BAPNA, J.S. (Institute of Human Behaviour & Allied Sciences)

Sexual inadequacies cause a lot of psychological burden in the society. Majority of cases are labelled and disposed as psychological problems. Common causes of sexual inadequacies among men include erectile dysfunction, diminished sexual desire, and premature ejaculation. One of the major breakthroughs in this area is the introduction of sildenafil (Viagra). It has been successfully used in the treatment of erectile dysfunction. In general, it works in 80 percent men with erectile dysfunction. The outcome may not be as good in drinkers and smokers, and those who eat fatty meals. There is no evidence of its action in a normal person. There is no evidence of its action on women though there are some claims that it increases blood circulation in the pelvic region and may facilitate vaginal secretions. The scientific studies have clearly shown that it does not affect sexual desire. It is effective in men with diabetes, hepatitis and multiple sclerosis, in spinal injuries. It has brought a great amount of social change and reduced the psychological burden. The implications of its use are discussed.