Patients, partenaires et couple, dans la prise en charge de la dysfonction érectile

The various treatments for erection difficulties are today part of a broader framework that takes account of all the relevant parameters. The role of aspects related to the partner and the couple's relationship is now a clear part of the standardised care provided for erectile dysfunction (ED). It can be difficult for the practitioner to grasp the importance of the partner's role in triggering the ED or maintaining it. And yet it is essential, before prescribing any treatment for erection difficulties, to ensure that the partner has sufficient motivation and will support the patient throughout the duration of the treatment. The sexology therapies used today are mainly based on the same cognitive and behavioural therapies that have been extensively used for other types of pathology such as depression or anxiety disorders, and are highly recommended for sexology care. They combine management of the emotional disturbances of ED and related anxiety, with the progressive reconstruction of sexual functions that can be profoundly disturbed by anxiety and negative cognitions. Although they have still not been sufficiently assessed for this indication, in studies with control groups, they have already shown that results using such therapies are much better compared to the prescription of a pharmacological treatment alone for ED.