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Brazil police arrest “Viagra gang” suspect

July 31, 2006

Police have arrested a man on suspicion of stealing anti-impotence drugs from dozens of pharmacies in the past year and were seeking his accomplice in what they are calling the “Viagra gang.”

“One was arrested and we know the other one’s identity and are looking for him,” a Rio de Janeiro police spokesman said on Wednesday.

The men are suspected of holding up more than 35 pharmacies in the same drugstore chain. Police said they stole anti-impotence drugs such as Viagra as well as money from registers. The chain estimated its losses at some $220,000 (118,500 pounds).

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Police said the partners sold the drugs on the black market and were so successful that they drew criticism from an unlikely source — the criminal underworld.

Taped phone conversations show members of a powerful drug gang from the same slum where the two lived complaining that their illicit business was drawing too much police attention to the shantytown near Rio’s famed Copacabana Beach.

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We’re Erection Central! Genetic Big Shots Find DNA Chain for Stiff Stuff

July 28, 2006

The Laboratory of Molecular and Integrative Urology at the Albert Einstein College of Medicine is a startling, almost radical study in the aesthetics of the unsexy. Its six dim-lit labs are drab and boxy, and filled with the kind of whirring, buzzing equipment that might make a man fear for his gonads. There are scalpels for slicing and incubators for heating and large Cryostar freezers for extreme, minus-70-degree freezing. In one lab, rats get snipped down the middle so teeny-tiny catheters can be inserted into their bladders—not the most arousing sight.

And yet, the small Bronx laboratory is on track to make erectile history, to go down in the urology books—if not girlie mags and geezer journals—as one of the sacred shrines of male potency. Thanks to the promise of an experimental new gene therapy, it could become birthplace of the world’s first genetically engineered erection.

“We think that we’ve hit on something,� said Dr. Arnold Melman, the eminent urologist whose serves as director of the lab and chair of the Albert Einstein department of urology, as he sat in his office on a recent Wednesday morning. “[Gene therapy] has been a disappointment … so if this works, it has a chance of being one of the success stories. It would be a gigantic step forward.�

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Leave it to the hard-on to revolutionize medicine.

Erectile dysfunction is an unlikely candidate for gene therapy, the brave, super-hyped practice of inserting genes into a patient’s cells to treat a disease. To begin, it has proved largely disappointing—impotent, one might say—as a near-term solution to the body’s most devastating diseases. And because of its potential risks, scientists have embraced it almost exclusively as a treatment for serious, pulse-stopping ailments like cancer—not as a treatment for lifestyle conditions.

But for some six years now, Dr. Melman and his small hive of scientists have been plugging away to bring the promise of gene therapy to the war on impotence. With the help of funding from a few wealthy patients, they tried and erred. And eventually stumbled on hMaxi-K, a treatment that uses what is known as the Slo gene to restore vim and vitality to the vertically challenged penis. Each injectable treatment is expected to last as much as six months.

The gene therapy is still in its early, test-and-tweak phase. But just last month, the scientists celebrated the completion of the first hMaxi-K clinical trial, a two-and-a-half-year process that demonstrated that the treatment did not turn its 11 human guinea pigs into two-headed, hyper-virile monsters—or, at least, that it didn’t seep into sperm, spark an allergic reaction or inspire any other “adverse events.� And within the next few months they plan to embark on a 100-patient, phase-two trial to show that the drug actually works. If all goes according to plan, they hope to begin marketing the world’s first genetically modified erection treatment within five to six years.

“The concept is fascinating. And if it works, it’s great,� said Dr. Andrew McCullough, director of male sexual health at New York University Medical Center and one of the two principle investigators in the hMaxi-K clinical trial. “It would be huge; it would be as big as Viagra was when it hit.�

Eight years after Pfizer’s little blue pill galvanized the impotence industry, the quest for a more perfect erection continues—in part out of scientific fervor, in part out of the promise of profit, and in part because the extant drugs (including Levitra and Cialis) are not quite the wonder pills they were hailed to be.

For all the hype, today’s holy trinity of erection drugs work in only 60 percent of patients, and even then the side effects—like headaches, indigestion and blue-tinted vision—can dull the enthusiasm of the most eager user. More recently, reports of blindness in as many as 50 Viagra-takers have sparked an F.D.A. investigation into the billion-dollar love drug. And then there’s the minor problem of timing: The awkward, unromantic fact that after the naughty urge arises, it can take as long as 35 thumb-twiddling minutes for old pokey to rise and shine

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Desperate Grandmas

July 24, 2006

Time passes, and we get old. Our faces wrinkle, our hair goes gray and MIA, our teeth yellow, our knees ache, we forget the names of people we said hello to just yesterday on the way to pick up the Geritol, and there are days when a nap sounds real nice.

At least that’s the way it’s been for most of humanity. But rumors that boomers will be joining the great biological stream turn out to have been greatly exaggerated. Boomers—especially feminist-influenced women of a certain class who are now publishing their philosophy of life after 50—will not be growing old. And it seems equally inaccurate to say that they will mature. They are going to season, as Gail Sheehy puts it in her most recent book, Sex and the Seasoned Woman. They will “develop�; they will “grow.� Sheehy and her sister scribes have come forward to tell you that today’s older women are a new breed. They’re busy, busy, busy! They go to the gym! They work in animal shelters! They travel! They get divorced! And yes (Yes! Yes!), they have orgasms!

And in their own inimitably modern, American, follow-your-bliss, self-absorbed way, they want to tell you all about it.

Not so long ago, enlightened women of the boomer generation were known for worrying about equal rights, equal pay, Roe v. Wade, Title IX, and the location of the Masters Golf Tournament. Today, not so much. As they shuffle off into their golden years, many appear to be turning inward. As the title of a catalog that arrived in my mailbox recently put it, they want “Time for Me�—time that appears to involve a lot of anti-aging formulas, herbal supplements, figure-shaping undergarments, and vibrators. Don’t get me wrong. Boomer fems continue to be enemies of the patriarchy. They still want men to do the laundry. Their tone remains defiant. But their personal is no longer very political; even their political isn’t very political. Nobody’s putting it this way, but it seems that liberation politics have become irrelevant to what is now their most pressing concern, which—depending on your emphasis—is: how to bring meaning to their dwindling years, or how to avoid being mistaken for their grandmothers.

It probably should have been clear that Second Wave feminism would be changing direction a while ago. In 1992, Gloria Steinem, who just happened to be staring at 60 at the time, published Revolution from Within: A Book of Self-Esteem. With its talk of the inner child and “authentic selves,� the book was a noticeable break from Steinem’s usual menu of feminist topics. A year later, Betty Friedan gave us The Fountain of Age, in which she proposed that we consider the years past 50 not as a time to play golf and show off pictures of the grandchildren but as “an additional stage of development,� a time of further emotional, intellectual, and spiritual growth. But despite Steinem’s and Friedan’s legendary history as trendsetters, no one paid much attention at the time, doubtless because boomers, who had yet to receive their AARP cards in the mail, were still in a “what, me worry?� mode.

But now that Newsweek has made it official with a cover story announcing the first boomers’ arrival at age 60, the signs of a revolution going inward are unmistakable. “Our record is impressive,� writes Suzanne Braun Levine in Inventing the Rest of Our Lives: Women in Second Adulthood. “We fought discrimination in the workplace and popularized the notion of family leave and flexible work schedules; we forced our way into institutions and professions and levels of leadership that even the most optimistic didn’t dare predict. . . . But for many, enough activism is enough. They want to stop fighting the system and invest their energies in themselves.�

Levine takes the phrase “Second Adulthood� from Gail Sheehy. Sheehy, you may remember, mapped the “stages of adult development� in 1970 in her megahit Passages—though she stopped at age 50, because at the time the post-50 years didn’t seem worth the price of ink. For obvious reasons, she has changed her mind, and in New Passages: Mapping Your Life Across Time she has announced the discovery of Second Adulthood, a new “frontier� that encompasses the years from 45 to 85+ (oh, the “passage� evoked by that “+�!).

Now, Second Adulthood does not—repeat not—suggest a decline. It does not bring inevitable loss, nor does it suggest that we should turn to the consolations of philosophy, religion, or arthritis medication—because Second Adulthood is nothing like your grandmother’s 50 or 60 or 70. According to Levine, Sheehy, and the numerous coaches, therapists, and lifestyle gurus who are banking on the idea, it is a thrilling time of growth and change, an exciting opportunity to redefine our lives and ourselves—“a second chance—to do it better, to do it differently, to do it wiser,� in Levine’s words.

The women of the Second Wave were already highly evolved—liberated yet sensitive, strong yet compassionate—but in Second Adulthood they are ascending into goddesshood. Christiane Northrup’s bestseller The Wisdom of Menopause describes the years after menopause—average age 51—as potentially “the beginning of a woman’s most sexually passionate, creatively inspired, and professionally productive phase of life.� So profound are the changes that a woman goes through as she passes into Second Adulthood that she must first pass through what Sheehy has dubbed “Middlescence,� a term that may sound to the cynics suspiciously like “obsolescence� but is actually meant to stand for “midlife adolescence.� Middlescence is Sheehy at her most canny—which is very canny indeed. Through the elixir of pop sociology, she offers boomers what they have most wished: they can now remain teenagers into old age.

The shape of midlife teen turmoil is well on display in Levine’s Inventing the Rest of Our Lives, a book of such stunning banality it makes Sheehy look like Hannah Arendt. “My teenagers and I are grappling with the same two disorienting questions,� Levine explains. “What is happening to my body and Who am I?� “The Problem That Has No Name has been replaced by The Question That Has Many Answers: What am I going to do with the rest of my life?� Don’t try to learn from the past, and definitely don’t count your blessings, because “You’re Not Who You Were, Only Older.� You need to “let go� of your past self by doing something dramatic. “Sooner or later each of us does do something. The something is different for every woman I talked to, as minor as throwing out that pillowcase full of mismatched socks once and for all, or as major as interviewing for a new job, getting divorced, or going back to school.�

What’s striking about all of this heavy breathing about missing socks and adult extension courses is that Levine is actually not only a woman of significant accomplishment but one who has personified the feminist dream. She was the first editor in chief of Ms. and went on to helm the Columbia Journalism Review. She has published in major magazines and serves on boards. She has also been married for decades to the same man, with whom she has raised two sons. Yet in Inventing the Rest of Our Lives, she trembles like a wallflower. She worries about what to do with her life. She frets about how timid she has been in saying what she really thinks. There is not the remotest hint of the authority or insight that you’d expect to emerge after 35 years of successful struggle in the trenches of the New York publishing world and the post-sexual-revolution marriage culture. More striking, though she does not repudiate the feminism of her First Adulthood, there is no indication that the success it inspired did anything to bring her the satisfaction of a life well lived.

On the contrary. Like other Desperate Grandmas, she now sees careerism as a distraction from finding her “real self.� In First Adulthood, say the acolytes of Second Adulthood, women figure out how to please the people who have power over them—parents, teachers, mates, and bosses. But when they are in what Levine labels “The Fuck You Fifties,� they need “no longer care what other people think, only what I think.� “If our 20s were about our physical peak and our 30s and 40s about work and productivity, after that it is about being and becoming you,� Alexandra Mezey, a Second Adulthood life coach, promises on her website. Turning in your office keys can be “a chance to shift from work to the self, from responsibility to freedom,� promise Alice Radosh and Nan Bauer-Maglin in Women Confronting Retirement: A Nontraditional Guide.

Somehow, though, the word “retirement� seems inadequate to the task of describing what happens to Second Adulteers when they cash their last paycheck. The Greatest Generation retired; they took up hobbies, joined book clubs, and went to lecture series near their Fort Lauderdale condos. Maybe they volunteered to read to poor kids at nearby schools. But Desperate Grandmas don’t retire. They “pursue the passionate life,� in Sheehy’s words. They “follow their dreams.� Levine celebrates a human rights lobbyist who becomes a devotee of “Neuromuscular Integrative Action� (a trendy mishmash of martial arts, yoga, and dance), a woman who is volunteering in an animal shelter, “a high-powered corporate executive� who at 55 joins the Peace Corps and goes to the Ivory Coast, and the psychologist Carol Gilligan, who is writing a novel: “Now sixty-eight, she has only just begun to explore new aspects of her talents.�

The Desperate Grandma who really wants to pursue a passionate life might try something even more dramatic. She might file for divorce. Since the 1970s, Sheehy has been an enthusiastic promoter of the notion that divorce is not the tragedy once imagined but rather a fabulous opportunity for personal growth.

A 50 percent divorce rate and the heavy damage inflicted on legions of children haven’t dampened her enthusiasm. Sheehy eagerly cites a study showing two-thirds of divorces among couples over 40 initiated by women. That’s because women, like men, “love the freedom that being single brings—citing independence, getting to keep their houses however they want, and not having to compromise with another person.� Single women are in a better position to “get to know [their] new self.� They also go on dates in the “midlife singles bazaar.� Sheehy quotes an AARP survey about midlife singles: 75 percent of women who divorced in their fifties had a serious relationship after splitting from their husbands. The fact that more men—81 percent—had such relationships passes by without comment. At any rate, “lusty, liberated women� are finding lots of romance, much of it, she assures us, with younger men.

In fact, sex is at the center of the passionate life of the Desperate Grandma. When they were young, boomers famously discovered female sexual pleasure. Now they are discovering that the fun never ends. Along with Sex and the Seasoned Woman, we are seeing a slew of books about sex and the 60-something, including Still Doing It, Better Than I Ever Expected, Jane Juska’s A Round-Heeled Woman, and Erica Jong’s latest orgasm dispatch, Seducing the Demon—all of them filled with examples of how today’s hip grandmothers are spending their leisure time. Jong and Juska write only about themselves, but the other writers go out hunting for horny females of a certain age interested in discussing their sex lives with a stranger. They find hordes of them.

What these women have to say will raise a lot of eyebrows. They are not just having sex; they are having the Best. Sex. Ever. They rejoice in their lovers, their fantasies, their sex toys, their orgasms—which they have in airplanes, in elevators, in the shower, in the woods. “Whether the writer is having sex after heart surgery, self-conscious about a wrinkly stomach hanging down, making love without an erection, experiencing leg cramps in certain positions, or worrying about dentures . . . ,� writes Joan Price in a review of Still Doing It, “most report that sex after 60 is the best they’ve ever had.� (The book, edited by Joani Blank, takes into consideration people of all sexual inclinations, including those who “choose self-pleasuring,� though whether they also are enjoying the best they’ve ever had, she doesn’t say.)

As for Price herself, the author of Better Than I Ever Expected: “Tell them at age fifty-nine, I’m having the best sex of my life!� she tells her publicist, who is no blockhead and does exactly that. And, of course, there is Jong, who in Seducing the Demon describes earth-moving tantric sex with her fourth husband. Even without Viagra—he’s on heart medication—“He could have a whole-body orgasm while giving oral sex—his orgasm triggered by mine. He could feel electric shocks down his spine—as if the kundalini were rising�—which, despite its ominous sound, evidently poses no danger to cardiac patients.

The most remarkable of the older hotties, though her experience is considerably more ambiguous than the hear-me-roar subjects interviewed by Sheehy et al., is surely Jane Juska, the author of A Round-Heeled Woman. Juska’s book chronicles her sexual adventures after she placed an ad in the New York Review of Books that read like this: “Before I turn 67—next March—I would like to have a lot of sex with a man I like. If you want to talk first, Trollope works for me.�

After whittling down the 63 responses she received in order to weed out the creeps, Juska, who had been divorced and largely celibate for 30 years (though she assures us that she was always game for “self-pleasuring�), is able to arrange a number of affairs that include sex, sometimes even with men she likes.

Still, her gentlemen callers don’t deliver the romantic happiness so many of Sheehy’s subjects seem to find or that Juska, despite the modest demands of her ad, clearly longs for. They include an 82-year-old who on their third day together announces, “I do not desire you,� recommends she try a lubricant in her future booty calls, and steals her underwear; a retired doctor who talks on the phone to his steady girlfriend, while she, pining for more sex, cleans his bathroom; a New Englander who tells her that their weekend together helped him realize that he wants to go back to his girlfriend; and a “senior member of a well-regarded investment firm,� who feels her up at their first meeting for all to see in the cafeteria of the Morgan Library and later refuses to kiss her during lovemaking.

A lesser woman might sprint to the nunnery, but Juska, to her credit, is resolute. She has a book to write—and to move a lot of books, you need a happy ending. In her final chapters, she describes a continuing affair with another lover, Graham, who is smart, well-read, handsome, prodigiously endowed, extremely skilled in the amorous arts—and 33. It seems necessary to add that he could well be a character Juska borrowed from James Frey’s slush pile.

Juska’s “journey� is of interest not just for its steam. It is also an unwitting illustration of the political aesthetics of the Desperate Grandma’s revolution from within. Juska is not particularly well-off; she is a divorced, semiretired schoolteacher, living in a rented cottage. But she is highly cultured—the title of her book is an eighteenth-century allusion to a woman who easily falls horizontal; she lives in Berkeley and adores New York City. Sophisticated in her tastes, decidedly enlightened in her social and political sensibilities, she fills her conversations with her lovers with allusions to Arthur Miller, Edward Albee, Unesco, and Eric Rohmer. The 82-year-old underwear thief piques her interest after he writes a letter that reads in part: “When I returned from my tea plantation in Sri Lanka, I went straight to the Breadloaf Conference in Vermont�—perhaps a calculating parody of her own fantasy. Although she breaks her vow never to sleep with a Republican, she still never beds a plumber with a beer belly or an ex-marine from Arkansas—or if she does, she doesn’t write about it—and it’s hard to imagine that Random House would have published her book if she had. Juska is a member of the graying educated class, and if her audience can read about her senescent sexual adventures with any pleasure, it is partly because they carry a New York Review of Books seal of approval.

Of course, part of what is driving all this early geriatric ink-spilling are the altered demographic realities of Americans living longer and staying healthier. There are 37 million women in their forties, fifties, and sixties living in America today, many of them single, and many of them financially independent. With more affluence, better health care, and advanced medical technology—Viagra, hip and knee replacements, Viagra, hormone therapy, face lifts, silicone, tummy tucks, hair color, Viagra—it’s now a cinch to fool Mother Nature. Not so long ago, Yankelovich, Inc. surveyed baby boomers, asking them when they believe old age begins. The most common answer was 85—three years after the average American can expect to be dead and buried. In a world where a 60-year-old woman can give birth and the biological narrative—you’re born, you reproduce, you get old, and you die—has gone haywire, inevitably some people will imagine that old age is history.

And that’s not an altogether bad thing. There is something supremely American about these aging boomer women. Freedom, possibility, frontier, change—you see these words over and over again in Second Adulthood tracts. Second Adulthood reflects a zest for experience, for the new, for the personal gumption that is rooted in our national character and that has been the source of many of our blessings. It would also be curmudgeonly not to admire the energy and young-as-you-feel verve that Sheehy and her ilk want to bring to growing old. Who can entirely resist such determined optimism in the face of the harshest of realities? Yes, women might lose their memories, but they “gain insight.� Yes, their stomachs fold into accordion pleats and their upper arms sag like forgotten balloons, but they know better than any Jennifer Aniston wannabe how to please a man.

No, what grates about the Desperate Grandmas is not their optimism. It is not their determination to firm their glutes or to do good deeds in West Africa or, for that matter, to study the Kama Sutra like Orthodox Jews study the Torah. It’s their enthusiastic display of that chronic boomer disease: narcissism. Tom Wolfe once dubbed the 1970s “the Me Decade.� Desperate Grandmas seem determined to make every decade a Me Decade. With its consciousness-raising, its denigration of family life, its rejection of the past, feminism has always flirted with excessive individualism, bordering on mere selfishness. Now, as Second Wavers like Steinem and Levine filter out politics, what’s left of graying feminism are the dregs of self-actualization, passionate pursuits, and sexual self-expression.

Not that Desperate Grandmas are entirely without social conscience. As in Juska’s case, blue-state politics seem to go with the territory. It’s a way for women to reassure themselves that they are filled with enlightened altruism, despite all the time and money they lavish on their self-actualization. Jong proudly describes the anger she stirred up when she gave an anti-Bush graduation speech several years ago at a Staten Island college. (The “Boos were honors,� she writes. “They meant I was questioning authority, speaking truth to power. They meant I was trying to tell the truth—my quixotic calling.�) Margot, the corporate-executive-turned-Peace-Corps-volunteer Suzanne Levine interviews, captures the combination of unapologetic self-absorption and liberal sensibility that characterizes the Desperate Grandma. When asked whether she will go back to work after she returns from Africa, she says yes. “Maintenance is expensive. Being a jazzy older woman costs money. And that includes plastic surgery—when I get back from the Peace Corps.� As the saying goes, you couldn’t make this stuff up.

The memoirs by Erica Jong and Jane Juska in particular illustrate how feminism’s promotion of self-actualization makes it particularly ill suited for women—no matter what their politics—who are racing toward the day when they will become deeply and humbly dependent on the kindness and love of others. In fact, Jong has always been a case study in the porous boundary between feminism and narcissistic indifference toward other people’s reality. Her breakout novel, Fear of Flying, celebrated for its uninhibited depiction of female sexuality, was also thinly disguised autobiography that must have caused great pain to the two ex-husbands and numerous lovers she once had (presumably) cared for. That’s not unusual: male novelists beyond number have betrayed family and lovers in their books, too. But in the spirit of those let-it-all-hang-out times, Jong won applause not despite her callous exhibitionism and disregard for others’ privacy but because of them. Her exhibitionism, like that of the hordes of women confessors who have followed her, was taken as proof of her irreverent honesty, bravery, and admirably voracious libido.

Now a grandmother and still proudly proclaiming truth-telling as the impulse behind her sexual showboating, she has become in Seducing the Demon deeply embarrassing, repeating stories she has told in previous books, prattling on about her orgasms, her problems with thongs—“they tend to give me diaper rash�—and her fantasies about sex with former president Clinton: “Maybe I can dress up like his dear dead mother.� Ironically, after Fear of Flying, reviewers compared Jong with Philip Roth and J. D. Salinger, two legendarily private men, who, though uninhibited in their fiction, would probably sooner get a sex-change operation than treat their readers to a glimpse of their jock itch. Feminism applauded Jong’s exhibitionism, and though it may have given her fame, a yacht, and a face lift, it has been no friend to her art or to other Desperate Grandmas tempted to imitate her.

Nor was the self-absorption much of a friend to those closest to her. She collected lovers and husbands the way some people collect orchids. “I seem to have married people because they would make good material,� she muses. The one who suffered the most was her daughter, Molly, the progeny of one of those husbands from whom she separated very early in the marriage. Jong appears to have had no interest in creating a coherent family life for her clearly troubled child. As she whiled away summers with her Venetian lover, her daughter, who has recently written an acid memoir describing those years, hung out at the Cipriani pool with her nanny and the neglected children of European celebrities. After divorcing Molly’s father, Jong wrote a smiley-face children’s book, Megan’s Book of Divorce, telling the story of a lucky child who can now enjoy two sets of presents, two sets of toys, and two sets of families—though the book fails to include the procession of men, some of them young enough to be Molly’s brother, traipsing in and out of her mother’s bedroom. So Jong got her orgasms and fed her muse, while—unsurprisingly—Molly became a depressed teenager with a serious drug addiction.

In A Round-Heeled Woman, Jane Juska provides a similar case study in narcissism in the name of feminist self-actualization. Juska doesn’t advertise in The New York Review for love or companionship; her goal, remember, is to “have a lot of sex with a man I like.� In Fear of Flying, Jong introduced her famous fantasy of the “zipless fuck�—sex with a stranger for pure sensation, unencumbered by emotion, history, or family entanglements. Juska is advertising for a modified version of the zipless fuck; she at least wants to “like� the guy. But the impulse is similar, and the results predictable. “[F]or just about every man I have met on this journey,� she writes toward the end of her book, “I am a swan song, a test case, a last hurrah, the tail end. . . . But the truth is no one wants me as a consort. I am a bend in the road. I am the dusty pike of stones. . . . Well, I expected this, but more and more, I wanted to be wanted and for more than three days. . . .� She is the recipient of precisely the sort of treatment she herself offers. She announces her willingness to use men, and they use her right back.

And as in the case of Jong, Juska’s egotism turns out to have a long history that has badly hurt her child. Juska admits to leaving her son’s father without much thought—“I just sort of forgot my husband�—and to being so self-involved that she doesn’t notice when the child jumps into the deep end of a swimming pool without knowing how to swim. Inspired by the women’s movement, she refuses to cook dinner for him (though she does learn to masturbate “without guilt�), and she considers changing her name from Juska, the name of her ex-husband, until her quasi-orphaned child wails: “If you change your name, I won’t belong to anybody.�

By ninth grade, the child expresses his despair by shaving his head and becoming a drugged-out, petty-criminal runaway, living wretchedly on the Berkeley streets. Both Juska’s and Jong’s children are now grown, married, and seemingly on good terms with their mothers, but interestingly enough, they both independently refuse to read their books. You can’t blame them.

For these books do not simply recall their mothers’ profound, feminist-sanctioned self-absorption; they are expressions of it. Not all Desperate Grandmas are quite so ready to cross the boundary into Jong’s and Juska’s brand of exhibitionism, but their positive thinking shades easily into discomforting egotism. It’s not just that older women continue to enjoy sex; it’s that it has to be—in defiance of all common sense—Better Than Ever. It’s not that they like working to rescue animals; they’re Pursuing Their Passions. “They are the most amazing women our country has ever seen!� Levine quotes a gerontologist as gushing in Inventing the Rest of Our Lives.

Please. Narcissism is the last thing a society needs from its graying population. Their job is in part to counter youthful egotism, especially in an individualistic society like ours. No one should understand better than those getting on in years our dependency on one another. And no one should have a stronger intuition of our own fundamental inconsequentiality. We “fill a slot for a time and then move out; that’s the decent thing to do: make room,� John Updike’s Harry Angstrom muses in Rabbit at Rest.

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Erection Drug Was Not Useful to Two-Thirds of Its Users

July 19, 2006

According to a large-scale study published in the July issue of the urology journal BJU International, nearly two-thirds of patients have discontinued the use of Uprima , a drug known to treat problems of erection. The users were not happy with the success rates of this drug.

And 70 per cent of family doctors who expressed an opinion using an official National Health Service (NHS) drug feedback form felt the drug wasn’t effective.

Researchers at the UK’s Drug Safety Research Unit and University of Portsmouth analysed prescribing data for 11,185 patients seen by NHS family doctors.

The data was gathered from official Green Form Questionnaires that ask doctors to record any significant events recorded in a patient’s notes after prescribing newly marketed medicines.

Key findings included:

•65 per cent of doctors said their patient stopped taking Uprima because they felt it wasn’t effective and 14 per cent said the patient didn’t request a further prescription. (68 per cent of GPs responded to the question).
•Further analysis showed that 59 per cent of patients who didn’t find it effective stopped taking Uprima after a month and a further 23 had joined them by month two. (Timescale information was recorded for 79 per cent of patients who judged the drug ineffective).
•70 per cent of doctors said they didn’t think the drug was effective and 30 per cent said it was. (65 per cent of GPs responded to the question)
•28.5 per cent of the total patient sample had a history of diabetes, 18.8 per cent had heart disease and 37.2 per cent had tried Viagra. 7.5 per cent were receiving both Uprima and nitrate therapy for angina.
•The most common adverse drug reactions were headache and nausea, in line with the clinical trials and as listed in the Summary of Product Characteristics by the manufacturers.
•The average age of the subjects was 61 and all but eight were male. Three of the women were prescribed Uprima for decreased libido, pain and sexual arousal problems. Prescribing information was not provided for the other five.
•Most patients (99 per cent) received the manufacturer’s recommended dose of 2-3mg, with the remainder receiving between 4-12mg. (Starting dose information was completed on 79 per cent of forms).
•99 deaths (just under one per cent of the total sample) were recorded on the forms. The most frequently reported cause of death was heart attack (27 patients), followed by heart disease (nine) and lung cancer (five). In 21 cases the cause of death could not be established by the researchers.
The 11,185 forms covered patients who were first prescribed Uprima between October 2001 - three months after the drug was launched in the UK - and December 2002. Just over 21,000 Questionnaires were issued and 57 per cent of GPs

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Erection Drug Didn’t Work For Two-thirds Of Patients

July 19, 2006

A study covering official prescribing data and feedback on 11,185 patients found that two-thirds of patients stopped using Uprima, a drug commonly prescribed for erection problems, because they felt it wasn’t effective, according to a large-scale study published in the July issue of the urology journal BJU International.

And 70 per cent of family doctors who expressed an opinion using an official National Health Service (NHS) drug feedback form felt the drug wasn’t effective.

Researchers at the UK’s Drug Safety Research Unit and University of Portsmouth analysed prescribing data for 11,185 patients seen by NHS family doctors.

The data was gathered from official Green Form Questionnaires that ask doctors to record any significant events recorded in a patient’s notes after prescribing newly marketed medicines.

Key findings included:

* 65 per cent of doctors said their patient stopped taking Uprima because they felt it wasn’t effective and 14 per cent said the patient didn’t request a further prescription. (68 per cent of GPs responded to the question).

* Further analysis showed that 59 per cent of patients who didn’t find it effective stopped taking Uprima after a month and a further 23 had joined them by month two. (Timescale information was recorded for 79 per cent of patients who judged the drug ineffective).

* 70 per cent of doctors said they didn’t think the drug was effective and 30 per cent said it was. (65 per cent of GPs responded to the question)

* 28.5 per cent of the total patient sample had a history of diabetes, 18.8 per cent had heart disease and 37.2 per cent had tried Viagra. 7.5 per cent were receiving both Uprima and nitrate therapy for angina.

* The most common adverse drug reactions were headache and nausea, in line with the clinical trials and as listed in the Summary of Product Characteristics by the manufacturers.

* The average age of the subjects was 61 and all but eight were male. Three of the women were prescribed Uprima for decreased libido, pain and sexual arousal problems. Prescribing information was not provided for the other five.

* Most patients (99 per cent) received the manufacturer’s recommended dose of 2-3mg, with the remainder receiving between 4-12mg. (Starting dose information was completed on 79 per cent of forms).

* 99 deaths (just under one per cent of the total sample) were recorded on the forms. The most frequently reported cause of death was heart attack (27 patients), followed by heart disease (nine) and lung cancer (five). In 21 cases the cause of death could not be established by the researchers.

The 11,185 forms covered patients who were first prescribed Uprima between October 2001 - three months after the drug was launched in the UK - and December 2002. Just over 21,000 Questionnaires were issued and 57 per cent of GPs responded.

At least six months after the first prescription for Uprima was issued for each patient, their family doctor was sent a Green Form Questionnaire that requested details about the patient’s age and sex and their use of Uprima.

They were also asked to record any significant events that had occurred since the patient was prescribed Uprima, such as suspected drug reactions, unexpected deterioration or improvement in the patient’s condition, referral to a specialist or any clinically important changes in laboratory tests.

The form also included questions on diseases commonly associated with erectile dysfunction - such as diabetes and heart disease - together with previous use of similar drugs and co-prescribing of medication for angina.

“Prescription-Event Monitoring provides surveillance on a national scale after new drugs are launched” explains lead researcher Professor Saad Shakir.

“Because family doctors are not approached before the decision to treat a patient has been made, they are not subject to detailed inclusion or exclusion criteria. The decision to prescribe is made purely as a result of their clinical knowledge of the patient and the drug involved.

“The result is real world clinical data that provides information of illness and death in patients treated with newly marketed drugs - a valuable tool in drug safety assessment.”

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Impotence Gel to Compete with Viagra

July 11, 2006

A recent news published by a British-based pharmaceutical company suggests that they are planning to introduce an impotence gel that would give tough competition to the Numero uno impotence drugs Viagra.

Viagra which was launched by Pfizer in the US in 1998 was an instant hit for the treatment of erectile dysfunction. It was the first approved non-surgical treatment of Erectile Dysfunction that does not have to be either injected or inserted directly into the penis to achieve and maintain an erection. The name recognition of Viagra is so good that most of the men all over the world have heard of this drug and can tell you what it does and they would also suggest every person to buy Viagra not only to treat Erectile Dysfunction but also to increase the love making time and power.

But the impotence Gel manufacturing company believes that it can be a tough rival for the so called ruler in impotence treatment. The non-prescription gel will go through clinical trials later this year. The product is designed to be applied directly to the penis for the treatment of erectile dysfunction, The Times of London reported.

Britain’s Futura Medical Plc in collaboration with GlaxoSmithKline in the United States are the developers of this wonder impotence treatment gel to compete with Pfizer Inc’s Viagra in the multi-billion dollar anti-impotence market, the newspaper said.

The chief component of the impotence gel is glyceryl trinitrate, currently used to treat angina. Viagra was also originally developed as a heart drug, but during clinical trials was found to be effective in treating erectile dysfunction. Viagra has been prescribed to more than 23 million men worldwide since it was introduced in 1998.

According to sources around 1,500 men are expected to be recruited into three clinical trials of the gel that, if given regulatory approval, would be available by 2009, the Times reported, noting the trials will also involve the study of its effects on women who would come into contact with the gel during sex

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Viagra may be of help to heart disease patients

July 7, 2006

In the first human study of its kind, Dr. David Kass, a cardiologist at the Johns Hopkins University School of Medicine, reported last fall in the journal Circulation that Viagra can suppress the effects of stress hormones on the heart, a potential boon to many people with heart disease.

In the study, 35 healthy male and female volunteers were given a drug called dobutamine, which stimulates the heart much as the natural hormone, adrenalin, does.

Their hearts responded just as expected - pumping harder and increasing cardiac output. The point of this was to show that their hearts responded to this chemical stress.

About 30 minutes later, Kass divided the group in two. Half got Viagra, the other half, placebo. Neither the doctors nor the subjects knew who got which drug.

About half an hour later, all subjects got another dose of dobutamine. The hearts of people who had gotten Viagra showed less increase in contraction than those of people who got placebo, suggesting, said Kass, that Viagra, also known as sildenafil, “acts like a brake on the heart.”

In the penis, Viagra works through a chain of chemical reactions to dilate blood vessels - the key to getting and maintaining an erection. In the heart, Viagra works through the same chemical pathway but the result, instead of vasodilation, is a decrease in the heart’s response to stress.

In another study, Kass’s team has found this decrease in susceptibility to stress can reduce the thickening of the heart muscle that often follows long-term high blood pressure, a problem called cardiac hypertrophy.

Dr. Michael Mendelsohn, director of the Molecular Cardiology Research Institute at Tufts-New England Medical Center, said that the new evidence of Viagra’s effect on the heart means that “it is time to start studying the possibility of using Viagra as a heart drug.”

Viagra and similar drugs such as Cialis and Levitra, said Kass, could be taken once a day by people who have thickened heart walls, a problem for about 2.5 million Americans with congestive heart failure.

A new study using Cialis, which is longer acting than Viagra, is expected to begin this month. So far, though, doctors don’t recommend taking Viagra for heart problems.

Is lowering salt consumption important for health?

Many medical organizations say yes, though there’s room for disagreement.

Last month, the American Medical Association urged the government to develop regulations to limit salt - or sodium - in processed and restaurant foods, noting that excess sodium can increase blood pressure.

A 2004 report by the Institute of Medicine, a branch of the National Academy of Sciences, said that healthy adults should keep their salt consumption under 2,300 milligrams a day. Most Americans consume far more than that, in part because the food industry laces so many products with salt.

Lowering salt consumption can reduce blood pressure, said Dr. Lawrence Appel, a professor of medicine at Hopkins. “Elevated blood pressure is a powerful risk factor for cardiovascular disease and is extremely modifiable by lifestyle changes including sodium reduction,” he said. “Reducing salt is even easier for most people than losing weight or making other dietary changes.”

While the American Heart Association and the federal government recommend sodium reduction, a review of the issue by the Cochrane Collaboration, an international not-for-profit research group, showed that reducing salt intake is linked to reductions in blood pressure by only a few points.

Moreover, lowering blood pressure by salt reduction may not translate to a survival advantage.

A study published in February in the American Journal of Medicine by Hillel Cohen, an associate professor of epidemiology and population health at the Albert Einstein College of Medicine in New York, concluded that people who reduced salt actually had a 37 percent greater risk of death than those who didn’t.

Salt reduction studies, he said, present “a very mixed picture.”

One of Cohen’s co-authors, Dr. Michael H. Alderman, president of the International Society of Hypertension, has been a consultant, albeit unpaid, to the Salt Institute, an industry group based in Alexandria, Va. The Salt Institute did not pay for the study.

Bottom line? Take all advice on salt, including this, with a grain thereof.

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More young men reporting erectile dysfunction

July 5, 2006

Leonardo, a 28-year-old from a small town in Somerset County, remembers only in painful flashes the car accident that robbed him of his sex life three years ago.

He remembers riding in the ambulance, screaming in pain. “I remember being in the hospital,” he said, “and them cutting my pants and sticking something in my penis.” He remembers the mask approaching his face, and the hiss of gas cooing him asleep.

When he awoke, a pin and steel structure was rising out of his hip. A catheter was coming out of his stomach, draining his urine into a sack. The doctors told him the accident broke his pelvis and femur and snapped his urethra, the vessel that carries urine out of the body, in two. For five months he lived with a pelvic fixator, that steel structure, stuck on his hip. And for 11 months, he had a catheter plugged into his bladder, causing him such chronic discomfort that he felt like he didn’t want to live anymore.

But as painful as that first year was, the last two have been in some ways worse. With his bones healed and his urinary tract stabilized, Leonardo found he could no longer achieve an erection. It is a dreadful reality for a man who admits that “a lot of things in my life (were) based around sex.”

Sex can feel like an all-consuming passion for many young men, and the ability to have it almost whenever can seem like an entitlement not meant to expire until much later in life. Conditions like erectile dysfunction, or ED, are typically associated with men in their 40s to 70s.

And yet some men under the age of 30 are afflicted with sexual problems. They are seeing their sexual drives dissipate, or watching their ability to have an erection disappear. The causes, usually less dramatic than Leonardo’s, are varied: Often they are psychological, although illness, injury and interference from drugs, medication and alcohol can play a role.

But whatever the cause, the effect on young men with ED is predictably awful. “You feel worthless sometimes. You feel lonely,” said Leonardo, who consented to have only his first name printed due to the sensitive nature of his case. “It’s deep. It’s like three years of being in jail, on the streets.”

“I just feel like my life is on pause. I can’t move on.”

The good news, however, is that in most cases, sexual dysfunctions can be treated simply and effectively. Even cases like Leonardo’s have solutions. He is scheduled for surgery to implant an inflatable prosthesis that will allow him to achieve an erection once again, but this time with the press of a gumball-sized button implanted near his scrotum.

“They have an excellent mechanical reliability,” said Dr. Hossein Sadeghi-Nejad, director of the Center for Male Reproductive Medicine and Microsurgery at Hackensack University Medical Center. He will perform the surgery. “Ejaculation doesn’t change. The sensation doesn’t change.

“For the right patient, the result is fantastic,” he continued.

For most patients, however, treatment is much less severe. If the cause is diagnosed to be purely psychological, then treatment can require as little as a few talk therapy sessions.

So how common is ED among young men? It is unclear. According to a 2004 Israeli study of ED in men ages 25 to 50, there is very little data about its prevalence in a large-scale, healthy population.

A doctor at a local university campus said he had seen no evidence of it, either.

“I’ve talked to a lot of guys about a lot of problems, and this hasn’t been one of them,” said Dr. J. Christopher Mendler, a specialist in family and sports medicine at William Paterson University’s Health and Wellness Center.

Yet urologists and psychotherapists interviewed for this story reported that they regularly see a small but significant number of young men with ED. Some doctors say they are seeing more young patients with the symptoms.

Sadeghi-Nejad estimates that 10 percent of his patients are younger than 30. Dr. Ridwan Shabsigh, director of the New York Center for Human Sexuality, estimates that 15 to 20 percent of his patients are under 30, and another 15 percent between 30 and 40. “Although it’s still a minority, it’s still a high percentage,” said Shabsigh, the author of “Back to Great Sex: Overcome ED and Reclaim Lost Intimacy.”

Public awareness

He said those figures had doubled in the 16 years the center has been in operation, although that can’t be attributed to any one cause. Certainly, commercials for drugs like Cialis, Viagra and Levitra have created public awareness of ED as a common and treatable condition.

Doctors are cautious to say that there is no evidence to suggest that ED in young men is on the rise. But early studies sketch a picture of how common it is.

The 2004 Israeli study, which surveyed nearly 6,000 career servicemen in the Israeli Defense Forces, found that 26.9 percent of the respondents reported that they suffered from ED in either mild, moderate or severe forms. Among men under 40, the rate dropped to 22.1 percent.

A 1999 survey of sexual dysfunction published in the Journal of the American Medical Association found that 7 percent of respondents ages 18 to 29 had trouble achieving or maintaining an erection, while 19 percent were anxious about their performance. Furthermore, 10 percent said they found sex not pleasurable, 7 percent were unable to achieve an orgasm, 30 percent climaxed too early and 14 percent simply lacked interest in sex.

While the oldest men surveyed, ages 50 to 59, were three times more likely than the youngest to have both erectile problems and a lack of interest in sex, younger men, the study found, tended to be more anxious about sex than their elders.

What is the solution? Often, doctors say, it is simply positive sexual encounters.

One reason why young men may experience performance anxiety, a psychological precursor to erectile dysfunction, is because they often have not taken the steps to develop a close relationship with their partners, said Dr. Julie Peters, a Ramsey-based psychotherapist who specializes in women’s and reproductive health.

In situations that lack emotional intimacy, like one-night-stands, there is more room for insecurity to arise. And emotional insecurity can peak in places where confidence counts the most — namely in bed.

Just one instance of ED due to performance anxiety can spawn what Peters calls anticipatory anxiety, or the fear of not being able to perform. The stress hormones released during a state of anxiety can block the release of hormones that cause ecstasy, making it impossible for a person to have an erection, Peters said. “The effect on the psyche is strong enough to elicit a physiological response,” she said.

Dr. Michael Perelman, co-director of the Human Sexuality Program at New York Presbyterian Hospital, said he treats many young men he sees with a combination of “positive sexual coaching and the possible use of medications.”

He tries to impress upon young men that it is normal to have variations in the quality of erections, and that those variations should not cause panic. “We are reducing fear while we are increasing arousing thoughts,” said Perelman, who is also a clinical associate professor of psychiatry, reproductive medicine and urology at the Weill Medical College of Cornell University.

If left untreated, however, erectile dysfunction will not necessarily disappear. Ira Scharlip, a clinical professor of urology at the University of California in San Francisco, said he has seen several patients in their 40s whose sexual dysfunction began in their 20s, and it only compounded over time.

“They remain single. They yearn for a relationship but they are afraid of getting into one,” said Scharlip, who is also a spokesman for the American Urological Association.

Not seeking treatment for erectile dysfunction can also lead to more severe problems down the road. That is because a man’s erection can be a barometer of his overall health. “That is kind of the buzzword that we promote in our talks: that of ED as a harbinger of other problems,” Sadeghi-Nejad said.

An erection requires a strong blood flow to enter the penis. Any dip in that could be a sign that a man’s circulatory system is compromised. Shabsigh of the New York Center for Human Sexuality recalls seeing one 29-year-old man, whom he described as “morbidly obese,” who complained of sexual dysfunction.

A quick urine test uncovered that in addition to his impotence, the man was also suffering from undiagnosed diabetes. So in order to treat his ED, the man also had to treat his diabetes.

The surgery for Leonardo, who had the auto accident, is just a few weeks off, and if all goes well he should be physically back to normal. “I just thank God that I do have this doctor who’s willing to help me out,” Leonardo said.

He is also grateful to a young woman who stood by him all these long dark years since his accident. She knew what happened to him, and yet she supported him emotionally, even though he couldn’t be there for her sexually.

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More young men reporting erectile dysfunction

July 5, 2006

Leonardo, a 28-year-old from a small town in Somerset County, remembers only in painful flashes the car accident that robbed him of his sex life three years ago.

He remembers riding in the ambulance, screaming in pain. “I remember being in the hospital,” he said, “and them cutting my pants and sticking something in my penis.” He remembers the mask approaching his face, and the hiss of gas cooing him asleep.

When he awoke, a pin and steel structure was rising out of his hip. A catheter was coming out of his stomach, draining his urine into a sack. The doctors told him the accident broke his pelvis and femur and snapped his urethra, the vessel that carries urine out of the body, in two. For five months he lived with a pelvic fixator, that steel structure, stuck on his hip. And for 11 months, he had a catheter plugged into his bladder, causing him such chronic discomfort that he felt like he didn’t want to live anymore.

But as painful as that first year was, the last two have been in some ways worse. With his bones healed and his urinary tract stabilized, Leonardo found he could no longer achieve an erection. It is a dreadful reality for a man who admits that “a lot of things in my life (were) based around sex.”

Sex can feel like an all-consuming passion for many young men, and the ability to have it almost whenever can seem like an entitlement not meant to expire until much later in life. Conditions like erectile dysfunction, or ED, are typically associated with men in their 40s to 70s.

And yet some men under the age of 30 are afflicted with sexual problems. They are seeing their sexual drives dissipate, or watching their ability to have an erection disappear. The causes, usually less dramatic than Leonardo’s, are varied: Often they are psychological, although illness, injury and interference from drugs, medication and alcohol can play a role.

But whatever the cause, the effect on young men with ED is predictably awful. “You feel worthless sometimes. You feel lonely,” said Leonardo, who consented to have only his first name printed due to the sensitive nature of his case. “It’s deep. It’s like three years of being in jail, on the streets.”

“I just feel like my life is on pause. I can’t move on.”

The good news, however, is that in most cases, sexual dysfunctions can be treated simply and effectively. Even cases like Leonardo’s have solutions. He is scheduled for surgery to implant an inflatable prosthesis that will allow him to achieve an erection once again, but this time with the press of a gumball-sized button implanted near his scrotum.

“They have an excellent mechanical reliability,” said Dr. Hossein Sadeghi-Nejad, director of the Center for Male Reproductive Medicine and Microsurgery at Hackensack University Medical Center. He will perform the surgery. “Ejaculation doesn’t change. The sensation doesn’t change.

“For the right patient, the result is fantastic,” he continued.

For most patients, however, treatment is much less severe. If the cause is diagnosed to be purely psychological, then treatment can require as little as a few talk therapy sessions.

So how common is ED among young men? It is unclear. According to a 2004 Israeli study of ED in men ages 25 to 50, there is very little data about its prevalence in a large-scale, healthy population.

A doctor at a local university campus said he had seen no evidence of it, either.

“I’ve talked to a lot of guys about a lot of problems, and this hasn’t been one of them,” said Dr. J. Christopher Mendler, a specialist in family and sports medicine at William Paterson University’s Health and Wellness Center.

Yet urologists and psychotherapists interviewed for this story reported that they regularly see a small but significant number of young men with ED. Some doctors say they are seeing more young patients with the symptoms.

Sadeghi-Nejad estimates that 10 percent of his patients are younger than 30. Dr. Ridwan Shabsigh, director of the New York Center for Human Sexuality, estimates that 15 to 20 percent of his patients are under 30, and another 15 percent between 30 and 40. “Although it’s still a minority, it’s still a high percentage,” said Shabsigh, the author of “Back to Great Sex: Overcome ED and Reclaim Lost Intimacy.”

Public awareness

He said those figures had doubled in the 16 years the center has been in operation, although that can’t be attributed to any one cause. Certainly, commercials for drugs like Cialis, Viagra and Levitra have created public awareness of ED as a common and treatable condition.

Doctors are cautious to say that there is no evidence to suggest that ED in young men is on the rise. But early studies sketch a picture of how common it is.

The 2004 Israeli study, which surveyed nearly 6,000 career servicemen in the Israeli Defense Forces, found that 26.9 percent of the respondents reported that they suffered from ED in either mild, moderate or severe forms. Among men under 40, the rate dropped to 22.1 percent.

A 1999 survey of sexual dysfunction published in the Journal of the American Medical Association found that 7 percent of respondents ages 18 to 29 had trouble achieving or maintaining an erection, while 19 percent were anxious about their performance. Furthermore, 10 percent said they found sex not pleasurable, 7 percent were unable to achieve an orgasm, 30 percent climaxed too early and 14 percent simply lacked interest in sex.

While the oldest men surveyed, ages 50 to 59, were three times more likely than the youngest to have both erectile problems and a lack of interest in sex, younger men, the study found, tended to be more anxious about sex than their elders.

What is the solution? Often, doctors say, it is simply positive sexual encounters.

One reason why young men may experience performance anxiety, a psychological precursor to erectile dysfunction, is because they often have not taken the steps to develop a close relationship with their partners, said Dr. Julie Peters, a Ramsey-based psychotherapist who specializes in women’s and reproductive health.

In situations that lack emotional intimacy, like one-night-stands, there is more room for insecurity to arise. And emotional insecurity can peak in places where confidence counts the most — namely in bed.

Just one instance of ED due to performance anxiety can spawn what Peters calls anticipatory anxiety, or the fear of not being able to perform. The stress hormones released during a state of anxiety can block the release of hormones that cause ecstasy, making it impossible for a person to have an erection, Peters said. “The effect on the psyche is strong enough to elicit a physiological response,” she said.

Dr. Michael Perelman, co-director of the Human Sexuality Program at New York Presbyterian Hospital, said he treats many young men he sees with a combination of “positive sexual coaching and the possible use of medications.”

He tries to impress upon young men that it is normal to have variations in the quality of erections, and that those variations should not cause panic. “We are reducing fear while we are increasing arousing thoughts,” said Perelman, who is also a clinical associate professor of psychiatry, reproductive medicine and urology at the Weill Medical College of Cornell University.

If left untreated, however, erectile dysfunction will not necessarily disappear. Ira Scharlip, a clinical professor of urology at the University of California in San Francisco, said he has seen several patients in their 40s whose sexual dysfunction began in their 20s, and it only compounded over time.

“They remain single. They yearn for a relationship but they are afraid of getting into one,” said Scharlip, who is also a spokesman for the American Urological Association.

Not seeking treatment for erectile dysfunction can also lead to more severe problems down the road. That is because a man’s erection can be a barometer of his overall health. “That is kind of the buzzword that we promote in our talks: that of ED as a harbinger of other problems,” Sadeghi-Nejad said.

An erection requires a strong blood flow to enter the penis. Any dip in that could be a sign that a man’s circulatory system is compromised. Shabsigh of the New York Center for Human Sexuality recalls seeing one 29-year-old man, whom he described as “morbidly obese,” who complained of sexual dysfunction.

A quick urine test uncovered that in addition to his impotence, the man was also suffering from undiagnosed diabetes. So in order to treat his ED, the man also had to treat his diabetes.

The surgery for Leonardo, who had the auto accident, is just a few weeks off, and if all goes well he should be physically back to normal. “I just thank God that I do have this doctor who’s willing to help me out,” Leonardo said.

He is also grateful to a young woman who stood by him all these long dark years since his accident. She knew what happened to him, and yet she supported him emotionally, even though he couldn’t be there for her sexually.

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Hey Rush, Using Viagra Is Nothing to Be Ashamed Of

July 3, 2006

As a man in his late 50s with off-and-on weight problems, right-wing radio host Rush Limbaugh is in the perfect demographic for Viagra, the drug that treats “erectile dysfunction,” or impotence, the less politically correct name for the inability to get an erection.

After all, for many chubby middle-aged men, having trouble below the belt is as unavoidable as death and taxes. Like menopause, it can simply be a part of aging, although diabetes and artery-clogging cardiovascular disease (both common side effects of obesity among older men) make it worse — not only weakening a man’s arteries but his manhood as well.

As sex therapist Dr. Barnaby Barrett puts it, a man of Limbaugh’s age “would expect to have occasional problems.”

Limbaugh is waiting to find out whether he violated his deal with prosecutors in a prescription fraud case after he was detained for more than three hours Monday at Palm Beach International Airport. Customs officials found Viagra in his bag, but his name wasn’t on the prescription — it was in his doctor’s name instead. Limbaugh was released without being charged and is waiting to find out whether he violated his deal with prosecutors in another prescription fraud case.

Why Hide It?

So, given that it’s no surprise that Limbaugh would need a little help between the sheets, why would he reportedly be willing to break the law (again) and obtain a prescription written out to his doctor instead of to himself?

In a statement released to the press, his lawyer, Roy Black, chalked it up to the need for privacy. And that’s understandable; his private life has long been heavily scrutinized after he admitted having a long-standing painkiller addiction and was accused of trying to get his housekeeper to act as his drug dealer.

However, there’s also probably an even more sensitive thing he’s trying to protect — his ego.

“Certainly Bob Dole,” the former Kansas senator and Viagra spokesman, “broke the sound barrier and made this a legitimate concern with all of the advertisement,” said Eli Coleman, director of the University of Minnesota’s Human Sexuality Program. “But impotence has the connotation of a lack of power … to admit weakness, that’s a tough one. … I’ve had many patients who have written to me saying, ‘I don’t feel comfortable talking about this with my physician.’ They still want some kind of anonymity.”

Insecurity about needing or using Viagra is understandable but certainly not helpful, Coleman added. For one, anxiety and self-consciousness don’t help an erection problem, even if it’s rooted in unavoidable physical changes caused by aging.

And while Coleman doesn’t exactly recommend that men adopt a Bob Dole-style openness about their personal prescription use, he doesn’t believe Limbaugh’s strategy is very wise either.

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