ABSTRACT
Institute of Psychosexual Medicine training is appropriate for clinicians who examine patients and as such are well placed to address the interplay of emotional, psychosocial and physical aspects of sexual problems. Erectile dysfunction is probably the sexual problem to which physical treatments are the most relevant. However, they are a useful addition for those with significant medical conditions for whom sexual intercourse is important. Unlicenced medications have been available for longer and the most commonly used are the selective serotonin-reuptake inhibitor that have been used as daily oral preparations for many years for the treatment of depression and anxiety, as it was noticed that they could affect sexual function, especially delaying or preventing ejaculation in men. Clinicians may come across many preparations that are said to work for male sexual dysfunction and some of these suggestions will come from patients themselves.
