When it comes to erectile dysfunction (ED), many partners mistakenly interpret ED as a loss of attraction, infidelity or lack of interest. “In reality, ED is usually a medical condition with identifiable causes,” says Dr Jireh Serfontein, a medical doctor working exclusively in the field of sexual medicine, based in Pretoria. She adds that approximately 40% of men experience some degree of ED by age 40, with prevalence increasing significantly thereafter. Many men remain undiagnosed because they do not seek medical help.
What Is ED?
Erectile dysfunction is defined as the inability for a man to get and keep an erection firm enough for sexual intercourse. Encouraging a man to seek medical advice is vital, as ED can sometimes be an early warning sign of underlying health conditions such as cardiovascular disease, diabetes, or high blood pressure. “Because the penile arteries are smaller than those supplying the heart and brain, ED can appear earlier, often before a heart attack or stroke,” explains Prof Shingai Mutambirwa, Head of the Urology Department at The Sefako Makgatho Health Sciences University (SMU) in Ga-Rankuwa.
READ MORE: Supporting Your Partner Through Erectile Dysfunction
How To Support Your Partner?
It is important for partners to approach the issue with understanding and support. “Open communication helps reduce anxiety, misunderstandings, and emotional distance. It also encourages earlier medical consultation and better adherence to treatment. Couples who approach ED as a shared health issue rather than an individual failure generally achieve better outcomes,” says Dr Serfontein.
Navigating the Conversation With Empathy
Prof Mutambirwa agrees. “Communication is incredibly important, not only for the health of the relationship, but also to help ensure that a partner receives the appropriate treatment. We know that when one person experiences a sexual health problem, including erectile dysfunction, it can affect their partner’s sexual well-being too”.
Dr Bradley Wood, a urologist in private practice from Fourways, Johannesburg, says that while younger men may be more likely to seek medical help earlier, get a diagnosis and begin treatment, older generations are often reluctant to discuss issues like ED. “Some men simply do not want to discuss matters of such a personal nature and will not bring them up until the doctor raises the subject directly.”
He adds that the longer they delay diagnosis and treatment, the more problematic their possible underlying health conditions can become.
READ MORE: “I’m A Guy That Had Erectile Dysfunction, And This Is What I Want You To Know”
Understanding Treatment Options
Fortunately, Dr Wood says there are very effective treatments for ED. “The medications we use, particularly PDE5 inhibitors, are highly effective and very safe.” These include older options like sildenafil, as well as newer options such as tadalafil which offers more flexibility, both of which offer more affordable generic versions of these medicines. They work by helping improve the body’s natural erectile response by helping increase blood flow and make it easier to achieve and maintain an erection. Importantly, these medications do not automatically cause an erection, and sexual stimulation is still required for them to be effective.
Medication Flexibility and Spontaneity
Some PDE5 inhibitors can be taken daily or on demand. Treatments such as tadalafil may remain effective for up to 36 hours, offering greater spontaneity, while factors such as food and alcohol may influence the choice of treatment.
ED is common, treatable, and often provides valuable insight into a man’s overall health. Seeking medical advice early can improve sexual function, strengthen relationships, and in some cases, identify serious health conditions before they become life-threatening.
“Ultimately, open and honest communication helps reduce stigma, encourages earlier diagnosis and treatment, and supports both partners in maintaining a healthy and fulfilling relationship,” says Prof Mutambirwa.
READ MORE: 5 Scary Things That Happen To A Guy’s Penis When He Ages
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