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FDA TALK PAPER Food and Drug Administration U.S. Department of Health and Human Services Public Health Service 5600 Fishers Lane Rockville, MD 20857 FDA Talk Papers are prepared by the Press Office to guide FDA personnel in responding with consistency and accuracy to questions from the public on subjects of current interest. Talk Papers are subject to change as more information becomes available. T98-14 Print Media: 301-827-6242 March 27, 1998 Broadcast Media: 301-827-3434 Consumer Inquiries: 800-532-4440 FDA APPROVES IMPOTENCE PILL, VIAGRA The Food and Drug Administration today announced the approval of Viagra (sildenafil citrate), the first oral pill to treat impotence, a dysfunction that affects millions of men in the United States. Unlike previously approved treatments for impotence, Viagra does not directly cause penile erections, but affects the response to sexual stimulation. The drug acts by enhancing the smooth muscle relaxant effects of nitric oxide, a chemical that is normally released in response to sexual stimulation. This smooth muscle relaxation allows increased blood flow into certain areas of the penis leading to an erection. Viagra was evaluated in numerous randomized, placebo controlled trials involving more than 3000 men with varying degrees of impotence associated with diabetes, spinal cord injury, history of prostate surgery, and no identifiable organic cause of impotence. Patients also had a wide range of other concomitant illnesses including hypertension and coronary artery disease.

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IMPOTENCE What is Impotence? Impotence or erectile dysfunction is a very common problem that affects 20 million (approximately 1 out of 5) American Men. Erectile dysfunction is the result of a single, or more commonly a combination of multiple factors. At one time impotence was thought to be the result of psychological problems but we now know that 90% of the cases are organic in nature. Some of the many causes of impotence include, diabetes, high blood pressure, heart and vascular disease, stress, hormone problems, pelvic surgery, trauma, venous leak, and side effects of frequently prescribed medications. No matter what the cause, most men have a secondary psychological reaction that can worsen the situation. Feelings of performance anxiety, guilt, and low self-esteem are common. For many years impotence was a problem that was not talked about because of its personal nature. Men suffering from this condition often do not know about the various treatment options availible to them and do not seek help. TREATMENT Treatment options for erectile dysfunction can be divided into four broad categories, pharmacological, mechanical, surgical, and psychological.

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Impotence: A Woman's Perspective by J. Douglas Trapp, M.D. After the initial concern that something is going wrong with the relationship, a woman may turn her frustration and disappointment into anger at her mate-especially if they don't communicate well. More likely, though, the reaction is self-blame. The woman may feel that she's no longer attractive or that her partner doesn't love her any more. She worries that he may be having an affair and that she'll be rejected or abandoned. Another strong emotion the partners of impotent men often feel is the fear that he may be physically ill. After all, it's generally known that about 85-90 percent of erectile problems are caused by an existing medical condition. Despite their worry, many women are reluctant to suggest that their partner see a doctor. Sometimes, both partners see a doctor. Sometimes, both partners avoid the issue entirely and pretend that everything is fine. This attitude can intensify anger or depression. Some women are honestly glad for the impotence-glad they don't "have to have sex" anymore. Their secret relief, however, may be accompanied by guilt at feeling that way or a sense of inadequacy because they don't enjoy sexual intercourse. A woman's emotions regarding the impotence of her partner can be complex. And don't forget that the male partner is going through similar strong emotions. If you've had some of these feelings, remember that such emotions are normal and that most women dealing with impotence will experience them. Acknowledge them. Understand you're not alone and you're not unusual. There are 30 million partners of impotent men!

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Cialis-Impotence-Drug.com Home Links Newsletter Contact us What is Cialis? Cialis, being developed by Lilly, is currently undergoing approval and is competing with Levitra to be the next major treatment for ED on the market. Where can I get Cialis? It is not possible to obtain genuine Cialis yet or buy Cialis online, as it is still under its approval phase and won't be scheduled for release until early 2003. The delay in Levitra puts Cialis on equal or better competitive footing meaning that Cialis could reach the market first. Activemed, the UK's leading online source for safe and genuine prescription medicines, is keeping a close eye on developments of this new impotency treatment, and will be the first to offer this medicine online once it is available. Check this information page for latest updates and information on Cialis. How effective is Cialis in treating Erectile Dysfunction? Cialis has seen major interest worldwide following the results of a recent clinical study on nearly 400 men with ED. The study was designed to evaluate the efficiency of Cialis at specific time points after dosing (24 or 36 hours). The case studies for Cialis showed that:: 88 percent of men achieved erections in 30 minutes or less.

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Erectile Dysfunction Information About Erectile Dysfunction Erectile dysfunction, or impotence, is the inability to maintain an erection long enough for sexual intercourse. It's not a topic most men are comfortable talking about: impotence has long been associated with growing old and a loss of manhood. The disorder can wreak havoc on self-esteem and damage relationships. Many men suffering from erection problems avoid sex, fearing embarrassment. Ten to twenty million American males are believed to be suffering from some degree of erectile dysfunction. In fact, erection problems have little to do with growing old, nor do they somehow indicate a fault with one's manhood. Ninety percent of erectile dysfunction cases are caused by other health problems. Diabetes, heart disease, hypertension and other medical conditions often cause erection problems. So do many prescription medications, certain types of surgery, and psychological factors such as depression and stress. Looking for treatment options? Visit Treatments for Erectile Dysfunction Age, Sex, and Impotence

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Premature Ejaculation Peyronie's Disease Control Premature Ejaculation Questionnaire ... Penis Stretchers Premature Ejaculation One of the most common sexual problems is premature ejaculation. Premature ejaculation is the inability to delay ejaculation to when it is mutually desirable for both partners. For this reason it is hard to define a case of premature ejaculation. Some have trouble controlling their orgasm after entry and others consider 5-10 minutes of intercourse too little time. How long someone is able to last is not the important factor in diagnosing premature ejaculation. Premature ejaculation is a problem that most men have experienced at some point in their life. It was believed that drugs or certain infections such as urethritis caused premature ejaculation, but it is more psychological in nature. The exact cause of the condition still remains a mystery. Premature ejaculation often occurs during the first experience with intercourse due to anxiety. The majority of men learn to control their orgasm and have no lasting effect. Some will develop a long-term anxiety toward sex, which causes a prolonged experience with premature ejaculation.

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zfp=-1 About Men's Health Search in this topic on About on the Web in Products Web Hosting Men's Health with Jerry Kennard Your Guide to one of hundreds of sites Home Articles Forums ... Help zmhp('style="color:#fff"') Subjects ESSENTIALS What is Men's Health? Embarrassing Issues Glossary ... All articles on this topic Stay up-to-date! Subscribe to our newsletter. Advertising Free Credit Report Free Psychics Advertisement Impotence and erectile dysfunction Guide picks Impotence and erectile dysfunction information and advice. Effects of diabetes, smoking, alcohol, getting older, prostate problems, effect of sport Causes of impotence An erection requires a series of events and impotence may occur if the sequence is disrupted. Cycling and impotence The bicycle ride you love may actually be damaging to the nerves of your penis. According to a 1997 study done in Norway, up to 25% of all cyclists are affected by this transient problem. Over half of diabetic men over age 50 have problems with impotence. There is help available. Find out what causes diabetes-related impotence and the latest in treatment options. Herbal Aphrodisiacs Guide Juli Kight explores Yohimbe and other herbal aphrodisiacs Smoking If this doesn't put you off smoking I don't know what will. Impotence, sperm mutation, shrinking manhood problems and more..

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IMPOTENCE: The inability to "get hard" Worry is the first time you can't do it a second time; panic is the second time you can't do it the first time. Although many sexual topics are now "out of the closet," impotence is still a subject that arouses fear and anxiety in many men and women. This emotional reaction is further strengthened by the lack of knowledge on the part of patients, their partners, and health care professionals. Most people were never taught about the erection process in school, let alone given accurate information from other sources. Much of the knowledge about penile anatomy and physiology has only become available in the last five years. Sometimes impotence is all in the head Ignorance, fear, a lack of information, embarrassment, and anxiety provide a fertile breeding ground for sexual problems. While some problems related to the ability of the penis to become hard and ready for sex are tied to physical problems, some cases of impotence are linked to psychological issues. Even when impotence is tied to physical problems, there can be psychological underpinnings that must be addressed with successful treatment of the physical causes. For example, many couples have serious emotional reactions to the loss of erectile ability and to what they believe it represents, and have adjusted their relationships to explain and compensate for their emotional problems. When treatment of the impotence is successful, there still are the underlying relationship problems that need attention.

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men's health Search Home Tools Drug Guide Personal Health Record BMI Calculator more... Wellness Fitness Center ... more... Diaries Osteoporosis Asthma Cardio more... Family Women's Health Men's Health Pregnancy-to- Preschool ... more... Resources Live Assist Reading Room ecards registered users only Alcohol Abuse Depression Sexual Problems STDs ... Stroke Also check out: Is Testosterone Good for the Heart? Treating Baldness A Close Look at Laser Eye Surgery Coping with Back and Neck Pain ... How to Do a Testicular Self-Exam The text presented on these pages is for informational purposes only. It is not a substitute for professional medical advice. The information presented may not be appropriate or applicable to your individual medical situation. Do not use this information to diagnose or treat a health problem or disease without first consulting a qualified healthcare provider. The information may not be representative of benefits covered under your PacifiCare health plan. You must consult your Evidence of Coverage for information regarding the benefits, exclusions and limitations applicable to your PacifiCare health plan. Please consult PacifiCare or your healthcare provider if you have any questions or concerns in connection with the information presented on these pages. PacifiCare products and services are offered by one or more of the following PacifiCare family of companies: Health plan products and services are offered by PacifiCare of Arizona, Inc., PacifiCare of California, PacifiCare of Colorado, Inc., PacifiCare of Nevada, Inc., PacifiCare of Oklahoma, Inc., PacifiCare of Oregon, Inc., PacifiCare of Texas, Inc., PacifiCare of Washington, Inc., PacifiCare Dental of Colorado, Inc., PacifiCare Behavioral Health of California, Inc., and PacifiCare Dental (in California).

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Lycos Home Site Map My Lycos SEARCH HEALTH FOR: Health Home Health News Conditions A-Z Wellness Topics ... Sign In Post a message, chat... Join Free newsletters and more Event Highlight Tuesday, April 01, 2003 1:00 p.m. Sleep and Health for Older Americans Impotence Impotence, also known as erectile dysfunction, describes a continuing inability to achieve and/or maintain an erection adequate for sexual intercourse, or the inability to ejaculate, or both. Impotence may be total or intermittent. Overview Treatment and Diagnosis Overview The materials in this section have been chosen to provide a solid introduction to your health condition. Anatomy and Physiology Anatomy of the Penis From: The Impotence Sourcebook An illustrated article on the anatomy of the penis. The Physiology of Erections From: The Impotence Sourcebook This article discusses the workings of the penis during an erection and during ejaculation. Articles of General Interest All About Impotence From: National Institute of Diabetes and Digestive and Kidney Diseases An up-to-date review of impotence, its causes, and its treatments. Everything from the relevant male anatomy to erectile dysfunction solutions are examined. A list of resources at the end are included as well as diagrams throughout to supplement the information you read.

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100. Learn About Impotence From Plainsense The term impotence is used when a man is unable to achieve and maintain an erectionuntil he ejaculates. UNDERSTANDING impotence. PHYSICAL CAUSES OF impotence. http://www.plainsense.com/Health/Mens/impotenc.html

Search the Web. Type it and go! Related Topics: Athletes Foot Back Protection Balanitis Baldness ... Hypertension Impotence Infertility Jock Itch Lung Cancer Marriage ... Weight Control UNDERSTANDING IMPOTENCE The term impotence is used when a man is unable to achieve and maintain an erection until he ejaculates. When the flow of blood to the penis is restricted, it prevents an erection from occurring. Most men have experienced an occasional bout of impotence, this is completely normal. Impotence can be caused by a number of physical and psychological conditions and factors. Over half of all impotence episodes are caused by psychological problems. When impotence occurs frequently, it may cause a man to question his masculinity and to feel inadequate. Frustration, embarrassment and questions about virility are as common as the condition itself. Many men are afraid of discussing the issue and miss the support they need. PHYSICAL CAUSES OF IMPOTENCE Diabetes High Blood Pressure Heart Disease Prostate Cancer Surgery Damage to the Spinal Cord Multiple Sclerosis Hormone Disorders Excessive Alcohol Consumption Tobacco Use Some Prescription Medicines Use of Illegal Drugs PSYCHOLOGICAL CAUSES OF IMPOTENCE depression stress anxiety about sexual performance a poor relationship with a sexual partner WHEN TO SEE A DOCTOR If impotence becomes a chronic problem, see your doctor for treatment. After interviewing and examining you, your doctor will determine if your impotence is being caused by physical or psychological factors and will then recommend a method of treatment.

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