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Intimacy With Impotence : The Couple's Guide To Better Sex After Prostate Disease - Barbara Alterowitz

Intimacy With Impotence

The Couple's Guide To Better Sex After Prostate Disease

Paperback

Published: 1st June 2004
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Published: 27th April 2009
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Erectile dysfunction is a frequent consequence of prostate cancer and other prostate disease treatments. Though unwelcome and embarrassing, it doesn't have to end a couple's sex life. Both informative and practical, "Intimacy with Impotence" gives couples cause for hope. It discusses impotence in lay terms, provides information on the commercial therapies and medications both available and being researched now, and gives practical advice about lovemaking-from getting in the mood to commonsense suggestions to erection-less satisfaction. Written with complete honesty and compassion by a prostate cancer survivor and his wife, this is the essential resource for couples trying to reestablish intimacy and sex in the face of impotence.

"[This book is] outstanding, well-written, and should be read by all men and women."

Forewordp. ix
Prefacep. xi
Acknowledgmentsp. xiii
List of Contributorsp. xv
Introductionp. xvii
Impotence: An Opportunity to Revive Intimacyp. 1
Key Pointsp. 1
Reality Hitsp. 2
From Relationship RUT to CRESTp. 5
Breaking the Erectile Dysfunction Mindsetp. 6
Back to the Subject of Sex: Happiness Is an Erection--or Is It?p. 7
Mindsetp. 10
Facts about Impotencep. 11
Key Pointsp. 11
Causes of Erectile Dysfunctionp. 12
Sexuality, Impotence, and Agep. 13
What Is a "Normal" Sex Life?p. 13
It's Over--or Is It?p. 14
Trollope Works for Mep. 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 Impotencep. 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 Partnerp. 23
Key Pointsp. 23
Elephants Bitep. 25
Planning for Talkingp. 29
Improving the Quality of the Relationshipp. 29
Are you in a RUT?p. 30
What would you like?p. 30
Make arrangementsp. 30
Have a heart-to-heart talkp. 31
Do it!p. 32
Reviewp. 33
Two Effective Approaches to Handling Differencesp. 34
Sex and the Single Manp. 35
Reviving Lovingp. 37
Key Pointsp. 37
Relearning Lovingp. 39
Creating a Loving Environmentp. 41
Increasing Desirep. 43
Pleasing a Womanp. 45
Loving Is a Partnering Activity, Not a Solo Sportp. 46
Learning about Your Own--and Your Partner's--Anatomyp. 47
Be Creative in Your Love Lifep. 48
Making Things Romanticp. 50
Early Bird Special Sexp. 51
The Partner's Rolep. 52
Take Timep. 54
Just Do It: Make Lovep. 54
Sensual Sexp. 57
Key Pointsp. 57
A Sensual Encounterp. 58
What Sensual Sex Is All Aboutp. 61
Getting in the Moodp. 61
Getting Preparedp. 63
Sensual Arousalp. 65
Kissingp. 65
Touchingp. 66
Touchpointsp. 67
Giving and Receivingp. 71
Penile Massagep. 71
Oral Sexp. 71
Massagep. 72
Visualization and Sexual Fantasyp. 73
Special Techniques to Assist in Sex with Impotencep. 75
Using gravityp. 75
Massaging the penisp. 75
Partial penetrationp. 76
Female orgasms with a limp penisp. 76
The Self-Renewing Relationshipp. 77
Getting into Shape for Sexp. 79
Key Pointsp. 79
Eating Rightp. 81
Exercisingp. 82
Physical activity and routinesp. 84
Pelvic floor exercisesp. 86
Talking with Your Doctorp. 89
Key Pointsp. 89
Understanding the Doctor's Situationp. 90
Preparing for a Visit to Discuss Sexual Dysfunction Issuesp. 91
Writing down your questionsp. 91
Making the appointmentp. 93
Getting the Most from the Meetingp. 94
How to Be Sure the Doctor or Other Professional Is Truly Listeningp. 96
Commercial Therapies and Medicationsp. 97
Key Pointsp. 97
Is There a One-Size-Fits-All Treatment?p. 98
Treatments: What Works for You?p. 99
Understand the psychological side effects of treatmentp. 100
Understand what anxiety can dop. 101
The importance of a conservative approachp. 102
Why so much information?p. 103
Pill Splittingp. 106
Interpreting Clinical Trial Resultsp. 106
The List of Treatmentsp. 108
Penile rehabilitationp. 109
Oral medicationsp. 113
Topical medications: penile creams and gelsp. 127
Intraurethral medicationp. 131
Penile injection (intracavernosal injection)p. 135
New medications in developmentp. 144
Devicesp. 147
Penile splints and supportsp. 147
Vacuum therapy systemsp. 147
Penile implantsp. 158
Surgeryp. 162
Neural therapiesp. 162
Nerve sparing surgeryp. 162
Nerve grafting surgeryp. 165
Neural regenerationp. 167
Penile vascular surgeryp. 167
New target areas for erectile dysfunction researchp. 169
Nonapproved and Off Label Treatmentsp. 173
Key Pointsp. 173
Combination Therapiesp. 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 ringp. 176
Sildenafil (Viagra) and a vacuum erection devicep. 176
Sildenafil (Viagra) and intraurethral prostaglandin E-1 (MUSE)p. 176
Sildenafil (Viagra) and intracavernosal injection (Caverject)p. 176
Combination therapies using yohimbine hydrochloridep. 177
Yohimbine and L-arginine glutamatep. 177
Yohimbine and Naltrexonep. 177
Off Label Drug Usagep. 178
Dopamine receptor agonistsp. 178
Herbal Products and Dietary Supplementsp. 178
Ginkgop. 180
L-argininep. 181
Kavap. 181
Korean Red Ginsengp. 182
Putting It All Togetherp. 183
Romeo and Julietp. 183
Napoleon and Josephinep. 184
Bill and Jillp. 186
Treatments for Erectile Dysfunctionp. 189
Medicationsp. 190
Devicesp. 191
Combination Therapiesp. 192
Non-FDA-Approved Therapiesp. 193
New Medications in Developmentp. 194
Manufacturers of Erectile Dysfunction Productsp. 195
Resourcesp. 201
References and Further Readingp. 205
Booksp. 205
Scientific and technical papersp. 208
Indexp. 213
Table of Contents provided by Ingram. All Rights Reserved.

ISBN: 9780738207896
ISBN-10: 0738207896
Audience: General
Format: Paperback
Language: English
Number Of Pages: 240
Published: 1st June 2004
Publisher: INGRAM PUBLISHER SERVICES US
Country of Publication: GB
Dimensions (cm): 22.6 x 15.3  x 1.4
Weight (kg): 0.3
Edition Number: 1