Dean Edell: Sexual dysfunction no longer something to be ashamed of. It's a fact of life for more than of half of all men between the ages of 40 and 70. Viagra may have started the sexual healing revolution, but it's not the only player on the block. There are some other ways men can attack this problem head on.
Justin: When I had my moment, my first moment, this was not right here. It's almost like being in a car with your emergency brake on, you are driving around and like something is slowing you down and you really don't know what it is.
Dean Edell: Justin should have been in his sexual prime, but since he was old enough to drive, he suffered from a problem that usually doesn't hit man until later in life.
Justin: Basically I got an erection, a pretty good one and then I lost it, really after about a couple of minutes.
Richard Berger: There are between 10 and 30 million men who have chronic problems getting or maintaining an erection.
Dean Edell: Making Erectile Dysfunction or ED, the most common chronic condition affecting men, even so up to 90% still don't get help.
Irwin Goldstein: This is a very personal, private, frustrating, humiliating and embarrassing condition.
Dean Edell: Herbert thought his ED was just part of getting older.
Herbert: It came on rather suddenly and when I did get one, it did last very long.
Dean Edell: But if age were the case, what about Justin.
Justin: My dad said it was mental. It's like just clear your mind and let it happen, happen it naturally and I was like, dad, I am 16 and I am young and I shouldn't have to think about it.
Dean Edell: Lots of stress, depression,or problems in the relationship can cause ED. About 85% of cases can be traced through a medical or physical source.
Jeffrey Brady: Diabetes, hypertension, smoking, those are probably the biggest risk factors.
Dean Edell: Up to half of all male diabetic experience ED, certain medications can also cause it, but smoking is a risk factor men can control.
Irwin Goldstein: Diabetes, hypertension, smoking block arteries, riding a bicycle blocks arteries. The link is the artery blockage.
Dean Edell: The good news is almost all impotence can be treated and thanks to the success of a tiny blue pill, more men are seeking help.
Jeffrey Brady: And that's revolutionized the treatment of Erectile Dysfunction and now with a pill, most men are able to have erections again.
Dean Edell: Viagra broke around in ED treatment, but it doesn't work for everyone. Now two new contenders want to challenge it by offering something different, EQ or Erection Quality.
Jeffrey Brady: Then the Quality Erection is important, firmness, is there any curvature. There are a lot of issues that we do look at for people we ask what is the quality of their erection.
Dean Edell: Levitra promises faster erection for a better spontaneity. Cialis has the nickname, the weekend drug because it lasts longer.
Jeffrey Brady: If you are, say, going to go out, if you are using Viagra, or Levitra, you can take it before you go out. You will have that window of 45 hours where it's active. With Cialis, if you take it, you have that 24 hours or 36 hours where it's still active.
Dean Edell: But that doesn't mean it's active when you are not. In fact, none of the pills work without one key component; sexual stimulation. When men were asked to rate each drug, the World Heath Study found that 88% of users chose Cialis for duration of erection, 89% preferred Levitra for hardness and ease of getting an erection and 60% choose Viagra because it has fewer side effects, like dizziness or back-pain.
Jeffrey Brady: There are side effects for all medications and they usually get better as you take the medicine over time, your body adjust to it, and you don't have such severe side effects.
Dean Edell: Drug therapy works for about 60 to 70% of men, but when it doesn't, there are plenty of other options.
Irwin Goldstein: We have vacuum devices, we have injections, we have sex therapy, how could we forget sex therapy, hormone therapy, so there is lots of things.
Dean Edell: Like the penial implant, it's 90% successful and unlike pills, there is no waiting.
Jeffrey Brady: It is reliable. It's spontaneous and it's probably one of the more natural ways to have an erection.
Dean Edell: For Herbert, the answer was injection therapy. He says it's convenient, and not as bad as it sounds.
Herbert: I can feel it going in there but it's not painful at all. It's not nearly as bad as taking a flu shot in your arm.
Dean Edell: Oral drug worked for Justin, but since he had permanent artery damage, he eventually chose to have bypass surgery.
Justin: The stress is removed, and you can think about everything else, a little better.
Dean Edell: Which means he can finally lead a normal life. The next evolution of sex drugs could be dramatically different working instead on the electrical wiring in the brain instead of pluming in the genitals, but whatever treatment you choose, the most important step is to talk to your partner.
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