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Male Health: From Small Advertisement Of "Telegraph Pole" To The Separation Of Formal Andrology

2020/10/31 13:06:00 0

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I'm sorry that many patients can't get erectile dysfunction before they get to the hospital On October 25, on the occasion of the National Men's health day, Professor Zhou Huiliang, director of andrology of the First Affiliated Hospital of Fujian Medical University, told the reporter of the 21st century economic report about the popular science of men's health.

According to the World Health Organization report, andrology has become the third largest killer of global male health, only after cardiovascular and cerebrovascular diseases and cancer. Among them, erectile dysfunction (ED) is a major threat to male health. Data show that the prevalence of ED in Chinese men is more than 26%. In addition, staying up late and lack of exercise make ED patients younger, and there are many young people between 20 and 30 years old.

Professor Jiang Hui, President of the China Sexology society and President of the Chinese Academy of sexology, told the 21st century economic reporter that compared with gynecology, the development of Andrology is lagging behind. He hopes to further promote the healthy development of men, and the public can change some prejudice against andrology. "Women go to the hospital to see gynaecology, of course, men will feel embarrassed, carry, with the leadership please hypothesis to see andrology, we will laugh, think is not impotence is sexually transmitted diseases; women to the hospital gynecology, public expense, men to see andrology, at their own expense."

Ed, the pain of hard tooth?

Zhang Wei (pseudonym), 43 years old, enterprise leader. Usually busy work, a lot of social intercourse.

Zhang Wei's daily working hours are very tight. He only has one hour's lunch time from morning to afternoon after work. He even missed his meal because of the meeting. He still needs to socialize with customers in the evening. He still has to drink and smoke. When he gets home in the middle of the night, he even has to make plans. Zhang Wei's wife has always wanted to have a second child, but every time her plan is delayed by an embarrassing situation.

Zhang Wei's wife asked him to go to the hospital, but Zhang Wei repeatedly refused. He thought that he was just busy with his work and was too tired. Moreover, he thought that it was impossible to say "no".

Zhou Huiliang has been involved in andrology since 2006, focusing on STD, ED, premature ejaculation and prostate diseases. He pointed out that many patients with erectile dysfunction and premature ejaculation did not come to the hospital because they were embarrassed to say that, in addition to various kinds of irregular publicity and induction of "power poles", the regular treatment of these patients was delayed.

In fact, there has been a misunderstanding about ed. As early as the 15th century, Ed was thought to be possessed by the devil; in the 18th century, it was thought to be caused by masturbation; in the early 19th century, it was also considered as a psychological disease; after 1950, it was considered as a behavioral disease; before 1970, it was still considered to be related to the decrease of androgen, natural aging and psychological factors.

After 1970, with the development of erectile physiology and pathology, people realized that psychological factors can cause ed, but for most men, ED is related to many diseases (hypertension, diabetes, cardiovascular disease), drugs, trauma and surgery.

Professor Zhang Xiangsheng, chief physician of Henan Provincial People's Hospital, introduced to the reporter of 21st century economic report that ED is divided into psychogenic ed and organic ed. the former is caused by psychological reasons caused by high pressure, high mental tension and fast pace of life, which can be regulated by drugs to relieve mental pressure. Most of these patients, especially young people, are curable.

"The second is organic ed, which is actually one of the manifestations of many chronic diseases, including diabetes, hypertension and hyperlipidemia. The early warning sign of these diseases is erectile dysfunction. This is a wind vane of men's health. For example, the emergence of ED in middle-aged and elderly people may indicate health problems. " Zhang Xiangsheng pointed out.

According to the national health and health survey, the overall prevalence of ED in Chinese men is 40.5%. Zhou Yan et al. Published the article "progress in epidemiology and treatment of benign prostatic hyperplasia and erectile dysfunction" published in the "China new drug journal". According to the article, the prevalence of ED in men over 40 years old in China is about 40%. Nearly half of the middle-aged and elderly people are troubled by ED and lack a good couple life for a long time.

How many men have ed in China? Professor Wang Xiaofeng, chief physician of Urology Department of Chinese Medical Association, previously published a set of clinical research data: the overall prevalence of ED in Chinese mainland men has reached 26.1%. However, there is no authoritative department to release the current specific data, and there has been a storm due to this data problem before, which shows that there are not many ED patients among Chinese men.

Another real world study of newly diagnosed ed men showed that a quarter of patients were younger than 40 years old, and almost 50% of young men complained of severe ed. According to an online survey of 92620 young men in China, 20.54% of young men under the age of 40 have a grade I-II hardness (grade IV normal, grade III mild ed, grade II moderate ed, grade I severe ED).

Opening andrology department in public hospitals

In fact, in the past many years, many patients did not know where to check, and a lot of information on the Internet was mixed. In the past, for a long time, even the channel used to be small advertisements on poles.

A director of Andrology Department of a hospital in southern China told reporters that he had a patient who had read a "newly developed" drug advertisement. After spending tens of thousands of yuan to take it, he found that the symptoms of ED had not been improved, but the problem of backache and backache was improved a lot.

According to another industry insiders, in addition to drugs, there are many "folk products" that are also fooling many patients.

Before that, there was a "Qing Gong Yu Jiu", which said that according to the secret recipe of Qing Dynasty, it was brewed with a variety of precious raw materials and traditional Chinese craft, which could invigorate the Yang.

However, in September 2015, the State Food and Drug Administration issued a notice saying that 69 kinds of "health wine" were found in local law enforcement inspection, and chemical substances such as sildenafil (commonly known as Viagra) were illegally added in the prepared liquor. "Qinggong Yujiu" was listed in the notice list, and the manufacturer and brand were subsequently cancelled.

Although it was cancelled, it still couldn't stop the enthusiasm of the market. At the end of 2017, Futian police in Shenzhen received a report from the public that they felt unwell after drinking a health wine sold online. According to the clues reported, Shenzhen Futian police immediately launched an investigation and found that this health wine called "Qinggong Royal Wine" was sold online and offline. In December 2017, the police completely terminated the production and marketing chain of this "health wine".

It is understood that the chemical component sildenafil has been illegally added into the "qinggongyu liquor". People who drink this wine have developed symptoms such as headache, dyspepsia, and may even lead to heart attack. In this regard, Wei Anyang, chief physician of Urology Department of Southern Hospital of Southern Medical University, pointed out that due to the complexity of traditional Chinese medicine ingredients in medicinal liquor, there may be some side effects after drinking. At the same time, the illegal addition of sildenafil will inevitably fail to standardize the use of drugs in terms of dosage and frequency, and the natural safety will not be guaranteed.

Experts suggest that ED patients should boldly go to the Department of andrology in regular hospitals for treatment.

"Over the past few years, many public hospitals have separated andrology from Urology, or set up specialized andrology groups to let patients know that we have andrology and that doctors are professional and can cure patients. According to my workload, one third of the patients are concerned with erectile dysfunction, one third with fertility, and one third with other aspects, such as external genitalia and prostate diseases. There were few patients with erectile dysfunction, premature ejaculation and other sexual problems before Zhou Huiliang said that some patients have gradually been able to talk freely about sex and diseases.

Jiang Hui pointed out to the 21st century economic reporter that the continuous research and development and marketing of therapeutic drugs have also provided a favorable basis for andrology development, which can help more ED patients to improve their disease awareness and receive scientific and standardized treatment. "From surgical treatment to drug treatment, the means of ED treatment are constantly developing. At present, oral PDE5 inhibitors are still the preferred treatment. Patients with ED are also more likely to take oral treatment drugs that are convenient to take, quick to take effect and good privacy. "

 

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