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

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Da Capo Press, Apr 27, 2009 - Health & Fitness - 240 pages
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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.
 

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Contents

Exercising
83
Physical Activity and Routines
85
Pelvic floor exercises
87
Talking with Your Doctor
90
Understanding the Doctors Situation
91
Preparing for a Visit to Discuss Sexual Dysfunction Issues
92
Making the appointment
94
Getting the Most from the Meeting
95

Sexuality Impotence and Age
14
Its Overor Is It?
15
Trollope Works for Me
16
Whats the Truth?
18
Is nerve sparing or nerve grafting surgery a miracle treatment?
19
Is potency known immediately after surgery?
20
Do I need testosterone injections to increase my desire or treat my erection problems?
21
Will my partner have any effects from my radiation treatment for prostate cancer during intercourse?
22
Can my partner have an orgasm if I dont have an erection?
23
Talking with Your Partner
24
Elephants Bite
26
Planning for Talking
30
Are you in a RUT?
31
Have a hearttoheart talk
32
Do it
33
Review
34
Two Effective Approaches to Handling Differences
35
Sex and the Single Man
36
Reviving Loving
38
Relearning Loving
40
Creating a Loving Environment
42
Increasing Desire
44
Pleasing a Woman
46
Loving Is a Partnering Activity Not a Solo Sport
47
Learning about Your Own and Your PartnersAnatomy
48
Be Creative in Your Love Life
49
Making Things Romantic
51
Early Bird Special Sex
52
The Partners Role
53
Take Time
55
Sensual Sex
58
A Sensual Encounter
59
What Sensual Sex Is All About
62
Getting Prepared
64
Sensual Arousal
66
Touching
67
Touchpoints
68
Giving and Receiving
72
Massage
73
Visualization and Sexual Fantasy
74
Special Techniques to Assist in Sex with Impotence
76
Partial penetration
77
Getting into Shape for Sex
80
Eating Right
82
How to Be Sure the Doctor or Other Professional Is Truly Listening
97
Commercial Therapies and Medications
98
Is There a OneSizeFitsAll Treatment?
99
What Works for You?
100
Understand the psychological side effects of treatment
101
Understand what anxiety can do
102
The importance of a conservative approach
103
Why so much information?
104
Pill Splitting
107
The List of Treatments
109
Penile rehabilitation
110
Oral medications
114
penile creams and gels
128
Intraurethral medication
132
Penile injection intracavernosal injection
136
New medications in development
145
Devices
148
Penile implants
159
Surgery
163
Nerve grafting surgery
166
Neural regeneration
168
New target areas for erectile dysfunction research
170
Nonapproved and Off Label Treatments Key Points
174
Combination Therapies
176
Sildenafil Viagra and a tension ring
177
Combination therapies using yohimbine hydrochloride
178
Off Label Drug Usage
179
Ginkgo
181
Larginine
182
Korean Red Ginseng
183
Putting It All Together
184
Napoleon and Josephine
185
Bill and Jill
187
Treatments for Erectile Dysfunction
190
Table A2 Devices
192
Table A3 Combination Therapies
193
Table A4 NonFDAApproved Therapies
194
Table A5 New Medications in Development
195
Manufacturers of Erectile Dysfunction Products
196
Resources
202
References and Further Reading
206
Scientific and technical papers
209
Index
214
Copyright

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Page 208 - I et al.: Management of sexual dysfunction in patients with cardiovascular disease: recommendations of the Princeton Consensus Panel. Am J Cardiol 2000; 86 (Suppl.): 62F-68F.

About the author (2009)

The founding vice-chair and former Director of the National Prostate Cancer Coalition, Ralph Alterowitz is currently the President of the Education Center for Prostate Cancer Patients. He lives in Potomac, Maryland. Barbara Alterowitz is a marketing executive with an international technology firm. She lives in Potomac, Maryland.

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