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At the age of 30, “feeling lethargic”? Can Tadalafil be used for erectile dysfunction treatment in a short period?

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With the continuous improvement of modern national living conditions, people’s pursuit of high-quality spiritual and material life is gradually increasing. Male health issues are particularly concerning, but in recent years, the incidence of erectile dysfunction (ED) has been on the rise year by year. This trend is not only particularly pronounced in middle-aged and elderly men, but it is also beginning to show in young people.

A netizen sought help online: “Doctor, I am only 30 years old, why am I troubled by short erection time? Can taking Tadalafil help with early recovery?”.

Tadalafil belongs to the phosphodiesterase type 5 (PDE-5) inhibitors, used to treat male erectile dysfunction, suitable for adult male patients. If a patient experiences a short erection time, it may indicate erectile dysfunction. Excessive mental stress and excessive tension during sexual activity can lead to a short penile erection time. Conditions like vascular disorders, neuropathy, severe diabetes, and hypertension can also cause a short penile erection time.

Erectile dysfunction is defined as the inability to achieve and maintain a sufficient erection for satisfactory sexual intercourse over the past three months. Typical symptoms include the inability to achieve and maintain a sufficient penile erection, unsatisfactory sexual intercourse, along with other associated symptoms such as anxiety, tension, and insomnia.

Want to know if you can take Tadalafil? First, clarify if you have erectile dysfunction. In 1997, Rosen and colleagues designed the IIEF questionnaire to assess erectile function by calculating the Erectile Function (EF) score through five main questions. It is widely used in clinical diagnosis, with reported sensitivity for diagnosing ED being 98%.

By filling out the IIEF questionnaire, you can self-assess whether you have erectile dysfunction.

NPT Judgment Criteria:
Answer the following questions based on your actual sexual activity over the past six months, mark the appropriate number (✔).

IIEF-5 Questionnaire:
In normal circumstances, the total score for the IIEF-5 questionnaire is 25 points. If your self-assessment score is ≥22, it indicates no ED; 12-21 is mild ED, 8-11 is moderate ED, and 5-7 is severe ED.

Can Tadalafil be used to treat short erection at age 30? Tadalafil, a PDE-5 inhibitor, can be used to address timing issues, aiding male erections. It is suitable for erectile dysfunction in men. Common domestically-produced Tadalafil has a long efficacy duration of 36 hours and is not affected by a high-fat diet or moderate alcohol consumption.

In the case of premature ejaculation, there are specific treatment methods, including oral serotonin inhibitors like Dapoxetine or topical medications. However, PDE-5 inhibitors are also one of the treatment options.

Under what conditions is treatment with PDE-5 inhibitors more effective? The best choice is when the erection is not particularly firm, there is some premature ejaculation, leading to the best results. In cases where delaying agents have been tried without success, switching to PDE-5 inhibitors generally results in stronger and longer erections, thus playing a role in extending erection time.

When taking Tadalafil, special attention is needed: Due to the correlation between cardiovascular risk and sexual activity, Tadalafil for erectile dysfunction should not be used in men not advised for sexual activities due to pre-existing cardiovascular conditions.

Tadalafil is not recommended for patients who have experienced a heart attack within the last 90 days, unstable angina, or angina during sexual intercourse, and those who have experienced Class 2 or higher heart failure as per the New York Heart Association guidelines within the past six months, uncontrolled arrhythmias, or low blood pressure.

References:
[1] Yang Siwen, Sun Juyuan, Tian Weiyun, Jia Qilei, Lin Sijin, Yin Bo. Application research of International Erectile Function Score 5 combined with nocturnal penile erection monitoring in the diagnosis of erectile dysfunction patients. Chinese Clinical Physicians Journal (Electronic Edition), 2012, 6 (17): 5266-5267.
[2] Deng Zhiqian, Lin Weizhuo, Li Xuan, Liao Dun, Luo Daosheng, Liu Guihua, Deng Chunhua. Analysis of the correlation between erectile dysfunction in middle-aged and elderly men and metabolic syndrome. Journal of Clinical Urology, 2020, 35 (10): 781-784+790.

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