|
Foreword |
ix |
|
Preface |
xi |
|
Acknowledgments |
xiii |
|
List of Contributors |
xv |
|
Introduction |
xvii |
1 |
Impotence: An Opportunity to Revive Intimacy |
1 |
|
Key Points |
1 |
|
Reality Hits |
2 |
|
From Relationship RUT to CREST |
5 |
|
Breaking the Erectile Dysfunction Mindset |
6 |
|
Back to the Subject of Sex: Happiness Is an Erection--or Is It? |
7 |
|
Mindset |
10 |
2 |
Facts about Impotence |
11 |
|
Key Points |
11 |
|
Causes of Erectile Dysfunction |
12 |
|
Sexuality, Impotence, and Age |
13 |
|
What Is a "Normal" Sex Life? |
13 |
|
It's Over--or Is It? |
14 |
|
Trollope Works for Me |
15 |
|
The Effects of Prostate Cancer Treatment: What's the Truth? |
17 |
|
Am I the only one with a problem? |
17 |
|
Is nerve sparing or nerve grafting surgery a miracle treatment? |
18 |
|
Is potency known immediately after surgery? |
19 |
|
Will my penis be shorter after radical prostatectomy surgery? If it is, can I still have intercourse? |
19 |
|
Do I need testosterone injections to increase my desire or treat my erection problems? |
20 |
|
Does hormone treatment destroy desire and potency? |
20 |
|
Can sex stimulate cancer? Can I transmit cancer to my partner through sex? |
20 |
|
Will my partner have any effects from my radiation treatment for prostate cancer during intercourse? |
21 |
|
What are the effects of treatment for benign prostatic hyperplasia (BPH)? |
21 |
|
General Questions and Answers about Impotence |
21 |
|
Do I need an erection to have an orgasm? |
21 |
|
Can my partner have an orgasm if I don't have an erection? |
22 |
|
Does satisfaction require having an orgasm? |
22 |
|
If one medication, such as Viagra, does not work for me, will another one work? |
22 |
3 |
Talking with Your Partner |
23 |
|
Key Points |
23 |
|
Elephants Bite |
25 |
|
Planning for Talking |
29 |
|
Improving the Quality of the Relationship |
29 |
Step 1 |
Are you in a RUT? |
30 |
Step 2 |
What would you like? |
30 |
Step 3 |
Make arrangements |
30 |
Step 4 |
Have a heart-to-heart talk |
31 |
Step 5 |
Do it! |
32 |
Step 6 |
Review |
33 |
|
Two Effective Approaches to Handling Differences |
34 |
|
Sex and the Single Man |
35 |
4 |
Reviving Loving |
37 |
|
Key Points |
37 |
|
Relearning Loving |
39 |
|
Creating a Loving Environment |
41 |
|
Increasing Desire |
43 |
|
Pleasing a Woman |
45 |
|
Loving Is a Partnering Activity, Not a Solo Sport |
46 |
|
Learning about Your Own--and Your Partner's--Anatomy |
47 |
|
Be Creative in Your Love Life |
48 |
|
Making Things Romantic |
50 |
|
Early Bird Special Sex |
51 |
|
The Partner's Role |
52 |
|
Take Time |
54 |
|
Just Do It: Make Love |
54 |
5 |
Sensual Sex |
57 |
|
Key Points |
57 |
|
A Sensual Encounter |
58 |
|
What Sensual Sex Is All About |
61 |
|
Getting in the Mood |
61 |
|
Getting Prepared |
63 |
|
Sensual Arousal |
65 |
|
Kissing |
65 |
|
Touching |
66 |
|
Touchpoints |
67 |
|
Giving and Receiving |
71 |
|
Penile Massage |
71 |
|
Oral Sex |
71 |
|
Massage |
72 |
|
Visualization and Sexual Fantasy |
73 |
|
Special Techniques to Assist in Sex with Impotence |
75 |
|
Using gravity |
75 |
|
Massaging the penis |
75 |
|
Partial penetration |
76 |
|
Female orgasms with a limp penis |
76 |
|
The Self-Renewing Relationship |
77 |
6 |
Getting into Shape for Sex |
79 |
|
Key Points |
79 |
|
Eating Right |
81 |
|
Exercising |
82 |
|
Physical activity and routines |
84 |
|
Pelvic floor exercises |
86 |
7 |
Talking with Your Doctor |
89 |
|
Key Points |
89 |
|
Understanding the Doctor's Situation |
90 |
|
Preparing for a Visit to Discuss Sexual Dysfunction Issues |
91 |
|
Writing down your questions |
91 |
|
Making the appointment |
93 |
|
Getting the Most from the Meeting |
94 |
|
How to Be Sure the Doctor or Other Professional Is Truly Listening |
96 |
8 |
Commercial Therapies and Medications |
97 |
|
Key Points |
97 |
|
Is There a One-Size-Fits-All Treatment? |
98 |
|
Treatments: What Works for You? |
99 |
|
Understand the psychological side effects of treatment |
100 |
|
Understand what anxiety can do |
101 |
|
The importance of a conservative approach |
102 |
|
Why so much information? |
103 |
|
Pill Splitting |
106 |
|
Interpreting Clinical Trial Results |
106 |
|
The List of Treatments |
108 |
|
Penile rehabilitation |
109 |
|
Oral medications |
113 |
|
Topical medications: penile creams and gels |
127 |
|
Intraurethral medication |
131 |
|
Penile injection (intracavernosal injection) |
135 |
|
New medications in development |
144 |
|
Devices |
147 |
|
Penile splints and supports |
147 |
|
Vacuum therapy systems |
147 |
|
Penile implants |
158 |
|
Surgery |
162 |
|
Neural therapies |
162 |
|
Nerve sparing surgery |
162 |
|
Nerve grafting surgery |
165 |
|
Neural regeneration |
167 |
|
Penile vascular surgery |
167 |
|
New target areas for erectile dysfunction research |
169 |
9 |
Nonapproved and Off Label Treatments |
173 |
|
Key Points |
173 |
|
Combination Therapies |
175 |
|
Combination therapies using sildenafil (Viagra) |
175 |
|
Sildenafil (Viagra) and doxazosin (Cardura) |
175 |
|
Sildenafil (Viagra) and apomorphine (Ixense and Uprima, in Europe, Latin America, and Asia only) |
175 |
|
Sildenafil (Viagra) and a tension ring |
176 |
|
Sildenafil (Viagra) and a vacuum erection device |
176 |
|
Sildenafil (Viagra) and intraurethral prostaglandin E-1 (MUSE) |
176 |
|
Sildenafil (Viagra) and intracavernosal injection (Caverject) |
176 |
|
Combination therapies using yohimbine hydrochloride |
177 |
|
Yohimbine and L-arginine glutamate |
177 |
|
Yohimbine and Naltrexone |
177 |
|
Off Label Drug Usage |
178 |
|
Dopamine receptor agonists |
178 |
|
Herbal Products and Dietary Supplements |
178 |
|
Ginkgo |
180 |
|
L-arginine |
181 |
|
Kava |
181 |
|
Korean Red Ginseng |
182 |
10 |
Putting It All Together |
183 |
|
Romeo and Juliet |
183 |
|
Napoleon and Josephine |
184 |
|
Bill and Jill |
186 |
Appendix A |
Treatments for Erectile Dysfunction |
189 |
Table A-1. |
Medications |
190 |
Table A-2. |
Devices |
191 |
Table A-3. |
Combination Therapies |
192 |
Table A-4. |
Non-FDA-Approved Therapies |
193 |
Table A-5. |
New Medications in Development |
194 |
Appendix B |
Manufacturers of Erectile Dysfunction Products |
195 |
Appendix C |
Resources |
201 |
Appendix D |
References and Further Reading |
205 |
|
Books |
205 |
|
Scientific and technical papers |
208 |
|
Index |
213 |