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A translation may be helpful. Sexual health is the integration of your psychological, biological, and interpersonal sexual energies in a comfortable, meaningful, and satisfying way. In short, you feel confi dent and strong about yourself as a sexual man and know that others feel comfortable with you as well. Sex is a physiological, natural function, and sex is part of sexuality. Sexuality is a learned, psychosocial function. Sexuality is an integral part of every man’s personality and is expressed in all that we do. In the broadest sense, sexuality is the psychic energy that fi nds physical and emotional expression in the desire for contact, warmth, tenderness, eroticism, and love.

Th is energy is part of a man’s balanced self-confi dence and strength. Fact #3: Men Have a Wide Range of Sexual Concerns Every man (and woman) has concerns about what is sexually normal. Th ere is a wide range of concerns about what is normal physically (like penis size); how your sexual body functions (erections, ejaculation); what thoughts or fantasies are normal (e.g., being sexually aggressive, group sex, attracted to a coworker, sex with animals); how to make love.

The Viagra phenomenon, at its most basic level of analysis, has changed our understanding of sex in North America, and increasingly around the world as well. Normal sex now means sex on demand, sex for everyone, and sex for life (Loe, 2004). Although treatment of erectile dysfunction with Viagra has been shown to significantly improve quality of life parameters related to sexual dysfunction and mental health (Salonia et al., 2003), one argument among many others, is that the emergence of Viagra has only intensified our otherwise sexualized society in which sexual health and pleasure are endlessly promoted and appear to be the keys to life itself (Loe, 2004). Beyond these shifts in definitions however, the phenomenon has also impacted our broader ideas about health, aging, and masculinity. In 1993, the NIH Consensus Development Panel on Impotence reported that “appallingly little is known about the prevalence of erectile dysfunction in the United States and how this prevalence varies according to individual characteristics (age, race, ethnicity, socioeconomic status, and concomitant diseases and condition)”. Due to the plethora of interest and research on ED and ED-related matters that has occurred within the past ten years, most of which is largely due to the development of Viagra, the universe of knowledge regarding erectile dysfunction is increasing. As a result, researchers, and ultimately patients, have benefited from these events to some degree. At a deeper level of analysis, the case of Viagra exposes how the construction and dissemination of ‘facts’ can be undertaken by corporations, how diagnostic expansion can work in partnership with market expansion, and how medicalization can become synonymous with increased profits. This study, although focused specifically on Viagra, poses new, crucial questions about the intersection of science, treatment and capital.

Treatment of Physical Causes of ED ED is treatable at any age, a fact that is gaining increasing awareness and acceptance. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for ED. In approximately 95% of the cases, an effective treatment can be found. What follows are the many treatments available that can improve or return normal sexual function.

Oral Prescription Medications

Phosphodiesterase Type 5 Enzyme Inhibitors (PDE5) – These medications do not directly cause an erection of the penis, but they alter the body’s response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Currently there are three oral phosphodiesterase enzyme inhibitors are used to treat erectile dysfunction – Viagra, Levitra, and Cialis . Viagra, Levitra, and Cialis vary in dosage, duration of effectiveness, and possible side effects. All three drugs are generally well tolerated. They are often a good choice for men at any age and in any ethnic group who are in good health and who do not have conditions that preclude taking it (such as the use of nitrates or alpha-blockers). The success rates of all three drugs vary between 70% and 90%. A short pause for a little humor… In pharmacology, all drugs have two names, a trade name and a generic name. For example, the trade name of Tylenol also has a generic name of acetaminophen. Aleve is naproxen; Amoxil is amoxicillin; and Advil is ibuprofen. The Food and Drug Administration has been looking for a generic name for Pfizer’s “Viagra”; slidenafil citrate, 25 mg or 50 mg or 100 mg. After careful consideration by a team of government experts, it recently announced that it has settled on the generic name of mycoxafloppin . Also considered were mycoxafallin, mydixadud, mydixadrupin, mydixarizin, dixafix and ibepokin . Pfizer Corp. announced today that Viagra will soon be available in liquid form and will be marketed by Pepsi Cola as a power beverage suitable for use as a mixer. It will now be possible for a man to literally pour himself a stiff one. Obviously, we can no longer call this a soft drink and it gives new meaning to the names of “cocktails,” “highballs,” and just good old fashioned “stiff drinks.” Pepsi will market the new concoction by the name of “Mount & Do.”

As mentioned above, this was done 33 largely by developing and publishing the results from the MMAS, ‘estimating’ the extent of the ‘disease’ of erectile dysfunction in North America, and serving as chief author of the first peer-reviewed paper outlining sildenafil’s use as a treatment for erectile dysfunction. While appearing in media venues everywhere from Playboy to ABC’s Good Morning America to tout Viagra as “a dream practitioners in this field didn’t think possible” and “the start of an exciting revolution”, Dr. Goldstein did not readily divulge affiliations with Pfizer, thus appearing to the public as an unbiased expert (Loe, 2004). Interesting findings also arose from the search of the Science Citation Index with regards to the top 100 most cited articles with sildenafil in the title, abstract, or keywords. Of the top 25 articles, more than half have at least one author who publicly receives funding from (Order Viagra), or serves as a consultant or speaker for Pfizer. It also becomes apparent from an exploration of this group of articles that aside from funding individual researchers, Pfizer also takes the more direct route to disseminate much-needed studies on Viagra: the formation of their own research teams. Although the first article to appear about sildenafil in 1996 already associated it as a treatment for erectile dysfunction (completed at Pfizer Central Research in the U.K.), it serves as the third most cited article about the drug (Boolell et al., 1996,Order Viagra). The second most cited study focuses on drug biochemical properties, more specifically in reviewing recent work on the newly discovered cyclic nucleotide phosphodiesterase (PDE) families, as well as other specific PDEs in the regulation of Tcell activation, insulin secretion, growth, fertility and penile erection (Soderling and Beavo, 2000). With such a broad range of conditions and treatments related to PDEs, the article by Soderling and Beavo is undoubtedly cited in many publications which are not related to erectile dysfunction or sildenafil usage. Hence, it appears as the second most cited article associated with sildenafil almost by chance. The most cited article was completed by Goldstein et al., as part of the Sildenafil Study Group’s study on the evaluation of the efficacy and safety of sildenafil (1998,Order Viagra).

The appearance of Viagra on the medical scene in 1998 as the first FDA approved drug for erectile dysfunction (ED) helped over 16 million men around the world improve their sex lives and relationships. Amazingly, approximately 9 Viagra tablets are dispensed every second worldwide. Since its launch, no other therapy or prescription drug for erectile dysfunction has been studied as much or has the same amount of real-world experience as Viagra. More than 600,000 doctors have chosen the prescription drug Viagra for their patients with ED. As a result of its effectiveness and marketplace success, Viagra has been followed by similar ED medications, Cialis and Levitra, and the lives of men (and women,Order Viagra) haven’t been the same since. The goal of this eBook is to provide as much helpful information as possible for those men (and their loved ones) who believe they may be affected by erectile dysfunction, but have been reluctant to directly confront the issue – either in the bedroom, with their partner, or most importantly, with their physician. Included in this publication are links to sites for more information, links to informative websites, supplement providers, and suggestions for further reading. Please take advantage of these valuable resources. Erectile dysfunction is a highly treatable condition at any age, a fact which should offer hope and encouragement to those affected. Often, erectile dysfunction is an early warning sign of other more serious conditions, further supporting the wisdom in seeking professional medical counsel. The reader is strongly encouraged to consult with their physician regarding any symptoms of ED as soon as possible. Good luck and good sex!