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18October2019

Intimacy4us

Erectile dysfunction gets knocked-out!

A pill a day may keep the doctor at bay, but doesn’t necessarily ensure a prepared soldier.

Efficient medical treatment for erectile dysfunction is freely available. Which is why several couples resort to oral tablets (PDE-5 inhibitors) with or without a prescription from their doctor.

The pills ensure that the majority of men’s genital organs are ready for action, but still many couples are disappointed in their treatment and discontinue their medication.

The reason for this is simple: Just because you have an erection, doesn’t necessarily mean that you can do the dance of passion again.

Intimacy isn’t just about sex. It is a complex combination of feelings and emotions that can’t be ignited by a miracle pill. Couples will benefit most from treatment for erectile dysfunction if they work on their relationship and discuss their expectations of the treatment with each other. They must also understand what the treatment can offer them.

What does treatment for erectile dysfunction mean to you?
The treatment can only repair your penis’s erectile function. It can’t address personal problems. If your sex life, before treatment, wasn’t really exciting, it won’t now suddenly turn into an earth shaking experience. If you have problems with your sex life as a result of your faith, culture, sexual abuse, physical or psychological problems, or you don’t read the INTIMACY4US articles to enrich your sexual knowledge, then a pill won’t help at all.

Other factors that can cause erectile dysfunction are starting a new relationship, social pressure, family problems, the diagnosis of a serious disease, the death of a loved one or the birth of a child. The changes women go through during menopause may also extinguish your wife’s desire for sex.

Medication can also contribute to the development of erectile dysfunction, for example, high blood pressure, high cholesterol, depression, other psychological problems and even cancer.

As soon as you experience erectile dysfunction, it can worsen existing problems in your relationship, especially if the communication between you is already at a low point and you both don’t seek help for your problems. Stress and depression because of erectile dysfunction, can also follow you to work and is there with you in your social life. A low self-image coincides with all the above mentioned emotions and before long, intimacy challenges become this gnawing, ongoing problem that just doesn’t want to disappear.

It clearly entails more than just swallowing a single pill to repair this problem.

So, where do you even start?
The most important step to recovery is clear and open communication between you and your wife. Help each other understand what is going on and how you both feel about it. Seek the treatment of a health specialist together – it is very important that you do it together! During this time you must discuss your emotions, how this dysfunction has changed your relationship and what expectation you both have of treatment. It may also be necessary that you both go for a medical check-up. It is also essential to determine if there are any underlying problems (physical and emotional) for sexual dysfunction, or in the case of older women, signs of menopause.

Couples must understand how pills for erectile dysfunction work. The pills don’t cause an erection, it makes one possible. If there isn’t petrol in your tank, your engine won’t run. You still need sexual excitement and stimulation, just like before. Even more so for older men or men with diabetes – they may need more sensory stimulation than younger men.

Remember that oral PDE-5 inhibitor tablets aren’t always effective after just one dosage. You may have to take it 4 - 8 times before a satisfactory erection can be obtained. Couples that haven’t had sex for a while, adapt their lives accordingly. Some couples find it stressful to be intimate as soon as the man is able to get an erection again. Once again communication is very important, as well as gradually getting back into the game.

Lastly, it is important to choose the correct treatment. Different pills offer different solutions. Factors such as age, the amount of sex you want, the duration of erectile dysfunction and any other relationship problems, need to be taken into consideration.

You can’t make these decisions alone. It takes two to tango, and in this case, a medical practitioner that helps to get the music going.

Article written by DR. DAVID WEBB
Additional sources: References: Al-Shaiji TF, et al. Curr Pharmaceutical Design 2009; 15: 3486-3495; Sadovsky R, et al. Int J Clin Pract 2009; 63(8): 1214-1230.