However, if the patient's mood improves, as his impotence worsens, the anti-depressant should be changed. Desire precedes arousal. The partner must be sympathetic and make an effort comparable to their wedding night. And, she should be aware of the problems peculiar to the PD patient. This includes a decreased sense of smell, resulting in an inability to be aroused by provocative odors including perfumes, hair lotions, and body parts.
Position is important.
The PD patient may find certain positions promote arterial filling, impede venous drainage, and prolong potency. Each couple should explore different positions and find the ones most satisfactory to them. There are other treatment for impotence and these should be discussed with your physician. If serum prolactin levels are high, bromocriptine should be tried. The dose is 2.5 mg four times a day.