Guidelines for Safe Use of Medication to Maintain Sexual Function and Scientific Correction of Misconceptions about Kidney Tonification and Aphrodisiacs

Several medications can affect sexual function: First, gastrointestinal medications, such as cimetidine, can cause erectile dysfunction (ED) and gynecomastia with long-term use. Second, stimulants and anesthetics; while alcohol may increase libido, it can reduce penile erection rigidity. Third, cardiovascular medications, such as the diuretic hydrochlorothiazide and spironolactone, which has anti-androgenic effects. Fourth, antitumor drugs, such as cyclophosphamide, can cause azoospermia. Fifth, prostate medications, such as 5-alpha reductase inhibitors used to treat hyperplasia. Sixth, antidepressants.

If sexual dysfunction occurs, clues should be sought in the medications you regularly take, and you should fully discuss the correct medication plan with your doctor. Many patients mistakenly believe that their illness is caused by kidney deficiency, specifically "yang deficiency" or "kidney weakness," and therefore purchase "aphrodisiac" drugs or health products on their own. Professor Wang Qi, a traditional Chinese medicine andrology expert, points out that kidney deficiency only accounts for 7.06% of erectile dysfunction cases; the main cause is liver stagnation. More than 90% of aphrodisiacs on the market focus on warming the kidneys and strengthening yang, resulting in many patients experiencing worsened prostate enlargement, nosebleeds, and even high blood pressure.

Kidney-tonifying and aphrodisiac drugs are mainly suitable for endocrine-related erectile dysfunction in the elderly caused by a decrease in sex hormones. When suffering from this type of condition, it is essential to consult a doctor to determine the cause and treat accordingly. It is crucial not to diagnose it simply as kidney deficiency. Erectile dysfunction (ED) in men is one of the manifestations of systemic diseases such as hypertension and diabetes. Taking nitroglycerin-based medications while simultaneously taking medications containing sildenafil (Viagra) is extremely dangerous and can cause a fatal drop in blood pressure.

Most sexual health supplements contain the banned drug sildenafil, and irresponsibly adding it is extremely dangerous. This is especially true for erectile dysfunction (ED) patients currently taking nitrate medications; medications containing sildenafil should be strictly avoided. It has been observed that many patients with hypertension or coronary heart disease initially present with ED, only later being diagnosed with other systemic diseases. Therefore, communication between doctors and patients is crucial. A comprehensive physical examination is essential before taking such medications to rule out potential cardiovascular risks.

In daily life, men should remain vigilant and avoid trying so-called "miracle drugs" without a doctor's guidance. Maintaining sexual function is a systematic project involving multiple aspects such as physiological health, psychological adjustment, and medication safety. Only treatment plans based on scientific medicine can truly guarantee men's long-term health.