Male health guidelines in drug therapy for erectile dysfunction

Drug Therapy for Sexual Dysfunction

I. Erectile Dysfunction

Western Medicine

(1) Papaverine 30mg, Phentolamine 0.5mg, intracavernosal injection.

(2) Strychnine 2mg, Galantamine 2mg, Vitamin B₁ 100mg, 2% lidocaine 5ml, physiological saline 5ml, block at the 1st and 2nd sacral foramina. Once every 3 days, 5 times constitutes one course of treatment.

(3) Methyltestosterone 10mg, Vitamin E 100mg, orally, 3 times daily.

(4) Prostaglandin E 1100mcg, intracavernosal injection. Generally, full erection occurs 2-5 minutes after injection.

II. Nocturnal Emission

Western Medicine

(1) Oryzanol 30mg, Vitamin B₁ 10mg, 3 times daily; Diazepam 2.5mg, twice daily.

(2) Acupoint injection: Select Guanyuan, Zhongji, and Sanyinjiao acupoints. Use 100 mg of Vitamin B1, 500 mcg of Vitamin B₁₂, and 4 ml of placental tissue fluid, alternating between 1-2 acupoints each time. Inject the above medicine into the acupoints. Once every other day, 10 times constitutes one course of treatment.

(3) Doxepin 25 mg, orally three times a day. Suitable for nocturnal emission due to mental tension and anxiety.

III. Premature ejaculation

Western medicine

(1) Phenoxybenzamine 10 mg, orally twice a day. Suitable for premature ejaculation due to mental tension and anxiety.

(2) Phenergan 12.5 mg, orally twice a day.

(3) 1% lidocaine solution, applied to the glans penis 5 minutes before intercourse.

IV. Anejaculation

Western medicine

(1) Levodopa 250 mg, orally three times a day. Suitable for those with weak penile erection and insufficient sexual arousal. (2) Ephedrine 50 mg, taken orally half an hour before intercourse. Suitable for increasing muscle tone and stimulating the central nervous system. Contraindicated in patients with hypertension or coronary heart disease.

V. Ejaculatory Pain

Western Medicine

(1) Indomethacin 25 mg, taken orally, three times daily.

(2) Proscar 5 mg, taken orally, once daily. Suitable for ejaculatory pain caused by benign prostatic hyperplasia and inflammation.

IX. Sexual Exhaustion

Western Medicine

(1) Multivitamins, taken orally, two tablets twice daily.

(2) Vitamin E 100 mg, compound vitamin B₂ 2 tablets, oryzanol 20 mg, taken orally, three times daily.

XI. Acute Prostatitis

Western Medicine

(1) Cefazolin V, 6 g each time, once daily, added to 500 ml of normal saline for intravenous drip.

(2) Ofloxacin, 0.2g each time, once a day, intravenous drip.

XII. Chronic Prostatitis

Western Medicine

(1) Roxithromycin, 0.15g orally, twice a day.

(2) Cefazolin V 2g, 2% lidocaine 5ml, dexamethasone 10ml, hyaluronidase 1500 units. Intraprostatic injection. Once every 3-5 days. Suitable for treating bacterial prostatitis.

XIII. Seminal Vesiculitis

Western Medicine

(1) Compound Sulfamethoxazole, 2 tablets orally, twice a day, for 1-2 weeks.

(2) Streptomycin 0.5g, intramuscular injection, twice a day.

XIV. Balanoposthitis

Western Medicine

(1) 10% clotrimazole cream topically. Suitable for fungal balanoposthitis.

(2) Triamcinolone acetonide cream, applied to the affected area several times a day. This treatment is suitable for balanitis with localized dryness and desquamation.

Kidney-tonifying drug therapy

I. Acute pyelonephritis

Western medicine

(1) Take 2 tablets of compound sulfamethoxazole orally, twice daily.

(2) Administer 8 million units of penicillin intravenously in 300 ml of 10% glucose solution for 7 days. For patients with normal renal function, amikacin or similar medications can be used.

II. Chronic pyelonephritis

Western medicine

For recurrent cases, multiple urine bacterial cultures should be performed to determine the bacterial type to clarify whether it is a relapse or reinfection. Appropriate antibiotics should be selected through drug sensitivity testing.

Relapse indicates that the original bacteria have not been eradicated. For relapsed cases, 1-2 antibiotics should be used in combination according to drug sensitivity testing. The course of treatment is 2 weeks. After stopping the medication, a follow-up examination should be performed. If the urine culture is still positive, another drug should be selected and used for another 2 weeks. This process should be repeated for 2-3 courses, followed by long-term preventative medication for about 6 months.

Reinfection refers to a pathogen that is different from the original bacterial species or type. Treatment is based on the initial case. If reinfection occurs repeatedly, a comprehensive examination should be conducted concurrently with treatment to rule out any underlying urinary tract diseases, and long-term prophylactic medication should be administered.

When predisposing factors such as benign prostatic hyperplasia, urinary tract obstruction, or stones are present, these factors should be actively addressed.