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Motivations for seeking treatment for ED: the woman's perspective

Abstract

There is increasing evidence that partners have a major role in treatment-seeking behavior for men with ED. This study investigated the motivations of 100 females for seeking medical treatment for their partner's ED. Semi-structured interviews focused on reasons for seeking treatment from the female's perspective. The themes that emerged from the data centered on the importance of sex in the relationship, with closeness and intimacy frequently being seen as more important than sex. The second major theme related to hopes that females had in relation to the medication, particularly in relation to increasing their partner's confidence and reducing his sexual frustration. Enhancement of the relationship as well as improving the female's own feelings of self-doubt and sexual frustration were also mentioned. The results of this study show the multi-faceted nature of the motivations that females express in terms of seeking help for their partner's ED.

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References

  1. Althof SE, Eid JF, Talley DR, Brock GB, Dunn ME, Tomlin ME et al. Through the eyes of females: the partners' perspective on tadalafil. Urol 2006; 68: 631–635.

    Article  Google Scholar 

  2. Fisher WA, Eardley I, McCabe MP, Sand M . Erectile dysfunction (ED) is a shared sexual concern of couples 1: couple conceptions of ED. J Sex Med 2009; 6: 2746–2760.

    Article  Google Scholar 

  3. Hackett G, Kell P, Ralph D, Dean J, Price D, Speakman M et al. British Society for Sexual Medicine guidelines on the management of erectile dysfunction. J Sex Med 2008; 5: 1841–1865.

    Article  Google Scholar 

  4. McCabe MP, Matic H . Erectile dysfunction and relationships: views of men with erectile dysfunction and their partners. Sex Rel Ther 2008; 1: 51–60.

    Article  Google Scholar 

  5. Ralph D, Eardley I, Kell P, Dean J, Hackett G, Collins O et al. Improvement in erectile function on vardenal treatment correlates with treatment satisfaction in both patients and their partners. BJU Int 2007; 100: 357–361.

    Article  Google Scholar 

  6. Riley A . The role of the partner in erectile dysfunction and its treatment. Int J Impot Res 2002; 14: S105–S109.

    Article  Google Scholar 

  7. Shabsigh R, Perelman MA, Laumann EO, Lockhart DC . Drivers and barriers to seeking treatment for erectile dysfunction: a comparison of six countries. BJU Int 2004; 94: 1055–1065.

    Article  Google Scholar 

  8. Brock G . Oral agents: first-line therapy for erectile dysfunction. Euro Urol 2002; S1: 12–18.

    Article  Google Scholar 

  9. Klotz T, Mathers M, Klotz R, Sommer F . Why do patients with erectile dysfunction abandon effective therapy with sildenafil (Viagra)? Int J Impot Res 2005; 17: 2–4.

    Article  CAS  Google Scholar 

  10. Sato Y, Tanda H, Kato S, Onishi S, Nitta T, Koroku M . How long do patients with erectile dysfunction continue to use sildenal citrate? Dropout rate from treatment course as outcome in real life. Int J Urol 2007; 14: 339–342.

    Article  CAS  Google Scholar 

  11. Souverein PC, Egberts ACG, Meuleman EJH, Urquhart J, Leufkens HGM . Incidence and determinants of sildenal (dis)continuation: the Dutch cohort of sildenal users. Int J Impot Res 2002; 14: 259–265.

    Article  CAS  Google Scholar 

  12. Ströberg P, Hedelin H, Bergström A . Is sex only for the healthy and wealthy? J Sex Med 2007; 4: 176–182.

    Article  Google Scholar 

  13. Conaglen HM, Conaglen JV . Investigating females's preference for sildenal or tadalal use by their partners with erectile dysfunction: the partners' preference study. J Sex Med 2008a; 5: 1198–1207.

    Article  Google Scholar 

  14. Fisher WA, Rosen C, Eardley I, Sand M, Goldstein I . Sexual experience of female partners of men with erectile dysfunction: the female experience of men's attitudes to life events and sexuality (FEMALES) study. J Sex Med 2005; 2: 675–684.

    Article  Google Scholar 

  15. Fisher WA, Eardley I, McCabe MP, Sand M . Erectile dysfunction (ED) is a shared sexual concern of couples 11: associations of female partner characteristics with male partner Ed treatment seeking an phosphodiesterase type 5 inhibitor utilization. J Sex Med 2009; 6: 3111–3124.

    Article  Google Scholar 

  16. Wagner G, Fugl-Meyer KS, Fugl-Meyer AR . Impact of erectile dysfunction on quality of life: patient and partner perspectives. Int J Impot Res 2000; 12: pS144, 1p.

    Article  Google Scholar 

  17. Cameron A, Tomlin M . The effect of male erectile dysfunction on the psychosocial, relationship and sexual characteristics of heterosexual females in the United States. J Sex Marital Ther 2007; 33: 135–149.

    Article  Google Scholar 

  18. Cayan S, Bozlu M, Canpolat B, Akbay E . The assessment of sexual functions in females and male partners complaining of erectile dysfunction: does treatment of male sexual dysfunction improve female partner's sexual functions? J Sex Marital Ther 2004; 30: 333–341.

    Article  Google Scholar 

  19. Chevret M, Jaudinot E, Sullivan K, Marrel A, De Gendre AS . Impact of erectile dysfunction (ED) on sexual life of female partners: assessment with the Index of Sexual Life (ISL) Questionnaire. J Sex Marital Ther 2004; 30: 157–172.

    Article  Google Scholar 

  20. Rosen R, Janssen E, Wiegel M, Bancroft J, Althof S, Wincze J et al. Psychological and interpersonal correlates in men with erectile dysfunction and their partners: a pilot study of treatment outcome with Sildenafil. J Sex Marital Ther 2006; 32: 215–234.

    Article  Google Scholar 

  21. Conaglen HM, Conaglen JV . The impact of erectile dysfunction on female partners: a qualitative investigation. Sex Rel Ther 2008b; 23: 147–156.

    Article  Google Scholar 

  22. Fisher WA, Rosen R, Mollen M, Brock G, Karlin G, Pommerville P et al. Improving the sexual quality of life of couples affected by erectile dysfunction: a double-blind, randomized, placebo-controlled trial of vardenafil. J Sex Med 2005; 2: 699–708.

    Article  CAS  Google Scholar 

  23. Heiman JR, Talley DR, Bailen JL, Oskin TA, Rosenberg SJ, Pace CR et al. Sexual function and satisfaction in heterosexual couples when men are administered sildenafil citrate (Viagra) for erectile dysfunction: a multicentre, randomised, double-blind, placebo-controlled trial. Bri J Obstet Gynaecol 2007; 114: 437–447.

    Article  CAS  Google Scholar 

  24. Fisher WA, Meryn S, Sand M . Communication about erectile dysfunction among men with ED, partners of men with ED, and physicians: the strike up a conversation study (Part 11). J Men's Health Gender 2005; 2: 309–317.

    Google Scholar 

  25. Mita K, Shingeta M, Kakehashi M, Matsubara A, Teishima J, Kato M et al. Females's perception of male erectile dysfunction drugs in the general population. Maturitas 2007; 56: 216–222.

    Article  Google Scholar 

  26. Moreira EDJ, Brock GB, Glasser DB, Nicolosi A, Laumann EO, Paik A et al. Help-seeking behaviour for sexual problems: the Global Study of Sexual Attitudes and Behaviors. Int J Clin Pract 2005; 59: 6–16.

    Article  Google Scholar 

  27. Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A . The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urol 1997; 49: 822–830.

    Article  CAS  Google Scholar 

  28. NVivo qualitative data analysis software. QRS International Pty Ltd. Version 8, 2008.

  29. Smith JA, Osborn M . Interpretative phenomenological analysis. In: JA Smith (ed). Qualitative Psychology: A Practical Guide to Research Methods. SAGE Publications: London, 2003.

    Google Scholar 

  30. Chevret-Méasson M, Lavalée E, Troy S, Arnould B, Oudin S, Cuzin B . Improvement in quality of sexual life in female partners of men with erectile dysfunction treated with Sildenafil Citrate: findings of the Index of Sexual Life (ISL) in Couple Study. J Sex Med 2009; 6: 761–769.

    Article  Google Scholar 

  31. Rosen RC, Seidman SN, Menza MA, Shabsigh R, Roose SP, Tseng LJ et al. Quality of life, mood, and sexual function: a path analytic model of treatment effects in men with erectile dysfunction and depressive symptoms. Int J Impot Res 2004; 16: 334–340.

    Article  CAS  Google Scholar 

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Correspondence to M P McCabe.

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McCabe, M., Conaglen, H., Conaglen, J. et al. Motivations for seeking treatment for ED: the woman's perspective. Int J Impot Res 22, 152–158 (2010). https://doi.org/10.1038/ijir.2009.60

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  • DOI: https://doi.org/10.1038/ijir.2009.60

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