Study Design

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Prospective, interventional study. n = 37 couples.

Patients were initially offered a range of treatments: sex therapy (individual or couple), oral medications (yohimbine or an investigational drug), intracavernous injections, or vacuum constriction devices. Those couples accepting couple therapy were entered into this study approximately 3 weeks after initial assessment. During this pretreatment period, diaries were kept recording sexual interest, presence of erections, and attempts at sexual intercourse. These diaries were repeated at the end of therapy.

The couple therapy package included Modified Modern Sex Therapy (MMST) and Behavioral Systems Couple Therapy

(BSCT). Six therapy sessions were provided at fortnightly intervals, and failure to progress in relationship therapy or noncom-pletion of sex therapy homework assignments by the third session resulted in systemic interventions being used (Crowe and Ridley hierarchy).

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