Under what circumstances eating Viagra has little effect.

I didn't expect to quarrel with my wife while chatting. My wife is unhappy and doesn't do it with him anymore. But then the medicine worked again. The poor teacher had to be patient and try his best to please and make his wife happy. He was busy in the middle of the night and finally waited for his wife to "survive", but the efficacy of Viagra weakened.

PDE5 inhibitors, including tadalafil, sildenafil and vardenafil (sildenafil is commonly known as Viagra), are usually the first-line treatment drugs for erectile dysfunction, but there are often other key problems that hinder the successful use of these drugs. Rosen, a veteran in the field of sexual therapy in the United States, admits that although PDE5 inhibitors are effective and generally safe, they may prove ineffective if obvious relationship problems, lack of desire, sexual dysfunction of partners or other drug conditions are ignored. Moreover, the results of clinical trials that proved the successful efficacy of Viagra concealed the fact that people with depression or important relationship problems were excluded from the experimental participants.

A large sample study of more than 25,000 men in 8 countries found that 58% of men with erectile problems would discuss their sexual problems with health experts. Although less than half of the people got prescriptions for Viagra or other drugs, only 65,438+06% people continued to use these drugs during the study period (Rosenetal.2004). There are many reasons for this high interruption rate, including lack of education, lack of doctor's consultation, worry about their partners, fear of side effects and distrust of drugs. The expectation of treatment failure may be an important reason for patients to give up drug treatment, because many men or their partners have been disappointed that the quality of their sexual relationship has not changed.

Although PDE5 inhibitor may be better in promoting male erection, it cannot solve the key individual or partner problems. Only after oral medication is successful will sexual problems with partners or problems of other couples be dramatically exposed (Rosen, 2000). A follow-up study of patients treated with Viagra found that about14 samples could not maintain the initial improvement after taking the drug, and individuals in these studies had difficulties in restoring or maintaining positive sexual relations. That is to say, when the superficial erectile dysfunction is brushed off, the potential relationship problems will expose the truth, or they have no reason to ask avoidance relationship.

For example, strengthening the direct physical stimulation of genitals is often the key factor in the treatment of erectile dysfunction in elderly men. But in reality, their female companions often don't realize his stimulation needs, and mistake his erectile dysfunction for that he has completely lost the possibility of erection, or that he is not interested in sex, or that his female companions think they have lost their sexual attraction to him. At the same time, female menopause or sexual desire and arousal problems in turn hinder male sexual response. Therefore, it is very important to evaluate ED patients and their partners.

Because the first stop of male ED is often in a busy primary care doctor, not a sex therapist, the comprehensive evaluation of drugs, individual psychology, partner's sexual problems and partner relationship factors that affect ED is often ignored. Only when the treatment is unsuccessful do they realize that they should seek the help of a mental health doctor (sex therapist). As far as the clinical practice of sex medicine in the United States is concerned, the intervention of sex therapy, the emphasis on relationship and the sensitivity to the psychological problems of men and their partners will bring positive overall treatment satisfaction.

Therefore, although the drug intervention of PDE5 inhibitor completely changed the treatment of ed, the most successful result may be that it led to an integrated or linked treatment. The emergence of this drug not only failed to replace sex therapy, but also proved that treating genital manifestations alone can not bring long-term success, and individual therapy must be accompanied by relationship therapy.

Lenovo Football World Cup, if the penis erection is compared to the striker who undertakes the attack and strives to shoot, then the sexual relationship is equivalent to the center and winger, and personal mental health can be roughly classified as the defender. Winning a game depends on the cooperation of the whole team, and it is by no means a striker's doing it overnight.