Health What Viagra has changed in men's sexual concerns

What Viagra has changed in men’s sexual concerns

THE ESSENTIAL

  • Italian researchers have observed changes in the reasons why men seek help for their sexual problems over the past decade.
  • If fewer men complain of impotence and premature ejaculation, more and more of them are consulting for a decrease in libido or a curvature of the penis.

Authorized on the American market in 1998 and the following year in Europe, sildenafil citrate, marketed by the pharmaceutical company Pfizer under the name Viagra, has changed the intimate life of men.

Prescribed in the context of erectile dysfunction and pulmonary arterial hypertension, the famous blue pill and its generics have enabled more than 37 million men to protect themselves against the “breakdowns” which undermined their sex life. So much so that 65 million prescriptions have been prescribed around the world for twenty years.

But what sexual problems do men face today that Viagra has failed to solve? The team of Dr. Paolo Capogrosso, research director at San Raffaele Hospital in Milan (Italy), asked the question.

She delivered her conclusions during the Virtual Congress of the European Association of Urology: if men consult less for erectile dysfunction and premature ejaculation, more and more young men are complaining of a decrease in their sexual desire and Peyronie’s disease, that is, a curvature of the penis.

An evolution of men’s concerns

Over a ten-year period, we’ve seen a real change in how men go to sexual health clinics. This development is probably due to a greater openness and the fact that men now accept that many sexual problems can be treated, rather than being subjects they do not want to talk about ”, said Professor Capogrosso.

To find out the reasons why men visit sexual health clinics today, the researchers interviewed 3,244 men who visited the sexual health clinic at San Raffaele Hospital in Milan from 2009 to 2019. After having them When asked about the main reason for their visit, they found that the number of patients with erectile dysfunction problems increased between 2009 and 2013 and then started to decline, dropping around 6% over a ten-year period .

Comparatively, the number of patients complaining of decreased libido or Peyronie’s disease respectively increased by 32 and 30% between 2009 and 2019. The average age of the first clinical consultation also decreased, from an average of 61 to 53 years.

Erectile dysfunction remains the number one reason for going to the clinic, but that number is dropping, as around 35% of men who do go there now complain of Peyronie’s disease, and that number increased steadily, stated Paolo Capogrosso. Our patients are also increasingly younger, which may reflect a generational change in attitude towards sexual problems..”

Preliminary results

The researcher warns, however, that these figures “do not indicate any change in the prevalence of the disease ”. “What they show is why the men came to the clinic. In other words, they show what is on their minds. The changes probably also reflect the availability of treatments; as treatments for sexual illnesses have become available in recent years, men are less likely to suffer in silence.”

As these results come from only one sexual health center, they need to be confirmed by more comprehensive studies. “Nonetheless, there appears to be a growing awareness of conditions such as Peyronie’s disease, with articles published in the mainstream press. In addition, we know that awareness of this disease is increasing in the United States and elsewhere, which could be a general trend ” concludes Dr. Capogrosso.

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