Do men experiencing performance issues always need medication?

(Men's Health Doctor Xiangyang)

We need to first identify the underlying cause: sexual dysfunction falls into three categories.

The first type is organic issues, like diabetes or hypertension that damage blood vessels and nerves;

The second type is psychological factors like anxiety and depression;

Many people have both types of problems.

Treatment requires four steps:

First is lifestyle adjustment: control weight, exercise 30 minutes daily, eat more oysters and nuts to supplement zinc;

Second is medication: for erectile dysfunction use vasodilators like sildenafil, for premature ejaculation use delay sprays or dapoxetine, but all require a doctor's prescription;

Third is psychological counseling and behavioral training with your partner, such as the stop-start technique to extend intimate time;

Finally comes surgery, like penile implants for severe erectile dysfunction.

Remember: don't randomly take virility supplements—many secretly contain pharmaceutical ingredients that harm your body. I recommend getting a complete checkup first. If there's no improvement after three months, see a men's health doctor right away for combined treatment, which can significantly increase effectiveness.