Can I be cured if I am 60 years old?

Erectile dysfunction in 60-year-old men can be improved in most cases. Treatment methods mainly include lifestyle adjustment, psychological intervention, oral drugs, device assistance and surgical treatment. The specific effect is related to the cause, basic health status and other factors.

1. Adjust your lifestyle:

Quitting smoking, limiting alcohol, controlling weight, and exercising regularly can significantly improve vascular function. The Mediterranean dietary pattern helps maintain endothelial health, and 30 minutes of brisk walking or swimming every day can improve blood perfusion. When combined with hypertension or diabetes, the primary disease must be strictly controlled.

2. Psychological intervention:

Psychological factors such as anxiety and depression account for about 40%, and cognitive behavioral therapy can alleviate performance anxiety. Partner participation in therapy can reduce stress, and psychosexual counseling usually requires 6-8 sessions. The elderly need to pay special attention to the impact of major life events such as widowhood.

3. Oral drugs:

Phosphodiesterase 5 inhibitors such as sildenafil and tadalafil are the first choices and are effective in 70% of patients. It must be used under the guidance of a doctor, and it is prohibited to use it in combination with nitrate drugs. Antihypertensive drugs such as alpha receptor blockers may affect the efficacy, and the medication regimen needs to be adjusted.

4. Instrument assistance:

The vacuum negative pressure device is suitable for patients with drug contraindications, and sexual intercourse can be completed within 30 minutes after use. Penile injection therapy is more than 80% effective, but may cause pain or priapism. It should be used after professional training and tolerance should be assessed regularly.

5. Surgical treatment:

Penile prosthesis implantation is suitable for patients with organic lesions, and the satisfaction rate of the three-piece expandable prosthesis reaches 90%. Vascular reconstruction surgery is only suitable for certain young patients and requires long-term follow-up after surgery. A comprehensive cardiovascular risk assessment is required before surgery.

It is recommended to maintain a moderate sexual frequency, 1-2 times a week, to help maintain the blood supply function of the cavernous body. Supplementing zinc, vitamin E and other nutrients can improve sperm quality, but you need to avoid blindly taking impotence health products. Testosterone levels are measured regularly and alternative treatments may be considered for age-related testosterone deficiency. Pay attention to distinguish between normal aging phenomena and pathological dysfunction. If urinary abnormalities or persistent pain occur, prostate disease should be investigated. Establishing reasonable efficacy expectations, most patients can achieve a satisfactory sexual life through comprehensive treatment.