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Treatment motivation of men with ED: what motivates men with ED to seek professional help and how can women support their partners?

International Journal of Impotence Research volume 25, pages 56–62 (2013)Cite this article

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Abstract

Although ED can impair sexual satisfaction as well as the quality of partnership and life, men affected often avoid seeking treatment. There is growing evidence that women have an influence on their partner’s help-seeking behavior. This qualitative study examined men with ED and their female partners in order to detect motivational factors for men to seek treatment and motivational actions of the women to support their partners. Twelve couples took part in a semi-structured telephone interview, which was performed separately in men and women. Analysis was on the basis of the Grounded Theory. The identified motivational factors could be divided into extrinsic (for example, media, female partner) and intrinsic (for example, desire to clarify the cause of the ED, hope for improvement) factors. Women can support their partners in treatment-seeking through various motivational actions such as talking with each other, showing interest and dealing actively with the problem, appealing to the male self-esteem, supporting the doctor’s visit, forcing the treatment, active cooperation and participation in the treatment or initiating sexual intercourse. On the basis of these findings, recommendations for women were developed to support their partners and increase the probability of help-seeking behavior.

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References

  1. Rosen RC, Fisher WA, Eardley I, Niederberger C, Nadel A, Sand M . The multinational Men's Attitudes to Life Events and Sexuality (MALES) study: I. Prevalence of erectile dysfunction and related health concerns in the general population. Curr Med Res Opin 2004; 20: 607–617.

    Article  Google Scholar 

  2. Kubin M, Wagner G, Fugl-Meyer AR . Epidemiology of erectile dysfunction. Int J Impot Res 2003; 15: 63–71.

    Article  CAS  Google Scholar 

  3. Schaefer GA, Ahlers CJ . [Differential diagnostische Diskussion der Erektionsstörung]. Urologe 2006; 45: 967–974.

    Article  CAS  Google Scholar 

  4. Abolfotouh MA, al Helali NS . Effect of erectile dysfunction on quality of life. East Mediterr Health J 2001; 7: 510–518.

    CAS  PubMed  Google Scholar 

  5. Beutel ME, Schumacher J, Weidner W, Brahler E . Sexual activity, sexual and partnership satisfaction in ageing men - results from a German representative community study. Andrologia 2002; 34: 22–28.

    Article  CAS  Google Scholar 

  6. Jonler M, Moon T, Brannan W, Stone NN, Heisey D, Bruskewitz RC . The effect of age, ethnicity and geographical location on impotence and quality of life. Br J Urol 1995; 75: 651–655.

    Article  CAS  Google Scholar 

  7. Metz ME, Epstein N . Assessing the role of relationship conflict in sexual dysfunction. J Sex Marital Ther 2002; 28: 139–164.

    Article  Google Scholar 

  8. Rosen RC, Seidman SN, Menza MA, Shabsigh R, Roose SP, Tseng LJ et al. Quality of life, mood, and sexual function: A path analytic model of treatment effects in men with erectile dysfunction and depressive symptoms. Int J Impot Res 2004; 16: 334–340.

    Article  CAS  Google Scholar 

  9. Sanchez-Cruz JJ, Cabrera-Leon A, Martin-Morales A, Fernandez A, Burgos R, Rejas J . Male erectile dysfunction and health-related quality of life. Eur Urol 2003; 44: 245–253.

    Article  CAS  Google Scholar 

  10. Fisher WA, Rosen RC, Eardley I, Sand M, Goldstein I . Sexual experience of female partners of men with erectile dysfunction: the Female Experience of Men's Attitudes to Life Events and Sexuality (FEMALES) study. J Sex Med 2005; 2: 675–684.

    Article  Google Scholar 

  11. Fisher WA, Rosen RC, Eardley I, Sand M, Goldstein I . Sexual experience of female partners of men with erectile dysfunction: The Female Experience of Men's Attitudes to Life Events and Sexuality (FEMALES) study. J Sex Med 2005; 2: 675–684.

    Article  Google Scholar 

  12. Chevret M, Jaudinot E, Sullivan K, Marrel A, De Gendre AS . Impact of erectile dysfunction (ED) on sexual life of female partners: assessment with the Index of Sexual Life (ISL) questionnaire. J Sex Marital Ther 2004; 30: 157–172.

    Article  Google Scholar 

  13. Cayan S, Bozlu M, Canpolat B, Akbay E . The assessment of sexual functions in women with male partners complaining of erectile dysfunction: does treatment of male sexual dysfunction improve female partner's sexual functions? J Sex Marital Ther 2004; 30: 333–341.

    Article  Google Scholar 

  14. Carroll JL, Bagley DH . Evaluation of sexual satisfaction in partners of men experiencing erectile failure. J Sex Marital Ther 1990; 16: 70–78.

    Article  CAS  Google Scholar 

  15. Mathias SD, O'Leary MP, Henning JM, Pasta DJ, Fromm S, Rosen RC . A comparison of patient and partner responses to a brief sexual function questionnaire. J Urol 1999; 162: 1999–2002.

    Article  CAS  Google Scholar 

  16. Montorsi F, Padma-Nathan H, Glina S . Erectile function and assessments of erection hardness correlate positively with measures of emotional well-being, sexual satisfaction, and treatment satisfaction in men with erectile dysfunction treated with sildenafil citrate (Viagra). Urology 2006; 68: 26–37.

    Article  Google Scholar 

  17. Mulhall J, Althof SE, Brock GB, Goldstein I, Junemann KP, Kirby M . Erectile dysfunction: monitoring response to treatment in clinical practice--recommendations of an international study panel. J Sex Med 2007; 4: 448–464.

    Article  Google Scholar 

  18. Dean J, Rubio-Aurioles E, McCabe M, Eardley I, Speakman M, Buvat J et al. Integrating partners into erectile dysfunction treatment: improving the sexual experience for the couple. Int J Clin Pract 62: 127–133 2008.

    Article  CAS  Google Scholar 

  19. Kelly MP, Strassberg DS, Turner CM . Communication and associated relationship issues in female anorgasmia. J Sex Marital Ther 2004; 30: 263–276.

    Article  Google Scholar 

  20. Kelly MP, Strassberg DS, Turner CM . Behavioral assessment of couples' communication in female orgasmic disorder. J Sex Marital Ther 2006; 32: 81–95.

    Article  Google Scholar 

  21. Corona G, Petrone L, Mannucci E, Ricca V, Balercia G, Giommi R et al. The impotent couple: low desire. Int J Androl 2005; 28: 46–52.

    Article  Google Scholar 

  22. Ehrensaft MK, Condra M, Morales A, Heaton J . Communication patterns in patients with erectile dysfunction and their partners. Int J Impot Res 1994; 6: 25–32.

    CAS  PubMed  Google Scholar 

  23. Mulhall J, Althof SE, Brock GB, Goldstein I, Jünemann K-P, Kirby M . Erectile dysfunction: monitoring response to treatment in clinical practice-recommendations of an international study panel. J Sex Med 2007; 4: 448–464.

    Article  Google Scholar 

  24. Müller MJ, Ruof J, Graf-Morgenstern M, Porst H, Benkert O . Quality of partnership in patients with erectile dysfunction after sildenafil treatment. Pharmacopsychiatry 2001; 34: 91–95.

    Article  Google Scholar 

  25. Althof SE, O’Leary MP, Cappelleri JC, Hvidsten K, Stecher VJ, Glina S et al. Sildenafil citrate improves self-esteem, confidence, and relationships in men with erectile dysfunction: results from an international, multi-center, double-blind, placebo-controlled trial. J Sex Med 2006; 3: 521–529.

    Article  CAS  Google Scholar 

  26. Kubin M, Wagner G, Fugl-Meyer AR . Epidemiology of erectile dysfunction. Int J Impot Res 2003; 15: 63–71.

    Article  CAS  Google Scholar 

  27. Ansong KS, Lewis C, Jenkins P, Bell J . Help-seeking decisions among men with impotence. Urology 1998; 52: 834–837.

    Article  CAS  Google Scholar 

  28. Aversa A, Isidori AM, Gianfrilli D, Greco EA, Graziottin A, Zizzo G et al. Are subjects with erectile dysfunction aware of their condition? Results from a retrospective study based on an Italian free-call information service. J Endocrinol Invest 2004; 27: 548–556.

    Article  CAS  Google Scholar 

  29. Moreira EDJ, Brock G, Glasser DB, Nicolosi A, Laumann EO, Paik A et al. Help-seeking behaviour for sexual problems: the Global Study of Sexual Attitudes and Behaviors. Int J Clin Pract 2005; 59: 6–16.

    Article  Google Scholar 

  30. Shabsigh R, Perelman MA, Laumann EO, Lockhart DC . Drivers and barriers to seeking treatment for erectile dysfunction: a comparison of six countries. BJU Int 2004; 94: 1055–1065.

    Article  Google Scholar 

  31. Fisher WA, Rosen RC, Mollen M, Brock G, Karlin G, Pommerville P et al. Improving the sexual quality of life of couples affected by erectile dysfunction: a double-blind, randomized, placebo-controlled trial of vardenafil. J Sex Med 2005; 2: 699–708.

    Article  CAS  Google Scholar 

  32. Mirone V, Gentile V, Zizzo G, Terry M, Longo N, Fusco F et al. Did men with erectile dysfunction discuss their condition with partner and physicians? A survey of men attending a free call information service. Int J Impot Res 2002; 14: 256–258.

    Article  CAS  Google Scholar 

  33. Günzler C, Kriston L, Stodden V, Leiber C, Berner MM . Can written information material help to increase treatment motivation in patients with erectile dysfunction? A survey of 1188 men. Int J Impot Res 2007; 19: 330–335.

    Article  Google Scholar 

  34. Berner MM, Leiber C, Kriston L, Stodden V, Günzler C . Effects of written information material on help-seeking behavior in patients with erectile dysfunction: a longitudinal study. J Sex Med 2008; 5: 436–447.

    Article  Google Scholar 

  35. Riley A . The role of the partner in erectile dysfunction and its treatment. Int J Impot Res 2002; 14: S105–S109.

    Article  Google Scholar 

  36. Selting M, Auer P, Barden B, Bergmann J, Couper-Kuhlen E, Günthner S et al. [Gesprächsanalytisches Transkriptionssystem (GAT)]. Linguistische Berichte 1998; 173: 91–122.

    Google Scholar 

  37. Glaser BG, Strauss AL . The Discovery of Grounded Theory. Strategies for Qualitative Research. Chicago: Aldine Publications, 1967.

    Google Scholar 

  38. Strauss AL . [Grundlagen qualitativer Sozialforschung – Datenanalyse und Theoriebildung in der empirischen soziologischen Forschung].. Fink: München, 1991.

    Google Scholar 

  39. Flick U . [Psychologie Des Technisierten Alltags]. Westdeutscher Verlag: Opladen, 1996.

    Book  Google Scholar 

  40. Flick U . [Qualitative Sozialforschung]. Rowohlt: Hamburg, 2007.

    Google Scholar 

  41. Charmaz K, Bryant A . Grounded Theory. In: Peterson P, Baker E, McGaw B. International Encyclopedia of Education. Academic Press: Oxford, UK,, 2010; pp 406–412.

    Chapter  Google Scholar 

  42. Atlas.ti 5. The knowledge workbench. Berlin, 1997 Computer Program.

  43. Muhr T . User's manual for ATLAS.ti 5. 2nd edn. Scientific Software. Development: Berlin, 2004.

  44. Norcross WA, Ramirez C, Palinkas LA . The influence of women on the health care-seeking behavior of men. J Fam Pract 1996; 43: 475–480.

    CAS  PubMed  Google Scholar 

  45. Umberson D . Gender, marital status and the social control of health behavior. Soc Sci Med 1992; 34: 907–917.

    Article  CAS  Google Scholar 

  46. Shabsigh R, Perelman MA, Laumann EO, Lockhart DC . Drivers and barriers to seeking treatment for erectile dysfunction: a comparison of six countries. BJU Int 2004; 94: 1055–1065.

    Article  Google Scholar 

  47. Fisher WA, Rosen RC, Mollen M, Brock G, Karlin G, Pommerville P et al. Improving the sexual quality of life of couples affected by erectile dysfunction: a double-blind, randomized, placebo-controlled trial of vardenafil. J Sex Med 2005; 2.

  48. Kelly MP, Strassberg DS, Turner CM . Behavioral assessment of couples' communication in female orgasmic disorder. J Sex Marital Ther 2006; 32: 81–95.

    Article  Google Scholar 

  49. Hon ARR . Factors influencing the adherence of antipsychotic medication (Aripiprazole) in first-episode psychosis: findings from a grounded theory study. J Psychiatr Ment Health Nurs 2012; 19: 354–361.

    Article  CAS  Google Scholar 

  50. Olshansky EDRF . Feeling Normal Women's Experiences of Menopause After Infertility. MCN, Am J Matern Child Nurs 2005; 30: 195–200.

    Article  Google Scholar 

  51. Sandelowski M . Sample size in qualitative research. Res Nurs Health 1995; 18: 179–183.

    Article  CAS  Google Scholar 

  52. Richardson D, Wood K, Goldmeier DA . Qualitative pilot study of islamic men with lifelong premature (rapid) ejaculation. J Sex Med 2006; 3: 337–343.

    Article  Google Scholar 

  53. Steinke I . [Gütekriterien qualitativer Forschung]. In: Flick U, Kardoff Ev, Steinke I (eds). [Qualitative Forschung - ein Handbuch].. Rowohlt: Reinbek, 2000, pp 319–333.

    Google Scholar 

  54. Mayring P . [Einführung in die qualitative Sozialforschung]. 4th edn. Beltz, Psychologie Verlags Union: Weinheim, 2002.

    Google Scholar 

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Acknowledgements

We thank the Information Center for Sexuality and Health (ISG), the Department of Urology of the University Medical Center Freiburg and the participating self-help groups for the productive collaboration in performing the study. We further acknowledge the role of Erika Schmidt in preparing the interviews. We would further like to thank Hanna Schmidt for her collaboration, for example, in conducting interviews, and Sarah Mannion for proofreading. MMB currently holds research grants from the German Ministry for Education and Research. This study was supported by an unrestricted grant from Pfizer Germany.

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Authors and Affiliations

  1. Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany

    S Gerster, C Günzler & M M Berner

  2. Catholic University of Applied Scienes Freiburg, Freiburg, Germany

    C Roesler

  3. Department of Urology, University Medical Center Freiburg, Freiburg, Germany

    C Leiber

  4. Rhein-Jura-Clinic for Psychiatry, Psychosomatic Medicine and Psychotherapy, Bad Säckingen, Germany

    M M Berner

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  1. S Gerster
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Correspondence to S Gerster or M M Berner.

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Competing interests

The Information Center for Sexuality and Health (ISG) receives sponsoring from Pfizer and Lilly Germany. He received tuition fees from Lilly Icos and Pfizer He also received travel expenses from the European Sexual Dysfunction Alliance (ESDA). The remaining authors declare no conflict of interest.

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Gerster, S., Günzler, C., Roesler, C. et al. Treatment motivation of men with ED: what motivates men with ED to seek professional help and how can women support their partners?. Int J Impot Res 25, 56–62 (2013). https://doi.org/10.1038/ijir.2012.37

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