As you recall, I talked about several real patients and their situation in a previous blog.   Now, I would like talk about their treatment.

Patient A is a 55-year-old who began having ED troubles a few years ago.  He was prescribed oral agents by his primary care doctor and these worked initially but over time became ineffective.   Now he is only rarely able to complete intercourse.  

Patient A is one of the most common presentations of ED.   One of the most important parts of treatment is to educate the patient that this is a medical condition and not him “being less of a man”.   Many relationships suffer at this point because the man is afraid of not being able to perform so he avoids sex.   His partner notices and frequently begins to think he doesn’t love me anymore or he is getting sex elsewhere.   In this situation, education is extremely important. 

Patient A was seen in the office, had an examination and was given a test dose of medication.   He responded well and achieved an erection that was sufficient to complete intercourse.   He was educated in proper use of the medicine and the mechanics of proper application of the meds.   He is now enjoying sex 2-3 times a week.      We also did blood work and found his testosterone was low.   He was also treated with testosterone therapy.   Keep following and we will talk about the risks and benefits of testosterone therapy in another blog.