title: Short-term use of sildenafil in the treatment of unconsumated marriages.
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.
authors.affiliation: Department of Andrology, Cairo University Hospitals, El Manial, Cairo, Egypt.
authors.forename: H
authors.initials: H
authors.lastname: Ghanem
authors.forename: A
authors.initials: A
authors.lastname: Zaazaa
authors.forename: I
authors.initials: I
authors.lastname: Kamel
authors.forename: T
authors.initials: T
authors.lastname: Anis
authors.forename: A
authors.initials: A
authors.lastname: Salem
authors.forename: A
authors.initials: A
authors.lastname: El Guindi
mesh_terms: D000328:Adult; D007172:Erectile Dysfunction / Q000188:drug therapy* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008393:Marriage; D008875:Middle Aged; D010879:Piperazines / Q000627:therapeutic use*; D011687:Purines; D012189:Retrospective Studies; D012736:Sex Education; D000068677:Sildenafil Citrate; D018454:Spouses / Q000523:psychology*; D013450:Sulfones; D013997:Time Factors
chemical_list: D010879:Piperazines; D011687:Purines; D013450:Sulfones; D000068677:Sildenafil Citrate