Revolutionary in what way?

Other than the birth control pill, there has never been a product that had such a sudden, dramatic impact on human sexuality. Before Viagra, male dysfunction was largely treated as a psychological problem, not a physical one.

The available medical treatments, including vacuum pumps, surgical implants, and penis injections, were cumbersome and sometimes painful. Viagra not only rejuvenated sex for millions of men and their partners, it also moved an unmentionable topic into the mainstream, making it suitable for TV commercials starring the likes of former presidential candidate Bob Dole.

The drug has also generated an endless amount of material for late-night comedians, as well as billions of e-mail messages for mail-order Viagra (just check your spam inbox). “It was the second sexual revolution,” said fertility expert Dr. Michael Werner. But like every revolution, this one has its detractors.

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