After sildenafil: bridging the gap between pharmacologic treatment and satisfying sexual relationships

Erectile dysfunction is a prevalent and distressing problem. The availability of sildenafil citrate has significantly altered the way in which erectile dysfunction is treated. While this medication is extremely effective in restoring erectile function, it is often necessary to ensure that the partner is actively involved in treatment since many men are in relationships characterized by sexual apathy and avoidance as well as relationship conflict. These problems, if left untreated, can thwart the transition from sexual abstinence to sexual intimacy. Suggestions are offered for evaluating and intervening with men and their partners who are planning to resume a sexual life with sildenafil treatment for erectile dysfunction.