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Hello Doctor, I would like to ask you something.
I am only 27 years old, but I have been experiencing issues with my sex life recently.
I often lack the motivation, and when I do achieve an erection, it doesn't last long; it becomes soft shortly after penetration (I ejaculate immediately).
What could be the cause of this? Are there any methods in Traditional Chinese Medicine that could help me? Could you recommend any specific herbal remedies? By the way, I do experience morning erections, and they are quite firm.
Please let me know what I should do.
Thank you.
A J, 20~29 year old female. Ask Date: 2003/05/21
Dr. Chen Weili reply Traditional Chinese Medicine
Dr.
Chen: Based on your description, it seems that your physiological erections are functioning normally, so you can rest assured.
It's important to understand that both the ability to achieve an erection and its duration are significantly influenced by psychological factors in addition to physiological ones.
Have you recently experienced increased psychological stress or been overly eager to perform? Successfully adjusting your mindset plays a crucial role in the treatment of erectile dysfunction in young men.
If you are still having difficulties, traditional Chinese medicine options such as San Cai Feng Sui Dan, You Gui Wan, and Liu Wei Wan are available for treatment.
However, please consult a medical facility to determine which one is appropriate for you before using any supplements.
Do not self-medicate with tonics; remember this! Wishing you the ability to desire without medication.
Reply Date: 2003/05/21
More Info
Erectile dysfunction (ED) at a young age, such as 27, can be concerning and may stem from various physical, psychological, or lifestyle factors. While it’s common for men to experience occasional difficulties, persistent issues warrant a closer look. Traditional Chinese Medicine (TCM) offers several approaches to address ED, focusing on restoring balance within the body.
Understanding Erectile Dysfunction
Erectile dysfunction can be influenced by a range of factors, including stress, anxiety, hormonal imbalances, and lifestyle choices such as diet and exercise. In your case, the fact that you experience morning erections suggests that the physiological mechanisms for achieving an erection are intact, which may indicate that psychological factors could be at play. Stress and anxiety about performance can significantly impact sexual function, leading to a cycle of worry that exacerbates the issue.
Traditional Chinese Medicine Approach
In TCM, erectile dysfunction is often viewed through the lens of organ health, particularly the kidneys, which are believed to play a crucial role in sexual vitality. TCM practitioners may diagnose ED based on patterns of disharmony, such as kidney deficiency, spleen deficiency, or liver qi stagnation.
1. Kidney Yang Deficiency: This is a common diagnosis for ED in TCM. Symptoms may include fatigue, low libido, and cold extremities. Treatment often involves warming and tonifying the kidneys.
2. Liver Qi Stagnation: Emotional stress can lead to liver qi stagnation, which may manifest as irritability, mood swings, and sexual dysfunction. Treatment focuses on soothing the liver and promoting the smooth flow of qi.
3. Spleen Qi Deficiency: This can lead to fatigue and poor digestion, affecting overall energy levels and sexual function. Strengthening the spleen can help improve vitality.
Herbal Remedies
Several herbal formulas are commonly used in TCM to address erectile dysfunction:
- Yao Wan (药丸): This is a traditional formula that may include ingredients like Yuan Zhi (Polygalae Radix), Gou Qi Zi (Lycii Fructus), and Ren Shen (Ginseng). These herbs are believed to nourish the kidneys and improve sexual function.
- Jin Gui Shen Qi Wan (金匮肾气丸): This formula is often used for kidney yang deficiency and can help enhance sexual performance.
- Xiao Yao San (逍遥散): This formula is used to relieve stress and promote liver health, which can be beneficial if emotional factors are contributing to your ED.
Lifestyle Recommendations
In addition to herbal treatments, consider the following lifestyle changes:
- Diet: Incorporate foods that nourish the kidneys, such as black beans, walnuts, and goji berries. Avoid excessive alcohol and processed foods.
- Exercise: Regular physical activity can improve blood flow and reduce stress. Activities like yoga or tai chi can also help balance energy and promote relaxation.
- Stress Management: Techniques such as meditation, deep breathing exercises, or counseling can help address psychological factors contributing to ED.
Consultation with a TCM Practitioner
It’s essential to consult with a qualified TCM practitioner who can provide a personalized diagnosis and treatment plan. They may also suggest acupuncture, which has been shown to improve sexual function in some studies.
Conclusion
Erectile dysfunction at a young age can be distressing, but TCM offers various solutions that focus on restoring balance and addressing underlying issues. By combining herbal remedies with lifestyle changes and stress management techniques, you may find relief from your symptoms. Always consult with a healthcare professional before starting any new treatment to ensure it’s appropriate for your specific situation.
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