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You Are Not Alone

Yes, Viagra is new—and news—but impotence istn’t. In a society that places a high value on well-toned bodies, virility, robust health, and youth. the inability to perform sexually is a disorder to which very few Ameri­can men will admit. In fact, in the Catholic church an annulment—the dissolution of a marriage—is granted only in the rarest of circumstances; impotence is one. Across the country, in some states impotence is viewed with such disdain that it is considered grounds for divorce. Still, despite the havoc it wreaks, for centuries major medical research centers around the world have ignored impotence. Incredibly, in fact, impotence—more properly known as erectile dysfunction, or E.D.—is probably the last stigmatized condition to receive recognition and study, decades after menopause, alcoholism, depression, and obsessive-compulsive disorder saw the light of day. Why? Some say the belief that impotence is “all in your head” was enough to keep any serious medical investigation at bay; others believed it was the excruciatingly personal dimension of the dis­order that discouraged investigation; still others felt it wasn’t a signifi­cant problem. Not significant, you say? Well, try this on for size: Worldwide, it is estimated that approximately 100,000,000 men suffer from E.D.—and that’s just an estimate! But, unfortunately, even today, less than 10 percent of these men seek treatment.
Specific information about impotence varies from country- to country. In China, for example, there were no outpatient clinics for sexual disor­ders in the mid-1980s but, by 1994, there were thirty-four! In the United States, a 1985 report from the National Center for Health Statistics re­vealed that there were approximately 400.000 outpatient visits to physi­cians, related to impotence, as well as 30,000 hospital admissions. The total direct cost of the hospital admissions was a whopping S140 mil­lion! Later, from 1987 to 1989. a large random sample survey of 1.290 noninstituiionalized men, ranging in age from forty to seventy years, was carried out in eleven cities and towns near Boston, Massachusetts. Overall, the combined prevalence of minimal, moderate, and complete impotence was 52 percent (Figure 1). Referred to as the Massachusetts Male Aging Study (MMAS). the physicians who organized the study con­cluded that impotence is a “major health concern” that has a substantial impact on the quality of life in men, especially as they age (Figure 2). Today, we recognizer that erectile dysfunction is, indeed, a common medi­cal problem, but with effective therapy such as Viagra, this disorder can be treated successfully, and men and their partners can continue to en­joy a fulfilling sexual life.

E.D.

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