Doctors pay more attention to ED

Doctors pay more attention to ED

Interdisciplinary physicians are relatively unfamiliar with professional knowledge. The best way to see patients with ED is to seek the help of specialists. In the routine prevention of diseases, multiple patients, even doctors, will implant a habitual misunderstanding: focus on a single single diseaseAbove, but ignore other accompanying or concurrent diseases.

This is particularly typical of men suffering from erectile dysfunction (ED) damage.

  In order to understand the modern doctors’ understanding of the relationship between ED and chronic underlying diseases, recently, Life Times and the Chinese Medical Association’s Andrology Branch, Peking University Third Hospital’s Andrology Diagnosis and Treatment Center, and Tsinghua University School of Medicine’s Investigation Laboratory, Bayer MedicalHealthcare Co., Ltd. jointly completed a survey of doctors, involving a total of 1,013 well-known hospitals, with the participation of physicians.

Dai Jican, director of the editorial department of “Chinese Journal of Andrology” and deputy chief physician of the Department of Urology and Mental Medicine at Renji Hospital affiliated to Shanghai Jiaotong University, said in the analysis of the questionnaire: “Modern doctors have more understanding of the relationship between ED and chronic diseases, and most people will take the initiativeAsk about erections in patients with chronic conditions.

This is good news.

“Most interested: Doctors and patients will take the initiative to ask for an erection. From this survey’s questions and results, there are two questions that make Dai Jican the most AIDS: One is” In the usual consultation, you (the doctor) will actively question the male patients with chronic diseases.Is there an erectile dysfunction condition? Another is “Is there any male patient with chronic disease who asks you (doctor) for questions about erectile dysfunction during the usual visits?”

  The survey showed that 12.

7% of doctors “on each occasion” actively ask men about erectile problems; 27.

3% “will most of the time”; 25.

0% of doctors “will be about half the time”; 19.

8% “rarely will”; there are 15.

2% of doctors “never actively ask”.

At the same time, there are 15.

0% of men with chronic diseases “proactively ask questions about erections at each visit”; 39.

3% “will most of the time”; 35%.

0% of people “will rarely”; 10.

7% of patients were “nearly”.

  ”By continuously expanding the knowledge of male sexual dysfunction over the years, and educating patients and doctors, doctors can actively ask about the sexual function of patients with chronic diseases, which is a very good sign.

This shows that doctors have recognized that many chronic underlying diseases are a high risk factor for ED, and ED is also an early warning signal for many chronic diseases.

Dai Jican said.

  Male genital erections require two conditions: one is excessive blood supply to the penile cavernous body, and the other is that the cavernous vein closure mechanism is intact.

Because the arteries of the penis are thin, once the cardiovascular system is abnormal, the penis will issue an alert as soon as possible, and blood flow will be blocked.

Note that coronary arteries and other blood vessels “seek afterwards” only show symptoms when the vascular system is more pronounced.

Abnormality, multiple studies have shown that diabetes, cardiovascular disease, etc. can seriously damage the normal structure and function of vascular endothelial cells, which can lead to ED.

It can be seen that male physicians should pay great attention to other chronic underlying diseases when diagnosing ED; and physicians such as endocrinologists and cardiology should also be vigilant about the impact of ED on the quality of life of patients and the EDThe prophylactic effect of outcome on the efficacy of other chronic diseases.

  Disadvantages: Doctors ‘recognition is still limited. “Doctors’ recognition is limited, but their knowledge is too limited for too professional knowledge.

For example, with regard to the combined application of drugs, most answers are still relatively vague.

Dai Jican pointed out.

  When asked, “Some drugs cannot be taken with PDE5 inhibitors at the same time.” Only 24% of physicians are preferred for nitrate incorporation.


The first choice for diabetes drugs, antidepressants, and lipid-lowering drugs was 70.

8%, 29.

0% and 20.


In addition, there are 34.

0% of doctors believe that nitrate and PDE5 inhibitors can be taken at the same time.

  When using PDE5 inhibitors, there is an absolute contraindication to medication, that is, patients who regularly or intermittently take any dosage form of nitrate drugs should strictly prohibit taking PDE5 inhibitors, otherwise it will cause a sharp drop in blood pressure and even endanger life.

For some patients with diabetes and depression, it is possible to take PDE5 inhibitors to improve erectile function while taking medicine to treat underlying diseases.  Dai Jican pointed out that this result shows that interdisciplinary physicians are relatively unfamiliar with more specialized knowledge.

Therefore, the best way for ED patients is to seek the help of specialists, such as andrology, urology, etc., especially when PDE5 inhibitors are needed, they should be taken under the guidance of a specialist.

  Pay attention to erections: Both hardness and duration are important. It is a main criterion for men to judge ED by themselves.

The survey confirmed the concerns of doctors and male patients about the hardness of erections, but also pointed out that men must not only be hard, but also harder for sex.

Dai Jican said: “From the questionnaire, both doctors and patients have a better understanding of ED, which can be wounded from the awareness of ‘maintaining time’.

“When asked” certain factors are most helpful in improving overall sexual life satisfaction among ED patients and partners, “59.

8% of doctors believe that “both erection stiffness and erection duration are important.”

When asked “what are the average erection durations in ED patients and healthy men,” 49.

4% of hypertensive doctors believe that “the average erection duration of ED patients is less than 1 minute”; for healthy people, 47.

6% of doctors believe that the maintenance time should be about 10 minutes.

  At the highest recent “2009 Chuangpu Health Men’s Forum and ED Diagnosis and Treatment Symposium”, some experts suggested that ED treatment must pursue maximum effectiveness, that is, both hardness and maintenance time must be taken into account; it can be erected for a long time to complete satisfactionSexual life is the highest purpose of treatment.

At the seminar, the experts also shared a European clinical study: and placebo mentioned that the powerful PDE5 inhibitor Elida can extend the duration of erections by 3 times and can effectively improve the overall satisfaction of ED patients.