Effective Erectile Dysfunction (ED) Treatment Enables Men to Enjoy Better Sex: The Importance of Erection Hardness, Psychological Well-Being, and Partner Satisfaction

Abstract: Sexual activity remains important for most men throughout their adult lives and into old age; erectile dysfunction (ED) usually leads to a worsening of their sexual experience and can cause significant personal and interpersonal distress at any age. The availability of effective and well-tolerated oral therapy with phosphodiesterase type 5 (PDE5) inhibitors allows most men with ED to once again experience better sex. The concept of better sex is important to men and involves several factors: Enhanced penile rigidity is one factor most frequently desired by affected men. Other factors may be vital to a satisfactory treatment outcome, but enhanced rigidity is frequently seen by affected men as the foundation upon which better sex is based. Loss of penile rigidity can have a profoundly adverse effect on a man''s psychological well-being and may be associated with behavioural changes such as the avoidance of intimacy that can impair not only their response to therapy, but also their general relationship with their partner. Successful treatment of ED improves a man''s self-confidence and self-esteem; however, since many men delay seeking professional help, relationship problems may be well established by the time they receive treatment. Prolonged abstinence as a consequence of ED may also affect the partners’ sexuality, both in terms of desire and responsiveness. To achieve better sex, any treatment plan for ED must take into account the broader context of a man''s sexual experience, including behavioural, relationship, and partner factors. [Copyright &y& Elsevier]