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Proceedings from the 20 th World Congress of Sexual Health 122(1) Importance of family relationships including:(a) Strong/feminist mother/sister,(b) Nurturing/feminist/non-homophobic father,(c) Negative exposure to homophobic/sexist father.(2) Exposure to non-homophobic/non-sexist environments,including:(a) university classes reflecting similar values/beliefs,(b) Exposure to strong GLBT and feminist populations.(3) Personal experience in romantic and friendship relationships,including(a) Female friends/girlfriends who have experienced abuse/acts ofdiscrimination,(b) girlfriends identifying as feminists,(b) Forming friendships with GLBT individuals,(c) Negative exposure to straight males who overtly expresshomophobic and misogynistic qualities.Clinical/educational implications: Importance of: Increasing exposureto GLBT populations and women’s issues; exposing males to women’sleadership; affirming mothers to espouse feminist values and fatherswho are nurturing/non-homophobic.167CLINICAL EVALUATION OF A NEWBIBLIOTHERAPY FOR PREMATUREEJACULATIONP. Kempeneers 1,2,3 , R. Andrianne 1,3 , S. Bauwens 3 , S. Blairy 1 , I. Georis 3 ,J.F. Pairoux 3,41 University of Liege, Liege, 2 Alexians’ Hospital, Henri-Chapelle, 3 BibliothEP,Liege, 4 CHS, Lierneux, BelgiumPremature ejaculation (PE) is quite common. Although effective treatmentsdo exist, only few affected people consult a practitioner in orderto overcome their problem. On the other hand, studies have shownthat reading didactical documents about their PE problem might beuseful to men. Such approach is called “bibliotherapy”. The aim of thepresent study was to improve the bibliotherapy approach on the basisof up to date knowledge and techniques. The expected benefits were:(1) an efficient manual shorter than previous ones, (2) therapeuticprinciples easier to assimilate and (3) a method thereby made accessibleto a large public which usually does not consult for this type of sexualproblem. A short bibliotherapy named Practical Guide of PE [inFrench] was tested among 421 PE subjects. Self-reported anxiety,sexual satisfaction, ejaculatory latency time, feeling of control anddistress were measured: (1) at baseline, (2) at 4–8 months and (3) at10–14 months after reading the bibliotherapy. A control condition wascomposed by 67 subjects left on a waiting-list for two months afterbaseline. Significant improvements were found for all the parametersafter the bibliotherapy. They were associated with an adjustment ofsexual cognitions. The response to treatment seemed better when theseverity of PE was moderate, but did not seem related to variables suchas age, educational level and personality traits.Conclusion: Its cost/benefit ratio makes the Practical Guide an idealfirst line therapeutic tool. Its large diffusion might be useful in orderto improve sexual health in populations.168AN EXPLORATORY STUDY TO IDENTIFYOBSTACLES AND ENABLERS TOCOMMUNICATION ABOUT ERECTILEDYSFUNCTION FOLLOWINGCARDIAC TRAUMAG. Kiemle 1,2 , J. Deakin-Denman 31 Clinical Psychology (D. Clin. Psychol. Programme), University of Liverpool,Liverpool, 2 Psychological Therapies, Royal Bolton Hospital, GreaterManchester West Mental Health NHS Foundation Trust, Bolton, 3 PsychologyServices for Adults with a Learning Disability, Lincolnshire PartnershipNHS Foundation Trust, St. George’s Hospital, Lincoln, UKIntroduction: Previous literature demonstrates a lack of qualitativeresearch into communication between healthcare professionals andpatients about issues of sexuality, in the area of cardiovasculardisorders.Aims: To explore changes in sexual functioning following serious hearttrauma and resultant psychological effects; as well as barriers andenablers to communicating about sexual difficulties between patientsand professionals.Design: Non-experimental qualitative design using semi-structuredinterviews, and analysed using IPA aided by the computer softwareAtlas.ti.Participants and methods: In total, seven cardiac patients (A) and sixcardiac nursing professionals (B) took part in the study. Interviewschedule (A) focused on ‘Experience of heart problems’, ‘Psychologicalexperience of heart problems’, ‘Relationships’, ‘Sexual Relationship’,and ‘Communication’. Interview schedule (B) focused on ‘Experiencein Cardiac rehabilitation’, ‘Experience of Sexual Difficulties in Patients’and ‘Communicating about Sexual Difficulties’. Interpretative phenomenologicalanalysis (IPA) was used to analyse data and identify keythemes for both groups.Results: Over-arching themes demonstrating psychological effectsexperienced by patients were ‘Importance of Sex’, ‘Lack of Understanding’and ‘Psychological Input’. Barriers to communication identifiedby both groups included ‘Culture and Diversity’, ‘Embarrassment’,‘Self-Worth’ and ‘Professional Issues’. Enablers to communicationidentified by both groups were ‘Information’, ‘Training and Education’and ‘Professional Issues’.Conclusion: The study highlighted that ease of patient-professionalcommunication was vital for effective treatment and well-being ofpatients. It stressed the need for focused sensitive information forpatient awareness, as well as education for professionals in sexualdysfunction and its association with cardiac trauma, and training incommunication skills regarding sexual issues.169CAN SIMVASTATIN IMPROVE ERECTILEFUNCTION AND QUALITY OF LIFE IN MENWITH ERECTILE DYSFUNCTION?RATIONALE AND DESIGN OF THE ERECTILEDYSFUNCTION AND STATINS TRIAL[ISRCTN66772971]D. Trivedi 1 , M. Kirby 1 , F. Norman 1 , I. Przybytniak 1 , S. Ali 2 , D. Wellsted 31 Centre for Research in Primary and Community Care, University ofHertfordshire, Hatfield, 2 Department of Health Sciences, University of York,York, 3 Centre for Lifespan and Chronic Illness Research, University ofHertfordshire, Hatfield, UKObjective: To describe the rationale and design of the Erectile Dysfunctionand Statins (EDS) trial evaluating the effectiveness of simvastatinon erectile function and quality of life (QoL) in men witherectile dysfunction.Patients and methods:• Erectile Dysfunction (ED) is a common sexual health problem inmen over forty years with a major impact on their, and their partners’QoL. Treatment is expensive and restricted.J Sex Med 2011;8(suppl 3):84–299jsm_2325.indd 1225/20/2011 8:18:15 PM