Take the case of Robert and Jane. Their six-year marriage had hit serious snags and they were working—seemingly to no avail—with a psychiatrist to iron things out. Robert had trouble getting an erection, and seven months of very expensive therapy was fueling his anger, making his ED a burden that grew heavier day after day.

The primary conflict in their marriage was Jane’s career. While Koberi was proud of her accomplishments—she was a successful and highly visible banker—he chafed at her absences from home. And although he certainly admired her financial acumen and respected her choice to keep her personal finances and investments separate from his, the fact that she was more savvy at it than he was bothering him.

Jane, on her part, craved intimacy with her husband. She knew that her extended absences were a strain on their marriage and she felt that closeness was even more important those times when she was home. But when she was there, she was tired and sex wasn’t necessarily what she needed or wanted.

Robert, on the other hand, began to feel that Jane’s frequent absences were growing proof that she didn’t really love him. And when they did have time for sex, he found, to his growing dismay, that he was often unable to achieve an erection. His anxiety increased, leading to more erectile failure, which, in turn, led to even more worry about his performance in bed. Eventually, he avoided any kind of physical closeness altogether.

Jane took his behavior as a clear sign that he was no longer interested in her. One night, they finally had the confrontation that had been building for months. When Robert, after two glasses of Scotch, told Jane that her career left no room for him and made him feel worthless, she was stunned. The ultimate accusation was even worse: his ED, he said, was her fault.

Stung by his words, Jane knew they were at a turning point in their marriage. Fortunately, she had heard about the clinical trials of the new oral ED medications from a colleague. Feeling there was nothing to lose, she mentioned them and offered to accompany Robert to my office.

Now they began to make headway in their work with the psychiatrist, and they were willing and able to address the issues that concerned them. Defining what intimacy and sex meant to each of them, as well as dealing with the problems brought about by careers and finances, brought them closer. And as their communication skills improved, their relationship flourished. Over time, Robert’s’ erectile difficulties began to vanish. Soon, he found that he didn’t always need a pill to achieve an erection.

But the best part of this story is this: the effect of psychotherapy is jump-started by the medication, and the time an ED patient will spend in a therapist’s office is, therefore, vastly reduced. Had Robert come to me for the medication as soon as his problem began, I might have been able to shorten his time on the psychiatrist’s couch by half.

Mark, Jim, and Robert are just three of my many patients who have had their sex lives fully restored using the new medications. Whether the syndrome is provoked by changes in circumstances, which cause a temporary and easily rectified problem, or by ongoing worries about endurance, past performance, or other conditions, this medication regimen can help. Its effect is so profound that it is capable of aiding those men who suffer from ED as the result of certain diseases. 11 can even produce startling results for men who have suffered with ED for a decade or more.

*4\183\8*

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