Seeking Answers: Effective Treatments for Men's Urological Issues

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My friend, who is over sixty, has had no exposure to computer technology and is not familiar with online operations, nor can he type in Chinese or English.
However, he has a hidden ailment that is difficult for men to discuss.
He occasionally sees doctors and engages in activities like exercise and wellness, but the results have been disappointing.
During medical visits, he feels unable to express his pain and concerns fully due to the presence of nurses.
Moreover, doctors often prescribe medications that have little effect.
Therefore, he has asked me to inquire online about how to treat his condition, which involves issues like erectile dysfunction or the inability to achieve an erection.
What type of specialist should he see for effective treatment? What medications could help restore his vitality? Can this condition in men be treated? He often sees advertisements for herbal remedies for kidney health hosted by Hsu Nai-lin, explained by a fifth-generation specialist in traditional Chinese medicine.
Can these herbal treatments be trusted? I would like to ask Dr.
Hsu for guidance on these matters.
Thank you!

Ye Wen, 60~69 year old female. Ask Date: 2009/09/03

Dr. Xu Weikai reply Urology

Hello, I would like to discuss the doctor-patient relationship.
You may be overthinking it; nurses usually hear a lot and do not pay much attention to the content of doctor-patient conversations.
During a consultation, it is essential to clearly describe your symptoms so that appropriate examinations can be conducted, leading to an accurate diagnosis and further treatment.
Health supplements generally have some efficacy, but they cannot compare to medications.
Personally, I do not oppose them; however, at this stage, the management of health supplements sometimes leaves people uncertain about their effectiveness.
One can only make choices based on previous experiences or recommendations from professionals.
As for traditional Chinese medicine, I believe that its thousands of years of heritage must indicate some therapeutic effects, but it depends on whether it is applied appropriately.
In conclusion, it is still necessary to consult a physician (either Western or traditional Chinese medicine), conduct examinations, and then prescribe treatment accordingly.
I think there is no single medication that works for everyone.
If there are any unclear points, feel free to ask again, and we can discuss and research further.
Sincerely, Dr.
Hsu Wei-Kai, Director of Urology, Taitung Hospital, Department of Health, Executive Yuan.

Reply Date: 2009/09/03

More Info

When it comes to addressing men's urological issues, particularly those related to erectile dysfunction (ED) and other sexual health concerns, it's important to approach the situation with a comprehensive understanding of the underlying causes, available treatments, and the appropriate healthcare professionals to consult.

Understanding Urological Issues
Urological issues in men can stem from a variety of factors, including physical health conditions (like diabetes, hypertension, or cardiovascular diseases), psychological factors (such as stress, anxiety, or depression), hormonal imbalances (like low testosterone), and lifestyle choices (such as smoking, alcohol consumption, and lack of exercise).

Seeking the Right Medical Help
For your friend, the first step is to consult a urologist, a specialist in male reproductive health and urinary tract disorders. A urologist can perform a thorough evaluation, which may include physical examinations, blood tests to check hormone levels (like testosterone), and possibly imaging studies to assess blood flow and other anatomical factors.
If the urologist determines that psychological factors are contributing to the issue, they may refer your friend to a mental health professional, such as a psychologist or psychiatrist, who specializes in sexual health. This multidisciplinary approach can help address both the physical and psychological aspects of erectile dysfunction.

Treatment Options
1. Medications: Commonly prescribed medications for ED include phosphodiesterase type 5 inhibitors (PDE5 inhibitors) such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil). These medications work by increasing blood flow to the penis, facilitating an erection when sexual stimulation occurs. It's crucial that your friend discusses any potential side effects and interactions with other medications he may be taking with his doctor.

2. Hormonal Therapy: If tests reveal low testosterone levels, hormone replacement therapy may be an option. This can involve testosterone injections, patches, or gels. However, this treatment should be closely monitored by a healthcare provider due to potential side effects.

3. Lifestyle Modifications: Encouraging your friend to adopt a healthier lifestyle can significantly impact his sexual health. Regular exercise, a balanced diet, quitting smoking, and reducing alcohol intake can improve overall health and potentially enhance erectile function.

4. Psychological Counseling: If emotional or psychological issues are contributing to erectile dysfunction, therapy can be beneficial. Cognitive-behavioral therapy (CBT) or sex therapy can help address anxiety, depression, or relationship issues.

5. Alternative Treatments: While some may consider herbal remedies or traditional Chinese medicine, such as those promoted in programs like "補腎之道" (the way of kidney nourishment), it's essential to approach these with caution. The efficacy and safety of such treatments can vary, and they should not replace conventional medical advice. Always consult a healthcare professional before starting any alternative therapies.

Conclusion
In summary, your friend should seek a urologist for a comprehensive evaluation of his symptoms. Effective treatments for erectile dysfunction and other urological issues are available, but they require a tailored approach based on individual health needs. Encouraging open communication with healthcare providers is vital, as it allows for a more accurate diagnosis and effective treatment plan. Your friend should feel empowered to discuss his concerns candidly, even in a clinical setting, to receive the best possible care.

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