Impact of Erectile Dysfunction (ED) on Sexual Life of Female Partners: Assessment with the Index of Sexual Life (ISL) Questionnaire

Chevret, Marie; Jaudinot, Eric; Sullivan, Kate; Marrel, Alexia; Gendre, A Solesse de

doi:10.1080/00926230490262366

Cited by 93 publications

(73 citation statements)

References 9 publications

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“…[1][2][3][4][5][6][7][8] The majority of the women, whose partners were treated with PDE5i for 6 months, experienced improvements in their own sexual function, a finding that accords with earlier studies. 12 However, as reported in earlier papers, those that recorded lower levels of functioning on the FSFI were not necessarily dissatisfied with their partners' treatment.…”

Section: Discussionsupporting

confidence: 80%

“…[1][2][3][4][5][6][7][8] Treatment of men with ED with oral phosphodiesterase type 5 inhibitors (PDE5i) has also been reported to have positive benefits for their female partners. [9][10][11][12] Most of these studies have relied on standardized sexual function (for example, Female Sexual Function Index (FSFI)) 13 and treatment satisfaction questionnaires.…”

Section: Introductionmentioning

confidence: 99%

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An investigation of sexual dysfunction in female partners of men with erectile dysfunction: how interviews expand on questionnaire responses

et al. 2010

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Using the Female Sexual Function Index (FSFI) for investigating female sexual function has become widespread. A score of 26.5 has been suggested as delineating 'functional' from 'dysfunctional' women. This study aimed to understand in greater detail what contributes to changes in women's FSFI scores while their partners are taking oral erectile medications for erection problems. Couples randomized to receive two erectile medications for two 3-month phases, completed questionnaires. FSFI scores were augmented by individual interviews at baseline, 3 and 6 months, in order to better understand what the scores meant in the context of ED medication use. In all, 50% of the women scored o26.5 at baseline; of these 56% recovered by 6 months. A number of 'dysfunctional' women recorded low FSFI scores solely as a result of their partner's ED. Overall, 22% were still 'dysfunctional' at 6 months, but one third of these appeared 'functional' at 3 months. A further group of women continued to record low scores despite reporting much improved sexual satisfaction. The women's interviews elaborate on their FSFI results, with five themes emerging to provide more clarity about the relative changes seen in a prospective study situation, and potentially in clinical practise contexts. The increasing use of questionnaires to determine sexual function should be supplemented with good clinical interviewing. The interview details explain how FSFI fluctuations occurred and contain clinical implications for research and practise in the area of couple's sexuality. 14-16 Women with FSFI scores concomitant with sexual dysfunction (o26.5) were excluded from some studies because of the potential of such 'dysfunction' to have a negative impact on the effect of men's ED treatments on the couples. 10,11 However, a recent treatment study, that included all women regardless of their dysfunctional status, reported that once the man's ED had been effectively treated the putative 'dysfunction' was no longer present in many of the women. 16 Although these reports, based on the standardized measures, detail overall changes in the women's sexual function as their partners were treated, they do not describe why the women experience improvement in their sexual function.Several studies reporting women's sexual function changes during their partner's ED treatment show disparities in the effects on women of treating men's erection problems. In studies employing the FSFI, domains in which improvement has been reported include arousal, lubrication, orgasm, satisfaction and overall scores. 11,16,17 Although the 16 both reported improvements in women's levels of pain once their partner's ED was treated. The findings from the FEMALES study may have been influenced by it being retrospective and excluding women reporting pain at baseline. The present prospective study, which included all women, irrespective of their FSFI score, sought to clarify the extent to which the problems reported by female partners of men with ED are the result of the man's ED or other factors...

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

An investigation of sexual dysfunction in female partners of men with erectile dysfunction: how interviews expand on questionnaire responses

et al. 2010

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“…Further, after the treatment of ED, these females showed significant improvements in their sexual functioning. Chevret et al 19 also showed that ED had a negative impact on the sexuality of female partners. Female partners (n ¼ 376) of men with ED evidenced lower levels of sexual satisfaction and sexual desire than female partners (n ¼ 345) of men who did not have ED.…”

Section: Introductionmentioning

confidence: 97%

“…[17][18][19][20] It is not clear from these studies if the ED led to female sexual dysfunction (FSD), if FSD led to male ED, or if there were other factors (for example relationship problems) that led to both ED and FSD. However, there is evidence that treatment of male ED has a positive effect on FSD.…”

Section: Introductionmentioning

confidence: 99%

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

McCabe

Conaglen

et al. 2009

Int J Impot Res

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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. IntroductionThere is a growing body of literature that shows the importance of the partner and the relationship in the treatment of ED in men. [1][2][3][4][5][6][7] Although a wide range of literature shows that PDE5 inhibitors (PDE5i) are very effective in restoring an erection in men with ED, 8 a large number of men do not continue with the use of these treatments for their ED. [9][10][11] There are likely to be a wide range of factors that are associated with this discontinuation of PDE5i medication, or the failure to even use these medications despite their efficacy. 11,12 One particular factor that has been identified is the importance of the views of the partner. [13][14][15] As sexual intercourse is a shared activity, it is not surprising that the views of the partner are likely to impact both on initial use and continuation or otherwise of medical treatment for ED.A substantial number of studies have now shown that ED is associated with both quality of life 16 and sexual dysfunction in the man's partner. [17][18][19][20] It is not clear from these studies if the ED led to female sexual dysfunction (FSD), if FSD led to male ED, or if there were other factors (for example relationship problems) that led to both ED and FSD. However, there is evidence that treatment of male ED has a positive effect on FSD. 18,[20][21][22] The use of a range of PDE5i medications has been shown to be associated with improvements in the female partner's sexual function/satisfaction, as well as relationship functioning.Cayan et al. 18 reported that all aspects of sexual functioning (except sexual desire) among 38 females whose partners experienced ED were lower than for 49 partners of men who did not experience ED. Further, after the treatment of ED, these females showed significant improvements in their sexual functioning. Chevret et al. 19 also showed that ED had a negative impact on the sexuality of female partners. Female partners (n ¼ 376) of men with ED evidenced lower levels of sexual satisfaction and sexual desire than female partners (n ¼ 345) of men who did not have ED. Even l...

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“…2 While the physical component of ED has been well documented and has been further highlighted by the GBSS, 2 the psychological effects of ED can impact on both partners. [4][5][6] As ED also has negative impact on the sexual life of female partners (including reduced sexual activity 7 and reduced sexual satisfaction and sexual desire 8,9 ) it is important that healthcare providers include both partners in any discussions on sexual health issues.…”

Section: Introductionmentioning

confidence: 99%

Sexual Health and Overall Wellness (SHOW) survey in men and women in selected European and Middle Eastern countries

et al. 2013

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Objective: To investigate whether better sexual health is associated with improvements in overall health and wellness, a more loving and intimate relationship, and a more positive outlook on life. Methods: The Sexual Health and Overall Wellness survey used self-administered questionnaires to collect data from men and women aged 25-74 years who had had sexual intercourse at least once within the previous 12 months. Results: Across nine countries, 3780 self-administered questionnaires were completed: 1893 from men (mean age, 44.6 years); 1887 from women (mean age, 44.2 years). The majority of men and women were satisfied with the frequency of sexual intercourse over the previous 4 weeks (59% and 66%, respectively); the majority (67% and 55%, respectively) reported that having sex was 'very important' or 'absolutely essential'. For men and women, there was a strong association between satisfaction with sex and overall health, and between satisfaction with sex and an overall positive outlook on life. Conclusion: For men and women, satisfaction with different aspects of sex was important, and was strongly associated with satisfaction with general health, relationships and other aspects of wellbeing.

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Impact of Erectile Dysfunction (ED) on Sexual Life of Female Partners: Assessment with the Index of Sexual Life (ISL) Questionnaire

Cited by 93 publications

References 9 publications

An investigation of sexual dysfunction in female partners of men with erectile dysfunction: how interviews expand on questionnaire responses

An investigation of sexual dysfunction in female partners of men with erectile dysfunction: how interviews expand on questionnaire responses

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

Sexual Health and Overall Wellness (SHOW) survey in men and women in selected European and Middle Eastern countries

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