title: [Couple, sexuality and sexual health].
abstract: Sexuality remained for a long time in the intimacy domain, judged worthy of a consultation reason only and yet as an illness cause or a male failure. Besides, dyspareunia and various women's illnesses took more time to be worthy of interest and care. And now it seems almost as if a turnaround were taking place. This mutation will probably induce some cultural changes. This paper focuses on the fifty-year-old man, in a world in which sexuality, from a universal right, becomes an obligation with the need for means and results, a requirement for performance. In order to discover how to approach these old problems with nowadays tools, we carried out a Medline review on sexuality and impotence, or erectile dysfunction (ED), which is a real problem in public health policy concerning more than 150 million men all over the world and more than 2 million in France. The analysis of the main papers associated with our own experience, allows us to better understand the changes in men/women relationship and the disclosure of male fragility, visible in the management of their well-being, their state of anxiety fowards this new women's control which probably influences their attitude in front of ageing and its consequences.
authors.affiliation: Service de gynécologie-obstétrique, hôpital Bichat-Claude-Bernard, 46, rue Henri-Huchard, 75018 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Lachowsky
authors.forename: T
authors.initials: T
authors.lastname: Grivel
authors.forename: A
authors.initials: A
authors.lastname: Lemaire
authors.forename: D
authors.initials: D
authors.lastname: Elia
mesh_terms: D001294:Attitude to Health; D007172:Erectile Dysfunction / Q000503:physiopathology; D005260:Female; D006801:Humans; D008297:Male; D012725:Sexual Behavior / Q000502:physiology*; D019529:Sexuality / Q000523:psychology*