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That same doctor told me her patients were increasingly coming to her because of the stigma created by Viagra's widespread use.
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She told me that many of her patients are men under the age of 40 who are in denial, feeling that their symptoms are not a problem or that they don't have cancer or AIDS because of the lack sexual activity.
In addition, she said, the stigma associated with erectile dysfunction has led to them coming her for treatment, which she has to charge her own money for because she can't access insurance at her small doctor's office. "You have to pay for your own medicines," she said. "I pay $600 to $700 a month for erectile dysfunction."
"This is a problem with all the pills and injections," she told me.
When we spoke, the doctor's phone vibrated and then rang repeatedly. After the second ring, she answered, saying "do we have a caller?"
She didn't know of anyone else in the area who was treating erectile dysfunction like he was, and she'd recently received a phone call from woman who told her that some male colleagues of hers were using Viagra.
The doctor thought that treatment was potentially effective. And despite the lack of research showing how this treatment affected erectile function, he thought it was a worthwhile effort. "It's hard to believe that there's anything going on over there but for the good of everybody," he said when I mentioned this possibility. "That said, I think there could be more data available if they were conducting the studies." He hoped that with more study the treatment could be improved.
I asked the doctor if he was concerned about the effect that his treatment is having on patients.
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While the doctor was optimistic that treatment could ultimately lead to a better understanding of the condition, he did have a warning for all the men who read this article:
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"The Association of Erectile Dysfunction and Mellitus: A Review of the Epidemiology"
In this study, researchers studied erectile dysfunction and its relationship to erectile dystrophies (ED/DD), which are genetic conditions that cause a shrinking of the penis. Specifically, they examined results of a study funded by the National Institutes of Health (NIH), which looked at ED/DD. Researchers found that men with low testosterone levels were 5.7 times more likely to have ED/DD compared those with normal testosterone levels. A possible explanation for this association was that men with low testosterone had lower levels of dopamine (and therefore less motivation to have sex), which might increase the likelihood of erectile dysfunction and EDD.
The authors concluded, "Erectile dysfunction in"