s u m m a h e a L t h s Y s t e m INFORMATION FOR YOUR DOCTOR
Some of the factors contributing to patients’
the important parameters in the evaluation
the following concerns about their partner’s
• Length of time the couple was asexual before
conditions, and it may be an important tool
• Decrease in foreplay and an excessive focus
in determining the urgency of the need for
• Male partner’s approach to resuming sexual
therapeutic intervention for erectile dysfunction
• Less emotional connection with their partner
(ED). It is important to evaluate QoL of the
• Unwanted change in habits, duration,
• Male partner’s expectations of how PDE-5s
couple, because men and women alike will suffer because of male erectile disability.
• Offended by their partner’s reliance on a
• Each partner’s physical and emotional
Future drug trials, as well as studies of sexological intervention programs, should
• The meaning for each partner of using a
involve both partners.1
• Pain caused by increased sexual activity
medical intervention to restore lovemaking
• Lack of consultation/negotiation as to the
“Many men view erectile dysfunction as a male
initiation and frequency of sexual activity
• The quality of the couple’s non-sexual
problem and it may not occur to them to include
• “Sex on demand” (i.e., overt and subtle
their wife or partner in the discussion with
their doctor,” said Kimberly Resnick-Anderson,
• Side effects from medication taken by their
Sexual disabilities and problems cannot be
LISW. Resnick-Anderson is an AASECT-certified
seen as isolated sexual phenomena that only
sex therapist and director of Summa Health
• Worries about infidelity after starting to take
involve one symptom-bearer with one symptom.
System’s Center for Sexual Health. “Women
tend to view ED as a couple’s problem since
• Coercion to have sex in order to “not waste a
importance of involving the couple, both in drug
it impacts both people in a relationship.
pill” and to “get their money’s worth”
trials and in sexological intervention programs –
Encouraging the patient to include his wife or
be they psychotherapeutic or pharmacological.4
partner in discussions about treatment can lead
According to one study, almost 35 percent of patients discontinued the use of
Please consider including a referral to a sexual
Viagra –even after successful restoration of
health therapist as part of the treatment plan
Recent studies have shown medication sexual function. Why? The reasons reported
to assist patients and their partners in making
in conjunction with couples counseling is
were primarily emotional or relationship
a successful transition to a better quality of life
more effective than just medication alone. oriented.3
A referral to a sexual health therapist helps couples deal with the physical, emotional and
Call (800) 237-8662 to
psychological issues which can arise when
resuming lovemaking after a long hiatus.
therapist at Summa Center for Sexual Health or call (888) 720-5318
to schedule an appointment with a urologist. summahealth.org
1 International Journal of Impotence Research (2000) 12, Suppl 4, S144±S146. 2 Potts, A. The downside of Viagra: women’s experiences and concerns. Soc of Health & Illness 20033 Son, H Asian J Androl 2006. 4 Wagner G, Fugl-Meyer KS and Fugl-Meyer AR. Impact of erectile dysfunction on quality of life: patient and partner perspectives, International Journal of Impotence Research (2000) 12, Suppl 4, S144-S146
DM45624.qxp:DM45624 Meds 11/16/09 1:57 PM Page 1 Anticholinergic Agents COMBINATION BRONCHODILATOR THERAPY The key mechanism of anticholinergic medicationsappears to be the blocking of muscarinic receptors(M1, M2, and M3). By blocking acetylcholine-• Combining bronchodilators with differentmediated bronchoconstriction, the end resultSide effects associated with anticholinergic therapy�