Intimacy With Impotence
This book is outstanding, well-written, and should be read by all men and women.-James Lewis, Jr., Ph.D., Executive Director, Education Center for Prostate Cancer Patients
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[This book is] outstanding, well-written, and should be read by all men and women.-James Lewis, Jr., Ph.D., Executive Director, Education Center for Prostate Cancer Patients Oncology Nursing Forum "Excellent...an easy-to-read, candid book that could offer a great deal of understanding and help to couples experiencing erectile dysfunction."
ForewordixPrefacexiAcknowledgmentsxiiiList of ContributorsxvIntroductionxvii1Impotence: An Opportunity to Revive Intimacy1Key Points1Reality Hits2From Relationship RUT to CREST5Breaking the Erectile Dysfunction Mindset6Back to the Subject of Sex: Happiness Is an Erection--or Is It?7Mindset102Facts about Impotence11Key Points11Causes of Erectile Dysfunction12Sexuality, Impotence, and Age13What Is a "Normal" Sex Life?13It's Over--or Is It?14Trollope Works for Me15The Effects of Prostate Cancer Treatment: What's the Truth?17Am I the only one with a problem?17Is nerve sparing or nerve grafting surgery a miracle treatment?18Is potency known immediately after surgery?19Will my penis be shorter after radical prostatectomy surgery? If it is, can I still have intercourse?19Do I need testosterone injections to increase my desire or treat my erection problems?20Does hormone treatment destroy desire and potency?20Can sex stimulate cancer? Can I transmit cancer to my partner through sex?20Will my partner have any effects from my radiation treatment for prostate cancer during intercourse?21What are the effects of treatment for benign prostatic hyperplasia (BPH)?21General Questions and Answers about Impotence21Do I need an erection to have an orgasm?21Can my partner have an orgasm if I don't have an erection?22Does satisfaction require having an orgasm?22If one medication, such as Viagra, does not work for me, will another one work?223Talking with Your Partner23Key Points23Elephants Bite25Planning for Talking29Improving the Quality of the Relationship29Step 1Are you in a RUT?30Step 2What would you like?30Step 3Make arrangements30Step 4Have a heart-to-heart talk31Step 5Do it!32Step 6Review33Two Effective Approaches to Handling Differences34Sex and the Single Man354Reviving Loving37Key Points37Relearning Loving39Creating a Loving Environment41Increasing Desire43Pleasing a Woman45Loving Is a Partnering Activity, Not a Solo Sport46Learning about Your Own--and Your Partner's--Anatomy47Be Creative in Your Love Life48Making Things Romantic50Early Bird Special Sex51The Partner's Role52Take Time54Just Do It: Make Love545Sensual Sex57Key Points57A Sensual Encounter58What Sensual Sex Is All About61Getting in the Mood61Getting Prepared63Sensual Arousal65Kissing65Touching66Touchpoints67Giving and Receiving71Penile Massage71Oral Sex71Massage72Visualization and Sexual Fantasy73Special Techniques to Assist in Sex with Impotence75Using gravity75Massaging the penis75Partial penetration76Female orgasms with a limp penis76The Self-Renewing Relationship776Getting into Shape for Sex79Key Points79Eating Right81Exercising82Physical activity and routines84Pelvic floor exercises867Talking with Your Doctor89Key Points89Understanding the Doctor's Situation90Preparing for a Visit to Discuss Sexual Dysfunction Issues91Writing down your questions91Making the appointment93Getting the Most from the Meeting94How to Be Sure the Doctor or Other Professional Is Truly Listening968Commercial Therapies and Medications97Key Points97Is There a One-Size-Fits-All Treatment?98Treatments: What Works for You?99Understand the psychological side effects of treatment100Understand what anxiety can do101The importance of a conservative approach102Why so much information?103Pill Splitting106Interpreting Clinical Trial Results106The List of Treatments108Penile rehabilitation109Oral medications113Topical medications: penile creams and gels127Intraurethral medication131Penile injection (intracavernosal injection)135New medications in development144Devices147Penile splints and supports147Vacuum therapy systems147Penile implants158Surgery162Neural therapies162Nerve sparing surgery162Nerve grafting surgery165Neural regeneration167Penile vascular surgery167New target areas for erectile dysfunction research1699Nonapproved and Off Label Treatments173Key Points173Combination Therapies175Combination therapies using sildenafil (Viagra)175Sildenafil (Viagra) and doxazosin (Cardura)175Sildenafil (Viagra) and apomorphine (Ixense and Uprima, in Europe, Latin America, and Asia only)175Sildenafil (Viagra) and a tension ring176Sildenafil (Viagra) and a vacuum erection device176Sildenafil (Viagra) and intraurethral prostaglandin E-1 (MUSE)176Sildenafil (Viagra) and intracavernosal injection (Caverject)176Combination therapies using yohimbine hydrochloride177Yohimbine and L-arginine glutamate177Yohimbine and Naltrexone177Off Label Drug Usage178Dopamine receptor agonists178Herbal Products and Dietary Supplements178Ginkgo180L-arginine181Kava181Korean Red Ginseng18210Putting It All Together183Romeo and Juliet183Napoleon and Josephine184Bill and Jill186Appendix ATreatments for Erectile Dysfunction189Table A-1.Medications190Table A-2.Devices191Table A-3.Combination Therapies192Table A-4.Non-FDA-Approved Therapies193Table A-5.New Medications in Development194Appendix BManufacturers of Erectile Dysfunction Products195Appendix CResources201Appendix DReferences and Further Reading205Books205Scientific and technical papers208Index213
\ Oncology Nursing Forum</I>"Excellent...an easy-to-read, candid book that could offer a great deal of understanding and help to couples experiencing erectile dysfunction."\ \ \ \ \ Library JournalCancer survivor Alterowitz and his wife, Barbara, have revamped their The Lovin' Ain't Over: The Couple's Guide to Better Sex After Prostate Disease. As in the original edition, the authors rely on a team of researchers and medical/psychological consultants. Suitable for older and/or conservative couples, their well-organized text has no slang or graphics and cautious discussion of noncoital activities. The message: impotence offers an opportunity to revive intimacy through more sensual, romantic sex. The text focuses on FAQs regarding prostate surgery and impotence; learning to have satisfying, sensual sex; and devices, pharmaceuticals, and other products to enhance erections (e.g., combination and off-label drug therapies, herbal products, and dietary supplements). "Key Points" sections help orient readers, and the appendixes of treatments, manufacturers, resources, and reading matter are very good. But more about sex toys and outercourse techniques (e.g., sharing masturbation) could have been included. For public libraries, to be complemented by Virginia and Keith Laken's Making Love Again, which emphasizes psychological issues.-Martha Cornog, Philadelphia Copyright 2004 Reed Business Information.\ \
