title: Impact of erectile dysfunction and its subsequent treatment with sildenafil: qualitative study.
abstract: OBJECTIVE
  To determine the effects of erectile dysfunction and to explore the impact of treatment with sildenafil (Viagra).
  
  
  METHODS
  An exploratory qualitative study with semistructured interviews.
  
  
  METHODS
  Men's health clinic in NHS hospital.
  
  
  METHODS
  40 men who had had erectile dysfunction and had attended the clinic during the year before interview.
  
  
  METHODS
  Impact of erectile dysfunction on men, their expectations of sildenafil, and impact of treatment on men and their relationships. Issues explored with exploratory qualitative approach.
  
  
  RESULTS
  Erectile dysfunction caused serious distress to all those men who experienced it, with marked effects on their self esteem and their relationships. Sildenafil, when it worked, caused a great improvement in wellbeing. The expectations raised by media hyperbole with the launch of sildenafil had an adverse effect on the morale of those who found it did not work. When, according to the patient, treatment did not work, the distress was severe and for many confirmed their lack of self worth.
  
  
  CONCLUSIONS
  Further study is needed to explore the feelings of men affected by erectile dysfunction and their perception of treatment. Health professionals should be aware of the extreme distress erectile dysfunction can cause.
authors.affiliation: Men's Health Clinic, Royal Hampshire County Hospital, Winchester SO22 5DG. john@jptomlinson.comClays
authors.forename: John
authors.initials: J
authors.lastname: Tomlinson
authors.forename: David
authors.initials: D
authors.lastname: Wright
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D007172:Erectile Dysfunction / Q000188:drug therapy* / Q000523:psychology; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010726:Phosphodiesterase Inhibitors / Q000627:therapeutic use*; D010879:Piperazines / Q000627:therapeutic use*; D011687:Purines; D000068677:Sildenafil Citrate; D013450:Sulfones; D016896:Treatment Outcome
chemical_list: D010726:Phosphodiesterase Inhibitors; D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate