Article May 1, 2002

After Sildenafil: Bridging the Gap Between Pharmacologic Treatment and Satisfying Sexual Relationships

Sandra R. Leiblum, PhD

J Clin Psychiatry 2002;63(suppl 5):17-22

Article Abstract

Erectile dysfunction is a prevalent and distressing problem. The availability of sildenafil citratehas significantly altered the way in which erectile dysfunction is treated. While this medication isextremely effective in restoring erectile function, it is often necessary to ensure that the partner isactively involved in treatment since many men are in relationships characterized by sexual apathy andavoidance as well as relationship conflict. These problems, if left untreated, can thwart the transitionfrom sexual abstinence to sexual intimacy. Suggestions are offered for evaluating and interveningwith men and their partners who are planning to resume a sexual life with sildenafil treatment for erectiledysfunction.