On the other hand, we know that human sexuality is a complex structure, and that human sexuality is affected to some extent by physiological conditions, but largely by cultural, social and psychological processes. Then don't these questions come to mind? In erectile dysfunction; Is it an organ, a system, a person, or a couple? Yes, sexual functions are complex, sexual dysfunction is also complex. Is it the diseased organ or another leg of the complex structure? Which ones can be treated and cured?
What about the partner... Well, men do not use drugs to masturbate. There is a woman in front of the penises and a man behind them. “Medicine does what women cannot”. For women, returning to organ sex again, difficulty in adapting to planned sex, medication should not be wasted.
It should not be forgotten that the cause of erectile dysfunction is mostly psychological. Therefore, the main treatment option is sexual therapy. Treating erectile dysfunction sometimes means working with performance anxiety, negative thoughts, feelings of guilt and sinfulness, past negative experiences, traumas, divorce or infidelity. It is a psychotherapeutic process that addresses privacy and traditions, dependent family relationships, dynamics of the couple relationship, anger, dominance, status, trust, sense of closeness, sexual attraction, partner's sexual problems, partner's sexual reluctance, and communication difficulties.
So when should we use medication for erectile dysfunction?
If organic causes are at the forefront, if sexual therapy needs to be postponed, if erectile dysfunction has developed as a side effect of any medication to be used for a short time, if the man is variable, multiple, If they have a partner, if the insistence on immediate intercourse during the ceremony cannot be resisted, and if the patient persistently demands medication rather than sexual therapy despite accurate and detailed information, medication should be used temporarily.
But in every treatment option, it should be questioned what the goal in human sexuality should be.. Mating to reproduce? Making love for pleasure?
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