwise, these factors will lead to insufficient congestion of the corpus cavernosum, and the "little brother" will become dejected.
In terms of nerves, although the vaginal nerves are deep, some people have injured vaginal nerves due to pelvic rupture caused by car accidents, and some men have suffered from colorectal cancer, bladder cancer and breast cancer. Adenocarcinoma surgery requires pelvic surgery, which results in damage to *** nerves, especially in prostate cancer surgery. Although nerve-sparing surgery is now available, large nerves cannot be avoided, but small nerves cannot be avoided. This surgery still has 50% There is a % chance of damaging the vaginal nerves, causing erection difficulties. Endocrinology is related to male hormones. If male hormones are insufficient, erectile function will be affected. Especially as you get older, the secretion of male hormones will become less and less. This is why as men age, they feel increasingly powerless. .
As for the problem of stress, it is more special. For some male patients, if they sleep with their wives, their "little brothers" will not be able to do it, but if they sleep with their sisters outside, their "little brothers" will be extremely brave; however, there are also people who I can lift it when sleeping with my wife, but not with my sister outside. The main reason is because I feel guilty. This is caused by psychological pressure. Among the causes of male infertility, stress and neurological factors are more difficult to treat and deal with. However, if it is endocrine and cardiovascular problems, there are more treatment options and the treatment effect will be better. How to take aphrodisiacs to be effective? In the past, Western medicine treatments for male infertility mainly focused on hormone supplementation, while traditional Chinese medicine mostly used ginkgo extract, because ginkgo can improve peripheral blood circulation and allow the "little brother" to obtain more blood flow to achieve a firmer effect. However, the clinical effect is only 30%. After the advent of drugs such as Viagra, Ginkgo biloba extract is no longer used in the treatment of male infertility, and hormonal supplementation has been merged with drugs such as Viagra, Cialis, and Levitra as the first-line treatment. Therapeutic medication.
It has been 13 years since Viagra came to Taiwan, while Cialis and Levitra are 5 years behind each other. All three are type 5 phosphodiester inhibitors, which are effective in treating diseases caused by vascular factors. Not lifting has a very good improvement effect. Among them, Viagra and Levitra are short-acting types. They start to take effect 30 minutes after taking them and can last for 8 hours. However, if there is food in the stomach, it will affect the absorption of the drugs. It is recommended to fast (i.e. 1 hour before meals and 2 hours after meals). ), the effect is better when taken when taking it; Cialis is a long-acting type. It starts to take effect 1 hour after taking it and can last for 36 hours. Since the effect of the medicine is not affected by the food in the stomach, it can be taken before or after meals. ; How to choose between short-acting and long-acting impotence drugs? Wang Qijie pointed out that if the frequency of sexual life is high, it is better to take long-acting medication. If the frequency of sexual life is low, it is better to take short-acting medication.
In addition, Cialis released a new daily tablet product last year. The dosage of each tablet is 5 mg. One tablet per day takes 4 days to equal the dosage of 1 traditional Cialis tablet (20 mg). Due to its characteristic of having drug residues in the blood, studies have found that blood was drawn on the 5th day after taking Cialis daily tablets. Pharmacokinetics revealed that the drug concentration in the blood was as high as 8 mg, which is higher than the dose of 1 tablet per day. It's high, which means you can use it anytime you need it.
Viagra, Cialis and Levitra are all very safe aphrodisiacs, but you still have to be careful when taking them. The contraindication is that they cannot be used together with drugs containing nitrates. Nitrates are irritating. Drugs used to treat coronary artery disease can dilate coronary arteries and thus lower blood pressure, while drugs such as Viagra also dilate blood vessels. If the two are used together, blood pressure will drop even more, and there is a risk of shock. Therefore, when patients with low blood pressure take such aphrodisiacs, it is recommended to take only 1/4 of a pill, and be sure to measure their blood pressure; for patients with high blood pressure, they must take them separately from the antihypertensive drugs, with the least amount before and after the two. 4 hours apart to prevent blood pressure from dropping too much, so that you can enjoy the pleasure of fish and water without any worries. 28% of men over 40 years old are not satisfied with their sexual performance. Men have subjective feelings about whether they are satisfied with their sexual performance. The Taiwan Andrology Medical Association once conducted a survey of domestic men over 40 years old and found that 28% were dissatisfied with their sexual performance. Feelings of dissatisfaction with one's ability, and even "not having sex", that is, erectile dysfunction, a problem that plagues about 1 million Taiwanese men. The "little brother" can stand up mainly because the cavernous body, which is composed of many capillaries, is congested. It is like a basketball. If it is full of air, it will be hard and elastic. On the contrary, if it is full of air, it will be hard and elastic. If it's not full, it won't be hard enough or elastic enough, let alone lasting.