Dr Srivastava is completing a fellowship in international health at the University of Toronto. Dr Evans practises at The Toronto Hospital and teaches in the Department of Family and Community Medicine at the University of Toronto. I, Jive TF, Padma-Nathan H, Rosen RC, Steers WD, Wicker PA, for the Sildenafil Study Group. Oral sildenafil in the treatment of erectile dysfunction. Relevance to family physicians Without getting too specific, I have to say sexual dysfunction and the way we approach it as clinicians, or as a culture, is fascinating.
Sex is everywhere, but nobody seems to know what is normal.
The causes of sexual dysfunction are multiple and many of these causes are treatable. Perhaps what makes sildenafil most palatable is the oral administration. Interestingly, sildenafil requires that men be sexually stimulated in order to achieve tumescence. What might be most interesting about Viagra is that it seems to be changing cultural attitudes in much the same way Prozac did with depression. It has become part of our lexicon, and I hope it will improve the way sexual health is viewed by our culture.