Short-term use of sildenafil in the treatment of unconsumated marriages

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.

The frequency of sexual dysfunctions in male partners of women with vaginismus in a Turkish sample

“…As in men with ED, evaluation of the sexual function of the partner is also important in the diagnosis and prognosis of women with vaginismus. 20,21 The rate of men having a sexual problem was found to be 65.6% with DSM-IV-TR criteria and GRISS transformed subscale scores. Taking into account the fact that 56.2% of men had inadequate sexual knowledge and 50% had only an education level of elementary school, it can be inferred that the unawareness of having a sexual dysfunction in oneself can be associated with an inadequate education level.…”

Use by gynecologists of a modified sensate focus technique to treat vaginismus causing infertility

“…This protocol proved successful in all cases, and only a few tablets were required. Short-term sildenafil protocols have been used in the past with very successful outcomes (25). In long-standing cases of dysfunction, the men may develop a secondary decrease in libido as well as psychological hostility toward their female partners, as occurred in three of our cases in whom the male partners refused sexual intercourse or referral to a psychiatrist.…”

Alternate-Day Tadalafil in the Management of Honeymoon Impotence

“…Ghanem et al. reported an 8% prevalence of honeymoon ED in a sexual dysfunction clinic in Cairo [2]. Other forms of ED also appear to be prevalent among young men in the Middle East.…”

“…Also, Ghanem et al. [2] reported successful use of sildenafil on‐demand therapy in the management of honeymoon impotence. In both studies, the use of PDE5‐I helped resolve a great deal of frustration on the part of the patient as well as the physician treating patients with psychogenic erectile dysfunction (ED).…”

“…U nconsummated marriages-frequently referred to as honeymoon impotence-may be defined as the inability to be successfully involved in sexual intercourse at the beginning of marriage, particularly in the first few nights. Honeymoon impotence appears to be a significant problem in the conservative Middle Eastern societies accounting for 8-17% of visits to sexual health clinics [1][2][3]. However, very little literature addresses this topic [4].…”