Abstract |
The aim of this study is to evaluate the effectiveness of short-term sildenafil use in the management of unconsummated marriages diagnosed to be mainly psychogenic in origin. This retrospective study included 35 patients evaluated within an Andrology clinic. Patients underwent a complete medical and sexual history as well as a focused physical examination. Investigations were ordered as necessary following a goal-directed approach. Education about the male and female genital anatomy and the sexual response cycle was carried out, as well as a detailed explanation about the concepts of performance anxiety, vaginismus and the mode of action of sildenafil. Sildenafil on demand therapy was initiated for 1 month and the duration extended as needed. Of 35 patients included in our study, 32 (91%) were able to achieve vaginal intromission and perform sexually. In all, 23 patients needed the sildenafil (66%) for less than 1 month, five (14%) for up to 3 months and four (11%) for more than 3 months. Three patients (9%) were unsuccessful. Treatment failures were managed by intracavernous injection therapy, combined with psychosexual therapy, depending on the cause. We conclude sildenafil use is effective as a short-term treatment option in the management of unconsummated marriages.
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Authors | H Ghanem, A Zaazaa, I Kamel, T Anis, A Salem, A El Guindi |
Journal | International journal of impotence research
(Int J Impot Res)
2006 Jan-Feb
Vol. 18
Issue 1
Pg. 52-4
ISSN: 0955-9930 [Print] England |
PMID | 16208403
(Publication Type: Journal Article)
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Chemical References |
- Piperazines
- Purines
- Sulfones
- Sildenafil Citrate
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Topics |
- Adult
- Erectile Dysfunction
(drug therapy, psychology)
- Female
- Humans
- Male
- Marriage
- Middle Aged
- Piperazines
(therapeutic use)
- Purines
- Retrospective Studies
- Sex Education
- Sildenafil Citrate
- Spouses
(psychology)
- Sulfones
- Time Factors
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