The female partner in the treatment of erectile dysfunction: What is her position?

The downside of Viagra: women's experiences and concerns

While much is known about the efficacy and safety of sexuopharmaceuticals used by men for the treatment of erectile difficulties, there remains a dearth of knowledge on the perspectives and experiences of their sexual partners. In particular, few studies have focused on the possible detrimental effects for women of Viagra use within a heterosexual relationship. In this paper we report on a qualitative study based in New Zealand, which involved in-depth interviews with 27 women whose partners used Viagra. A number of key dimensions were identified, three of which revealed issues and concerns for women regarding the use of Viagra by their male partners: the neglect of women by those producing and prescribing Viagra; the embodied relationship (which encompasses physical and psychosocial effects of Viagra use); and broader socio-cultural implications (e.g the impact of 'the culture of Viagra' on understandings about sexuality in older age, and on ideas about male and female sexuality). We argue that while previous medically-oriented research in this area has generally assumed an unproblematic link between Viagra use and the resumption of penetrative sex within heterosexual relationships, more attention needs to be paid to partners' perspectives and desires, and to the specific dynamics of any given relationship. Moreover, while the publicity surrounding Viagra may potentially facilitate more positive attitudes to sexuality in older age, it may also produce a societal expectation that 'healthy' and 'normal' life for older people requires the continuation of 'youthful' (energetic) sex lives focused on penetrative intercourse.

Beyond sexual assessment: lessons learned from couples post radical prostatectomy

PURPOSE

To share selected experiences of advanced practice nurses (APNs) who implemented a home-based nursing protocol related to psychosexual function for couples following radical surgery for prostate cancer.

DATA SOURCES

Selected research-based articles, the PLISSIT Model for sexual rehabilitation counseling, and the authors' experiences.

CONCLUSIONS

Five lessons related to communicating about sexuality and intimacy were synthesized from the experience, including examining knowledge and self-awareness regularly, using a structured interview guide to facilitate the process, developing a trusting relationship with the couple, attending to verbal and nonverbal cues, and providing information about the full range of sexual expression.

IMPLICATIONS FOR PRACTICE

Include an assessment of sexual health as an integral part of a general health assessment. Patients do not generally volunteer information about their sexual concerns unless the subject is introduced by the APN.