In addition to having normal sexual organs, male erections also require male hormones, nerve conduction, and blood vessels to maintain normal erections. During illness, many men experience varying degrees of erectile dysfunction. They often believe that this is caused by a disease, but they are not aware that this may be caused by drug-induced erectile dysfunction.
General experts believe that there are many drugs that can affect sexual function, among which the most common are the following four types:
1、 Hormone drugs
Adrenocortical hormone: Even in the field of andrology, it can be found useful. For example, it can be used to treat immune infertility with antisperm antibodies to suppress the immune response of patients, but when the daily dose reaches 20 mg, symptoms of sexual dysfunction can occur.
"Diuretic drug spironolactone: It is an aldosterone antagonist that can inhibit the activity of testosterone synthase, reduce testosterone synthesis, lower blood levels, and cause 22% of men to experience decreased libido. If taken daily in doses not exceeding 100 mg, it has less impact on sexual function.".
2、 Antipsychotic drugs
"Some drugs can paralyze the sphincter of the seminal vesicle and degrade the ability to ejaculate. Some drugs can lead to decreased testosterone levels and impaired sperm production.". Such as chlorpromazine, perphenazine, and methylthiazide have antagonism α The effect of epinephrine can inhibit the process of congestion and ejaculation of the cavernous body of the penis, causing impotence and difficulty in ejaculation in patients. Among them, the incidence rate of sexual dysfunction caused by methylthiazide can be as high as 60%, while that of other drugs is about 25%.
3、 Sedative drugs
Large doses of diazepam have a specific effect directly on the limbic system of the brain, directly reducing or enhancing sexual desire and function. Diazepam and other substances have a muscle relaxation effect, which can lead to decreased libido and impotence through the efferent nerves of the spinal cord. "This type of drug also includes Riminin, Barbital, and Hysterone.".
4、 Diuretic drugs
Diuretics cause potassium loss in the body, and a decrease in blood potassium concentration reduces neuromuscular sensitivity and vascular smooth muscle relaxation, which may lead to reduced penile erection.
In addition to the drugs mentioned above, there are also some drugs that can affect male sexual function, such as anti hypertension and anti depression drugs, gastric ulcer drugs, anti male hormone drugs, and so on. Generally, after stopping or changing medication, erectile function will improve. However, Ginger should remind patients not to discontinue medication without authorization due to the "fatal" side effect of poor sensory function, so as not to delay the treatment of their own disease.