Ask the Experts: Why is it of Great Value to Consider a Patient's Partner in Management of ED?

Erectile dysfunction (ED) is often called the “couple’s disease” because it affects both partners. It can feel uncomfortable to talk about ED at first, but discussing it is the first step to finding a solution.

ED is the most common sex problem that men report to their doctor. It is defined as trouble getting or keeping an erection that’s firm enough for sex. Fortunately, there are many treatments available.

There are many possible causes of ED and many risk factors lead to ED. Some of these risks include diabetes, high blood pressure, heart disease, smoking, using drugs or drinking too much alcohol, being overweight and/or not exercising. ED can also be a side effect of treatment for prostate cancer or other cancers.

If you have ED, think about the best time to talk about it with your partner. Try to find a quiet, relaxed moment, such as on a walk, over dinner or while watching TV. It’s usually best to avoid talking about it during sex.

You can start the discussion by assuring your partner of your love and attraction to them. This can let them know they are not the cause of the problem. You can talk about what you enjoy about your sex life, and then explain you find it difficult to achieve and maintain an erection.

You can start the discussion by assuring your partner of your love and attraction to them. This can let them know they are not the cause of the problem. You can talk about what you enjoy about your sex life, and then explain you find it difficult to achieve and maintain an erection.

Talking about ED with your partner and working through possible solutions together can increase your intimacy and bring you closer.

Dr. Ali A. Dabaja is the Vice-Chair of Clinical Affairs, Director of Male Reproductive & Sexual Medicine, Associate Director of Urology Residency at the Vattikuti Urology Institute at Henry Ford Hospital. He is also the Clinical Associate Professor at the Wayne State School of Medicine. His clinical focus includes male infertility and sexual medicine.