Can hormone drugs cause male sexual dysfunction? Since ancient times, the medical community has been searching for a panacea for treating sexual dysfunction such as erectile dysfunction (ED), but it has never been able to achieve its ideal state. On the contrary, many drugs that may lead to decreased male libido and sexual dysfunction have been found in clinical practice, causing great mental and physical pain to patients. Reminder everyone, never take medication without permission. It will not only not cure your sexual dysfunction, but also lead to low sexual desire in men.
According to clinical analysis, drugs that affect sexual function mainly include the following categories:
1、 Hormonal drugs
Estrogen: Commonly used estrogen drugs in clinical practice to treat benign prostatic hyperplasia. These patients not only experience male breast hyperplasia, reduced and slowed beard growth, but also significant side effects such as decreased libido, erectile dysfunction (ED), ejaculation disorders, and decreased semen volume.
Corticosteroids: Corticosteroids such as prednisone, prednisolone, and dexamethasone are widely used drugs in clinical practice. Even in the field of male science, its potential can be found. For example, it can be used to treat immune infertility with anti sperm antibodies to suppress the patient's immune response, but when the daily dosage reaches 20 milligrams, symptoms of sexual dysfunction can occur. In addition, long-term use of such drugs may induce diabetes, hypertension, obesity, which can affect sexual function itself, and the mental depression caused by these diseases can also secondary affect male sexual function.
Testosterone: Testosterone was once popular as a sex hormone that can "rejuvenate", but some people still consider it as a "miraculous elixir". Some patients with erectile dysfunction (ED) blindly abuse it after receiving a few injections, resulting in the condition not only no longer improving, but also worsening. This is because a large amount of exogenous testosterone inhibits the endocrine function of the pituitary and testes, resulting in a decrease in endogenous testosterone secretion, especially in patients with psychogenic erectile dysfunction (ED) who already do not lack testosterone. After medication, it actually interferes with normal metabolism and endocrine function. Therefore, except for those who do have obvious endocrine dysfunction, testosterone should generally not be abused.
Human chorionic gonadotropin: Targeted use can treat oligospermia and male sexual dysfunction, but it must be clearly diagnosed as an indication before application. 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 milligrams, it has less impact on sexual function. Ciprofloxyprogesterone: During medication, it can cause disruption of the reproductive endocrine system, with symptoms such as decreased libido, weak penile erection, and erectile dysfunction (ED) visible within about a week. Prolonged use can lead to oligospermia or infertility.
2、 Diuretic drugs: Diuretic drugs cause potassium loss in the body, a decrease in blood potassium concentration leads to a decrease in neuromuscular sensitivity, relaxation of vascular smooth muscles, and may lead to weakened penile erection.
3、 Blood pressure lowering drugs: Blood pressure lowering drugs are the most common drugs that affect male sexual function. Patients who take blood pressure lowering drugs can have 25% of erectile dysfunction (ED), while healthy individuals who do not take drugs only have 7% of erectile dysfunction (ED), and 25% of those who also take blood pressure lowering drugs experience ejaculation disorders.
(Intern Editor: Cai Junyi)