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Short-term use of sildenafil in the treatment of unconsumated marriages

International Journal of Impotence Research volume 18, pages 52–54 (2006)Cite this article

Abstract

The aim of this study is to evaluate the effectiveness of short-term sildenafil use in the management of unconsummated marriages diagnosed to be mainly psychogenic in origin. This retrospective study included 35 patients evaluated within an Andrology clinic. Patients underwent a complete medical and sexual history as well as a focused physical examination. Investigations were ordered as necessary following a goal-directed approach. Education about the male and female genital anatomy and the sexual response cycle was carried out, as well as a detailed explanation about the concepts of performance anxiety, vaginismus and the mode of action of sildenafil. Sildenafil on demand therapy was initiated for 1 month and the duration extended as needed. Of 35 patients included in our study, 32 (91%) were able to achieve vaginal intromission and perform sexually. In all, 23 patients needed the sildenafil (66%) for less than 1 month, five (14%) for up to 3 months and four (11%) for more than 3 months. Three patients (9%) were unsuccessful. Treatment failures were managed by intracavernous injection therapy, combined with psychosexual therapy, depending on the cause. We conclude sildenafil use is effective as a short-term treatment option in the management of unconsummated marriages.

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Authors and Affiliations

  1. Department of Andrology, Cairo University Hospitals, El Manial, Cairo, Egypt

    H Ghanem, A Zaazaa, I Kamel, T Anis, A Salem & A El Guindi

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  1. H Ghanem
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  2. A Zaazaa
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  3. I Kamel
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  4. T Anis
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  5. A Salem
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  6. A El Guindi
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Correspondence to A El Guindi.

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Ghanem, H., Zaazaa, A., Kamel, I. et al. Short-term use of sildenafil in the treatment of unconsumated marriages. Int J Impot Res 18, 52–54 (2006). https://doi.org/10.1038/sj.ijir.3901370

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  • DOI: https://doi.org/10.1038/sj.ijir.3901370

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