The ‘invested partner’, defined as a sexually normal individual within a couple invested in a relationship with a dysfunctional subject, traditionally was part of the treatment plan. It stands to reason that the use of vacuum devices, intracorporal injection therapy, MUSE or penile prosthesis implantation is best introduced with the invested partner’s knowledge because concealment is difficult and partner support is recommended for these treatments. Oral therapy has changed this because the erectile response is returned to its expected path and partner participation occurs through sexual stimulation. ventolin inhalers
Then, is it less important that the partner be involved in this particular phase of the disease management?
It should be noted that female sexual functioning may be altered as a result of her partner experiencing ED. Renshaw et al showed that the female partner of a man with ED was more likely to experience sexual disorders such as orgasmic dysfunction, vaginismus, dyspareunia and impaired sexual interest; female SD preceded the onset of ED in less than 10% of the cases. Treatment for the ED alone may not lead to the resumption of successful sexual intercourse. In these cases, counselling and treatment of the female partner may be necessary to repair the damage done by the ED.