SUMMARY :
The role of the partner in the induction or the maintenance of erectile dysfunction is fundamental; this factor greatly impacts on the results of the therapy, especially through the sexual motivation of the couple.
The erectile function cannot be isolated from the interaction of the couple: it is an indicator of the open or closed character of the relationship, as well as of the expression of the desire or of its inhibition.
The author analyses:
- the positive and the negative factors outcome of ED therapy;
- is the woman a victim of the impotence of her partner?
- can the female partner induce impotence?
But we don¹t forget that:
- a couple is never formed at random;
- you should assess the type of interaction of the couple to take it into account in the therapeutic strategies;
- study the types of interaction in the couple in defining the therapeutic strategy to adopt,
current vulnerabilities are the consequence of the imprint left by past history, where the "chercher la femme" initiator is not necessarily the same woman as she is todayŠ
- clearly identify the "possible psychogenic reactivation" for either of the partners at a vulnerable time when the ED is often no more than a multidimensional systemic indicator;
- therapeutic strategies, ± pharmacological erection inducers or sex therapy alone, or integrated therapies, taking account of individual and contextual factors in the couple¹s interaction;
- change in sexual roles of the partners or their perception of them;
- it is essential for any long-term treatment to take account of the relational dimensions of the ED and not just the immediate mechanical and lesional aspects.
Transsexualisme, les grandes questions.
Cette table ronde à traité d¹un sujet de plus en plus présent dans les préoccupations médicales après une période d¹évitement liée aux difficultés du diagnostic et à ses conséquences sociales et juridiques.