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Drugs known as PDE type 5 inhibitors increase penile blood flow. A thorough medical history, detailed sexual history, and physical examination are required before embarking upon any treatment or further investigations. There are other aspects to intimacy and not all couples require an active sex life to have a fulfilling relationship. Interestingly, over a third of the men in our survey reported that they know more about their spouse or partner s health issues than their own, added Dr Klemes. This stigma contributes to many men not seeking support until their depression is very severe, if at all.