| Foreword | p. ix |
| Preface | p. xi |
| Acknowledgments | p. xiii |
| List of Contributors | p. xv |
| Introduction | p. xvii |
| Impotence: An Opportunity to Revive Intimacy | p. 1 |
| Key Points | p. 1 |
| Reality Hits | p. 2 |
| From Relationship RUT to CREST | p. 5 |
| Breaking the Erectile Dysfunction Mindset | p. 6 |
| Back to the Subject of Sex: Happiness Is an Erection--or Is It? | p. 7 |
| Mindset | p. 10 |
| Facts about Impotence | p. 11 |
| Key Points | p. 11 |
| Causes of Erectile Dysfunction | p. 12 |
| Sexuality, Impotence, and Age | p. 13 |
| What Is a "Normal" Sex Life? | p. 13 |
| It's Over--or Is It? | p. 14 |
| Trollope Works for Me | p. 15 |
| The Effects of Prostate Cancer Treatment: What's the Truth? | p. 17 |
| Am I the only one with a problem? | p. 17 |
| Is nerve sparing or nerve grafting surgery a miracle treatment? | p. 18 |
| Is potency known immediately after surgery? | p. 19 |
| Will my penis be shorter after radical prostatectomy surgery? If it is, can I still have intercourse? | p. 19 |
| Do I need testosterone injections to increase my desire or treat my erection problems? | p. 20 |
| Does hormone treatment destroy desire and potency? | p. 20 |
| Can sex stimulate cancer? Can I transmit cancer to my partner through sex? | p. 20 |
| Will my partner have any effects from my radiation treatment for prostate cancer during intercourse? | p. 21 |
| What are the effects of treatment for benign prostatic hyperplasia (BPH)? | p. 21 |
| General Questions and Answers about Impotence | p. 21 |
| Do I need an erection to have an orgasm? | p. 21 |
| Can my partner have an orgasm if I don't have an erection? | p. 22 |
| Does satisfaction require having an orgasm? | p. 22 |
| If one medication, such as Viagra, does not work for me, will another one work? | p. 22 |
| Talking with Your Partner | p. 23 |
| Key Points | p. 23 |
| Elephants Bite | p. 25 |
| Planning for Talking | p. 29 |
| Improving the Quality of the Relationship | p. 29 |
| Are you in a RUT? | p. 30 |
| What would you like? | p. 30 |
| Make arrangements | p. 30 |
| Have a heart-to-heart talk | p. 31 |
| Do it! | p. 32 |
| Review | p. 33 |
| Two Effective Approaches to Handling Differences | p. 34 |
| Sex and the Single Man | p. 35 |
| Reviving Loving | p. 37 |
| Key Points | p. 37 |
| Relearning Loving | p. 39 |
| Creating a Loving Environment | p. 41 |
| Increasing Desire | p. 43 |
| Pleasing a Woman | p. 45 |
| Loving Is a Partnering Activity, Not a Solo Sport | p. 46 |
| Learning about Your Own--and Your Partner's--Anatomy | p. 47 |
| Be Creative in Your Love Life | p. 48 |
| Making Things Romantic | p. 50 |
| Early Bird Special Sex | p. 51 |
| The Partner's Role | p. 52 |
| Take Time | p. 54 |
| Just Do It: Make Love | p. 54 |
| Sensual Sex | p. 57 |
| Key Points | p. 57 |
| A Sensual Encounter | p. 58 |
| What Sensual Sex Is All About | p. 61 |
| Getting in the Mood | p. 61 |
| Getting Prepared | p. 63 |
| Sensual Arousal | p. 65 |
| Kissing | p. 65 |
| Touching | p. 66 |
| Touchpoints | p. 67 |
| Giving and Receiving | p. 71 |
| Penile Massage | p. 71 |
| Oral Sex | p. 71 |
| Massage | p. 72 |
| Visualization and Sexual Fantasy | p. 73 |
| Special Techniques to Assist in Sex with Impotence | p. 75 |
| Using gravity | p. 75 |
| Massaging the penis | p. 75 |
| Partial penetration | p. 76 |
| Female orgasms with a limp penis | p. 76 |
| The Self-Renewing Relationship | p. 77 |
| Getting into Shape for Sex | p. 79 |
| Key Points | p. 79 |
| Eating Right | p. 81 |
| Exercising | p. 82 |
| Physical activity and routines | p. 84 |
| Pelvic floor exercises | p. 86 |
| Talking with Your Doctor | p. 89 |
| Key Points | p. 89 |
| Understanding the Doctor's Situation | p. 90 |
| Preparing for a Visit to Discuss Sexual Dysfunction Issues | p. 91 |
| Writing down your questions | p. 91 |
| Making the appointment | p. 93 |
| Getting the Most from the Meeting | p. 94 |
| How to Be Sure the Doctor or Other Professional Is Truly Listening | p. 96 |
| Commercial Therapies and Medications | p. 97 |
| Key Points | p. 97 |
| Is There a One-Size-Fits-All Treatment? | p. 98 |
| Treatments: What Works for You? | p. 99 |
| Understand the psychological side effects of treatment | p. 100 |
| Understand what anxiety can do | p. 101 |
| The importance of a conservative approach | p. 102 |
| Why so much information? | p. 103 |
| Pill Splitting | p. 106 |
| Interpreting Clinical Trial Results | p. 106 |
| The List of Treatments | p. 108 |
| Penile rehabilitation | p. 109 |
| Oral medications | p. 113 |
| Topical medications: penile creams and gels | p. 127 |
| Intraurethral medication | p. 131 |
| Penile injection (intracavernosal injection) | p. 135 |
| New medications in development | p. 144 |
| Devices | p. 147 |
| Penile splints and supports | p. 147 |
| Vacuum therapy systems | p. 147 |
| Penile implants | p. 158 |
| Surgery | p. 162 |
| Neural therapies | p. 162 |
| Nerve sparing surgery | p. 162 |
| Nerve grafting surgery | p. 165 |
| Neural regeneration | p. 167 |
| Penile vascular surgery | p. 167 |
| New target areas for erectile dysfunction research | p. 169 |
| Nonapproved and Off Label Treatments | p. 173 |
| Key Points | p. 173 |
| Combination Therapies | p. 175 |
| Combination therapies using sildenafil (Viagra) | p. 175 |
| Sildenafil (Viagra) and doxazosin (Cardura) | p. 175 |
| Sildenafil (Viagra) and apomorphine (Ixense and Uprima, in Europe, Latin America, and Asia only) | p. 175 |
| Sildenafil (Viagra) and a tension ring | p. 176 |
| Sildenafil (Viagra) and a vacuum erection device | p. 176 |
| Sildenafil (Viagra) and intraurethral prostaglandin E-1 (MUSE) | p. 176 |
| Sildenafil (Viagra) and intracavernosal injection (Caverject) | p. 176 |
| Combination therapies using yohimbine hydrochloride | p. 177 |
| Yohimbine and L-arginine glutamate | p. 177 |
| Yohimbine and Naltrexone | p. 177 |
| Off Label Drug Usage | p. 178 |
| Dopamine receptor agonists | p. 178 |
| Herbal Products and Dietary Supplements | p. 178 |
| Ginkgo | p. 180 |
| L-arginine | p. 181 |
| Kava | p. 181 |
| Korean Red Ginseng | p. 182 |
| Putting It All Together | p. 183 |
| Romeo and Juliet | p. 183 |
| Napoleon and Josephine | p. 184 |
| Bill and Jill | p. 186 |
| Treatments for Erectile Dysfunction | p. 189 |
| Medications | p. 190 |
| Devices | p. 191 |
| Combination Therapies | p. 192 |
| Non-FDA-Approved Therapies | p. 193 |
| New Medications in Development | p. 194 |
| Manufacturers of Erectile Dysfunction Products | p. 195 |
| Resources | p. 201 |
| References and Further Reading | p. 205 |
| Books | p. 205 |
| Scientific and technical papers | p. 208 |
| Index | p. 213 |
| Table of Contents provided by Ingram. All Rights Reserved. |
