I blame Pfizer Inc.
As men, our lives were relatively uncomplicated until Pfizer Inc. invented Viagra. Until then, we could huddle away in a dark corner and indulge our melodramatic ability to feel sorry for ourselves. Our world had come to an end. We had ED. That made us no better than women (sorry, I exaggerate – we are always better than women. . .
Can I say that here? Sorry, I’ll be back with you in a minute. I just have to ask the editor of this site whether I can be so obviously sexist. We’ve been getting so politically correct about what we can or cannot say, I get confused about how much of what I think I can write. OK. He says I can keep the meaning but I should write it in a more subtle way.
Erectile dysfunction and those antidepressants.
Just to repeat the general message running through these articles: if you are aged between forty and seventy years, you have a fifty/fifty chance of experiencing some degree of erectile dysfunction (ED). Some 10% of you will have a complete failure of erections – more often, this affects older men. Alongside this news is the equally significant evidence of depressive illnesses. Researchers estimate that about a quarter of men will suffer some degree of anxiety or depression at some point during their lives. When this happens, the symptoms may not appear too serious and you will probably not seek treatment. But you are twice as likely to suffer decreased libido and ED than someone not depressed, leading you to reduce or avoid sexual contract for a while. Many of you will leave the depression, if such it is, untreated and buy Viagra, Cialis or Levitra online. This is an entirely understandable reaction. But it is always better to get a professional opinion before self-medicating.
Through the door at last.
You’re through the door into the physician’s consulting room, your head full of questions about Viagra, Cialis and Levitra, whether you can get Viagra without a prescription, and so on.
You sit, you pass the test of courage and, for the first time, tell a health professional that you have erectile dysfunction (ED) – perhaps not using those words, but your physician gets the message and makes the predictable reassuring noises. There is a momentary pause and you manage to get your first question out about buying Viagra online.
What about penile injections?
This is a topic that every man approaches with a degree of fear. You mean someone is going to stick a needle into my penis? For the record, they are called intracavernous injections and your physician will give you an auto-injector that works with a simple push-button mechanism. You hold the head of your penis and stretch it along your thigh while sitting upright. You have to make the injection at the base of the penis (or you can ask your partner to do it for you). Although it is an area that is sensitive to pleasure, it does not register too much pain. The sensation is no worse that being flicked with an elastic band. After the injection, you have to apply pressure to the injection site with an alcohol swab for about five minutes (or until the bleeding stops). You should aim for a slightly different point for each injection, rotating the penis a little if necessary. This will reduce the risk of bruising or scarring. The erection usually lasts for about an hour.
Why you should talk to your physician.
As a physician, years of practical experience have taught me how reluctant men are to mention their sexual problems. But the increasingly clear data from research studies is that erectile dysfunction (ED) may be a symptom of undiagnosed cardiovascular disease (1).
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