Treatment for erectile dysfunction among older men in Northern Ireland

Donnelly, David; Kearney, Therese; McCaughan, Eilís; Downing, Amy; Weller, David; Glaser, Adam; Gavin, Anna

doi:10.1111/ijcp.13259

Cited by 3 publications

(7 citation statements)

References 31 publications

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“…‐She could benefit from a pamphlet called ‘understand that I have a problem, and it is not your fault that I cannot get an erection’. [4]…”

Section: Resultsmentioning

confidence: 99%

“…-I don't know what causes my erection problems. [4] Men preferred HPs to address the potential causes of ED, because lacking this knowledge was related to an uncertainty that, in turn, negatively affected both the men and their relationship. Not knowing the cause of ED meant that it was inexplicable and mysterious -a concern connected with self-blame and feelings of guilt, shame and sorrow for the men and their partner:…”

Section: Diminished Masculinitymentioning

confidence: 99%

“…-She could benefit from a pamphlet called 'understand that I have a problem, and it is not your fault that I cannot get an erection'. [4] Written material was considered as useful in understanding causes of different types of ED as well as how and why PAVED and other modifiable lifestyle factors may influence ED:…”

Section: Context Of Communicationmentioning

confidence: 99%

“…Erectile dysfunction (ED) often remains overlooked, underdiagnosed and under-treated by health professionals (HPs) [1][2][3][4] who rarely discuss ED with men [5,6]. However, there is increasing recognition of the role of low-risk, lowcost, non-pharmacological and safe lifestyle interventions to lessen the burden of vascular ED [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Communication about physical activity to reduce vascular erectile dysfunction – A qualitative interview study among men in cardiac rehabilitation

Gerbild

Josefsson

Larsen

et al. 2021

Scandinavian Caring Sciences

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Background Physical activity, a core intervention in cardiac rehabilitation, can reduce vascular erectile dysfunction (ED). ED is a common sensitive problem for men with cardiac diseases, decreasing their quality of life. Cardiac health professionals rarely provide information about ED or its relation to physical activity. Developing health professionals’ communicative component of the complex intervention ‘Physical Activity to reduce Vascular Erectile Dysfunction’ (PAVED) is important. Understanding the receiver needs is essential in designing a complex intervention. Aim To elucidate men's perspectives on cardiac health professionals’ communication about PAVED. Ethical issues An Institutional Data Protection Agency approved the study. Methods An interpretive data‐driven thematic analysis was applied to individual, qualitative semi‐structured interviews with 20 Danish men attending cardiac rehabilitation. Results The men wanted health professionals’ communicating about ED, as it was perceived as a major problem diminishing masculinity and tabooed by health professionals. Men wanted help for self‐help, which may be possible with the aid of competent health professionals’ communication about how to prevent, reduce and cope with ED ‐ including information about PAVED. The men wanted health professionals’ communication about ED in various contexts: general information in groups, sexual counselling for individuals and couples and written material. Study limitations Recruitment was done from a Danish municipality's cardiac rehabilitation, and the transferability of the results may be limited to similar contexts. Conclusion Erectile dysfunction was experienced as a major biopsychosocial problem for the men and their partners. The men had a need for health professionals’ communication about sexuality, ED and information about PAVED as well as about prevention, reduction and management of ED. The men had a need for professional communication about sexual health.

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“…‐She could benefit from a pamphlet called ‘understand that I have a problem, and it is not your fault that I cannot get an erection’. [4]…”

Section: Resultsmentioning

confidence: 99%

Section: Diminished Masculinitymentioning

confidence: 99%

Section: Context Of Communicationmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Communication about physical activity to reduce vascular erectile dysfunction – A qualitative interview study among men in cardiac rehabilitation

Gerbild

Josefsson

Larsen

et al. 2021

Scandinavian Caring Sciences

View full text Add to dashboard Cite

show abstract

“…Regarding erectile dysfunction, studies support a correlation between age, erectile dysfunction and loss of sexual desire [82], adversely affecting quality of life. [83] However, more recent authors have found that the negative effects of erectile dysfunction on sexual activity can be mitigated by professional help and social support from relatives to remain sexually active [84,85]. Similarly, an association between sexual dysfunction and emotional problems derived from erectile disfunction may be observed [19,60].…”

Section: Discussionmentioning

confidence: 99%

Factors Conditioning Sexual Behavior in Older Adults: A Systematic Review of Qualitative Studies

Ricoy-Cano

Obrero‐Gaitán

Sánchez

et al. 2020

JCM

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The sexual behavior of older adults, especially women, has undergone changes in recent years, though there are still certain stereotypes today related to pathophysiology, beliefs, culture and tradition that negatively affect older adults’ sexual activity. The aim of our review is to present the main qualitative studies analyzing how physiological and psychosocial factors affect sexual behavior in older adults. A systematic review of these qualitative studies was carried out. All stages of this review were carried out peer-to-peer in order to guarantee minimized bias. A bibliographical search was completed between February and April 2019, in Web of Science, Scopus, PubMed Medline, PsycINFO ProQuest and CINAHL. To analyze the findings of the selected qualitative studies, a “Thematic Synthesis Analysis” was performed, using Eppi-Reviewer 4 software (UCL Institute of Education, University of London, UK). The quality of the studies was assessed with a CASP-Qualitative-Checklist. A total of 16,608 references were screened and 18 qualitative studies were included in this review. The studies involved 2603 participants across seven countries, most being women (approximately 80%). We identified a wide variety of physiological and psychological factors that can influence the sexual behavior of older adults, such as the presence of pathologies (erectile dysfunction and menopause), the strength of spiritual beliefs, and patriarchal roles upheld by upbringings conveying that women’s role is to provide men with sexual pleasure. Biological age in relation to stereotypical models of sexual behavior, emphasized as a risk factor in the contraction of sexual diseases, seems to play a relevant role as a factor limiting sexual behavior in older adults.

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Diagnosis and treatment of sexual dysfunction in elderly men

박

2019

J Korean Med Assoc

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Treatment for erectile dysfunction among older men in Northern Ireland

Cited by 3 publications

References 31 publications

Communication about physical activity to reduce vascular erectile dysfunction – A qualitative interview study among men in cardiac rehabilitation

Communication about physical activity to reduce vascular erectile dysfunction – A qualitative interview study among men in cardiac rehabilitation

Factors Conditioning Sexual Behavior in Older Adults: A Systematic Review of Qualitative Studies

Diagnosis and treatment of sexual dysfunction in elderly men

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