Viagra and the Perfect Cure
Viagra is a recent invention , but sex is not . And for as long as humans have engaged in sexual activity , there has been impotence . The word impotence first appeared in the fifteenth century , but today it has been abandoned in politically correct circles in favor of the term erectile dysfunction , or more colloquially , ED . Incredibly , it took a panel of experts to meet and decide on the name change . In 1993 , at the Consensus Meeting of the National Institutes of Health , participants agreed that the failure of the penis to achieve and sustain adequate rigidity for sexual intercourse was equivalent to other types of organ failures , such as hepatic dys- function for liver disease . Moreover , the experts recognized that the word impotence had negative connotations that should not be invoked just because a man ‘ s penis did not work properly . To be impotent , after all , means that someone lacks power , force , or effec- tiveness . Since we would not attribute such qualities to someone whose liver did not work well , the meeting attendees agreed that the term impotence should not be applied to men with erectile dysfunction . Nevertheless , unlike men with liver disease , kidney disease , or rhythm disturbances of the heart , men with erectile dysfunction do in fact feel impotent , in the full sense of the word . For this reason , I continue to use the word interchangeably with erectile dysfunc- tion . Depression , embarrassment , a diminished sense of masculin- ity-these are some of the feelings men experience when erectile dysfunction occurs . Women are often surprised at the depth of despair men exhibit when the erection fails . Of course , it can be disappointing at the moment for both partners . But when it first happens to a couple , many women describe an ” oh , well ” attitude about it , with the expectation that there will be other opportunities later . Only rarely do men have such a response . Typically , they expe- rience a frenzy of anxiety and despair when they go soft during a sexual encounter . The experience is mocked in the first of the Austin Powers movies , when the comic sleuth Austin temporarily loses his ” mojo .” The cocky , sexually aggressive aspect of his per- sona disappears until he gets it back . On a much more serious note , many a young man fantasizes about being a great lover-a Casanova or Don Juan-but if his penis will not cooperate enough even to get started , then what hope of sexual greatness can he entertain ? A torrent of questions rushes in on him when he expe- riences erectile dysfunction for the first time : ” What is happening ?” ” Why ?” ” Why now ?” ” Does this mean that my penis is broken for good ?” ” Will I never be able to have sex again ?” ” Will she laugh at me ?” ” Will she leave me ?” ” Will she tell everyone and shame me ?” Since a normal erection occurs as if by magic , the failure of the penis to respond appropriately in a sexual situation can be an unpleasant mystery for the affected man . An erection is one of the few things in life that is not improved by greater determination and willpower . A woman may roll over and say nonchalantly , ” Let ‘ s just sleep on it , and I bet things will be great in the morning .” The man will probably not sleep a wink .
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