Sexual partners and erectile dysfunction

This review investigated the role of sexual partners in managing erectile dysfunction.

The authors concluded that sexual partners are equally affected by erectile dysfunction and can significantly contribute to treatment success.

The goal of any treatment for erectile dysfunction is to provide men and their sexual partners with a satisfactory sex life. Sexual partner support can have an important impact on sexual function and overall treatment success. However, their role in managing erectile dysfunction is often overlooked. 

Several studies have investigated the effects of erectile dysfunction among sexual partners and the effects of sexual partner support on erectile function.

In a survey of 166 partners of men with erectile dysfunction, 55% of women reported some form of female sexual dysfunction (including arousal disorder, difficulty reaching orgasm, and sexual pain). Erectile dysfunction was also reported to impact various aspects of sex life and intimacy, independent of erection (including caressing, kissing, touching and foreplay), which can have a significant psychological effect on the relationship.

In a survey of 441 men with erectile dysfunction, 94% felt their partner’s support in seeking treatment was important. However, men are generally more satisfied with treatment than their sexual partner. While about 50% of men using PDE5 inhibitors (medications used to achieve erection, such as Cialis or Viagra) reported being “very satisfied” with treatment results, only 22% of sexual partners reported the same level of satisfaction. A recent study has suggested that the success of PDE5 inhibitor treatment is increased with longer-acting drugs. This suggests that lower levels of stress and anxiety (normally associated with the limited time window for sexual intercourse) play an important role in improved function and treatment success.

A couple based approach has been recently recommended in the treatment of erectile dysfunction among male cancer patients receiving hormonal treatment. One study found that a single 3.5-hour workshop offered to patients and their partners significantly improved sexual interest and sexual function.

Erectile dysfunction is as common in homosexual men as it is in heterosexual men. In a large study of 1,725 homosexual men, 45% reported having some form of erectile dysfunction. Of the surveyed men, those in a committed relationship were 41% less likely to have erectile dysfunction than those who were not in a committed relationship.

The authors concluded that men with erectile dysfunction and their sexual partners are both affected by erectile dysfunction and both benefit from treatment. An involvement of the sexual partner early in the treatment process is generally associated with a better treatment outcome.