Four Factors Affect Penile Erection

　Penile erection is a huge “engineering”, which needs to be completed under the complex nerve and endocrine regulation in the body. It is the comprehensive result of nerve activation, arterial blood supply and cavernous body blood storage. Its functional status will be affected by individual spirit, psychology and various social factors. Therefore, a problem in one of the above links may lead to ED. According to the cause of the disease, it can be roughly divided into two types: psychological ED and organic ED, and some of them are mixed.

　　In terms of psychology, psychological trauma suffered in childhood, wrong sex education, emotional disharmony between family and couple, and unsatisfactory sex life environment may all lead to erection problems. Once many people have difficulty getting an erection, they will have a huge psychological burden, which will make the problem more serious and form a vicious circle.

　　Organic erectile dysfunction accounts for about 50%, mainly including vascular, neurological, endocrine and so on. Vascular causes include arterial and venous ED. Generally speaking, the main manifestations of ED caused by vascular factors are the disappearance of nocturnal penile erection and poor response to intracavernous injection of vasoactive drugs.

　　Neurogenic ED is mainly sexual function problems caused by nerve damage. Common ones include hypothalamic pituitary tumors, local brain damage, such as localized epilepsy, encephalitis , cerebral hemorrhage, spinal cord injury, chronic alcoholism, and pelvic surgery injury. Peripheral Autonomic Nervous Etc.

　　Endocrine ED is common in diabetes, pituitary insufficiency, testicular damage or hypofunction, or hypothyroidism and hyperthyroidism, adrenal insufficiency and other diseases .

　　General treatment for impotence

　　1. Sex hormones: suitable for hypogonadal impotence, testosterone propionate, 25 mg, intramuscular injection, once every other day, for 2 weeks; gonadotropin 500-1000 units, intramuscular injection, 1-2 times a week, for 4 consecutive days week. (hypothalamic and pituitary disorders)

　　2. Psychological: mainly psychological counseling and sex education, supplemented by drugs.

　　3. Sexual dysfunction: gonadotropin and thyroxine treatment.

　　4. Hyperprolactinemia: dopamine synergist (bromoergocriptine).

　　5. Inject 30 mg of papaverine into the cavernous body of the penis, use a 1 ml syringe and a skin test needle, inject 30 mg of papaverine from the cavernous body of the penis, and use a 1 ml syringe and a skin test needle to pierce the penis sponge vertically from the front side of the root of the penis body, inject the liquid medicine into the cavernous body, oppress the root of the penis for 1 minute, gently massage the penis for 3 to 5 minutes, and the penis can become erect.

　　6. Vitamin E, 100 mg, 3 times a day, oryzanol 20 mg, 3 times a day.

　　7. Endocrine surgery: Hypothalamic pituitary tumors, feminizing tumors, cortical hyperplasia, hyperthyroidism , can be treated surgically.

　　8. Penile prosthesis.

　　home remedy for impotence

　　1. Gallnut 20 grams. [Preparation and usage] Simmer for half an hour, then add an appropriate amount of warm water, and fumigate the glans of the penis for several minutes. When the water temperature drops to about 40°C, soak the glans in the liquid medicine for about 5-10 minutes, once a night , 15 to 20 days as a course of treatment. Generally, it takes 1 to 2 courses of treatment until the glans skin and mucous membrane become thicker and thicker.

　　2. 15 grams of ginseng and 5 grams of tea. Decoction in water, take 1 dose a day, divided into 2 times. This prescription nourishes qi and supports yang, and is suitable for impotence caused by deficiency of kidney yang.

　　3. Schisandra, Ligustrum lucidum, Rosa laevigata, mulberry octopus, and oyster each 30 grams, Yizhiren and psoralen each 12 grams, Polygonatum 30 grams. [Preparation and usage] Decoction in water.

　　4. Asarum and cloves each 20 grams, 90% ethanol 100 ml. Preparation and usage: Soak the 2 medicines in ethanol for half a month. When in use, apply this liquid to the glans of the penis, and intercourse can take place within 1.5-3 minutes. Efficacy: 156 cases were treated and all recovered.

　　5. Gentiana 15g, Scutellaria baicalensis 10g, Gardenia 9g, Alisma 12g, Akebia 10g, Plantago 9g, Angelica 10g, Rehmannia, licorice 9g. Decoction in water, 1 dose per day, divided into 2 doses. This prescription clears and relieves dampness and heat in the liver meridian, and is suitable for impotence caused by dampness and heat in the liver meridian.

　　6. Rehmannia glutinosa 10 grams, cornus, yam, Anemarrhena, Phellodendron, Alisma, paeonol, Rosa chinensis 9 grams each, Tribulus terrestris 10 grams, keel and oysters 30 grams each. Decoction in water, 1 dose per day, divided into 2 doses. This prescription nourishes yin and suppresses yang, and is suitable for impotence caused by yin deficiency and yang hyperactivity.

　　7. 9 grams each of ginseng and Atractylodes macrocephala, 12 grams of astragalus, 10 grams of angelica, 9 grams of Fushen, 6 grams each of polygala and jujube kernel, 12 grams of longan meat, 6 grams each of woody fragrance and licorice. Decoction in water, 1 dose per day, divided into 2 doses. This prescription nourishes the heart and spleen, and is suitable for impotence caused by deficiency of the heart and spleen.