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Cited by 34Sexual function and dysfunction studiesMedication Adherence and ComplianceSexuality, Behavior, and Technology

The DOI matches its Crossref record; 38 of the 39 references it cites were found in a registry or an index.

Couples' reasons for adherence to, or discontinuation of, PDE type 5 inhibitors for men with erectile dysfunction at 12 to 24-month follow-up after a 6-month free trial

Conaglen, Helen M., Conaglen, John V.·2012·The Journal of Sexual Medicine
DOI 10.1111/j.1743-6109.2011.02625.x
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Abstract

INTRODUCTION: The history of treatments for erectile dysfunction (ED) has involved a repeated pattern of uptake, followed by abandonment of the various therapies in the medium term. Even effective and simple to use medications are not necessarily continued; discontinuation rates range between 15% and 60%. Despite the association between partner sexual function and men's use of PDE5, no previous studies have reported any contact with partners of men taking PDE5 for their ED. This study involved both partners in couples followed up at least 1 year after treatment of ED. AIM: The study sought clarification of factors influencing adherence to, or discontinuation of, oral ED medications from couples. We hypothesized that many factors contribute to decision making about ED medication use at >12 months. MAIN OUTCOME MEASURES: The main outcome measures of this article were interviews and International Index of Erectile Function-erectile function domain. METHODS: A total of 155 interviews were conducted seeking details of frequency of usage and preference for the drugs available; reasons for that choice, or for discontinuation of use, were also sought. RESULTS: Of men interviewed, 71% were using PDE5 at 18 months. Most men interviewed were using the oral medications either 1-2x/week or 1-2x/month. Forty-four percent of men who had decreased their use of the medications reported less need for them. Thirty-four men said the main reason they were using less medication was cost. "Partner issues" from the men's perspective were seldom reported in this study. However, for a number of women, "partner issues" meant a range of problems from separation to alcohol abuse, lack of communication, and lack of confidence, or fear of failure. CONCLUSIONS: This is the first study to ask couples why they decided to continue or stop using PDE5 when followed up. Female partners provided a different perspective on "partner issues" often cited as reasons for discontinuing PDE5 use. It was also clear that discontinuation did not mean couples were no longer sexually active.

Overview

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Crossref · 10.1111/j.1743-6109.2011.02625.x

Cites

38 of 38 references verified0 citation errors · 0 not checkable

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  • Psychological treatment may help promote treatment adherence, integrate medical aids into the sexual relationship, and resolve psychological correlates such as anxiety, negative thoughts, distress, self-confidence, intimacy, and communication problems.

    “Psychological treatment may help to promote treatment adherence, integrate the treatment (ie, medical aids) into the sexual relationship and resolve psychological correlates such anxiety, negative thoughts, distress, self-confidence, intimacy, and communication problems between partners.59,109”

    From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [59]

  • Barriers to seeking treatment for ED include embarrassment, communication problems between partners, low self-confidence, self and partner blaming, feeling older, inaccurate information, and limited understanding of ED.

    “Research has identified several barriers to seeking treatment for ED. In addition to feeling embarrassed, communication problems between partners, low self-confidence, self and partner blaming, and feeling older, also inaccurate information and limited understanding of ED may prevent men and their partners from seeking help.59,96,97”

    From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [59]

  • Relationship conflicts are an important reason for lack of compliance or drop-out.

    “In addition, therapy should identify and treat underlying relational dynamics because relationship conflicts are an important reason for lack of compliance or drop-out.59,99”

    From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [59]

Citations

Cites

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1 of the 39 references couldn’t be matched to a known paper.

Research works printed but not linked: 1

  1. Eardley, 2008, Associations between female partner attitudes and male-partner erectile dysfunction, treatment-seeking behaviour and treatment utilisation: Findings of the FEMALES study, J Sex Med, 5, 55

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Metadata

Authors
Conaglen, H. M., & Conaglen, J. V.
Affiliations
University of Auckland (NZ)
Corresponding author
Conaglen, Helen M.
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2012-03-01
Volume
9
Issue
3
Pages
857-865
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1111/j.1743-6109.2011.02625.x
OpenAlex
W2118017716
Cited by
34
References
39
Citations by year
2026: 2 · 2025: 1 · 2021: 2 · 2020: 3 · 2019: 2 · 2018: 2 · 2016: 3 · 2015: 1 · 2014: 4 · 2013: 10 · 2012: 4
FWCI
4.33
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
erectile dysfunction, phosphodiesterase-5 inhibitors, medication adherence, treatment discontinuation, couples, reasons for discontinuation, cost barriers, partner communication, sexual activity
MeSH terms
Aged, Female, Follow-Up Studies, Humans, Erectile Dysfunction, Male, Middle Aged, Patient Compliance, Personal Satisfaction, Sexual Partners, Phosphodiesterase 5 Inhibitors

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