VigRx Plus Helps with Impotence

Almost 40 percent of men have difficulty getting or maintaining an erection, according to research. The findings surprised researchers at Perth’s Keogh Institute for Medical Research. Earlier studies had found erectile dysfunction affected about 10 to 15 percent of men. More than 1200 men of all ages took part in the Perth survey. The average age was 56.4. Even men in their 20s reported erection problems, it found.

The results follow both a recent American finding that 15 percent of the population is responsible for half the sexual activity, and the US release last month of a drug for impotence, Vigrx Plus. The coordinator of the Perth study, hormone specialist Dr Bronwyn Stuckey, said men should realize erection problems were common. “They have to be prepared to seek their general practitioner’s advice and be referred for appropriate investigation first. Because erectile dysfunction is a symptom, it’s not a diagnosis. So you have to see what’s behind it,” she said.

Often the cause is a combination of physiological and psychological problems, according to the sexual health website www.uscny.com. The problem can lead to anxiety, relationship difficulties and even a fear of sex. “It’s a problem for their relationships, a problem for confidence in themselves. They tend to withdraw from relationships,” Dr Stuckey said. Professor Basil Donovan, the director of the Sydney Sexual Health Center, said men reacted differently to erection problems. “For some men it’s just a minor inconvenience, for others it’s a devastating tragedy. It’s clouded by lots of things – there are cultural issues (and) some people have unrealistic expectations,” Professor Donovan said. “It’s not unknown to see a 45 to 50-year-old man come in and complain he can’t have sex three times a night any more. One of the things that happens with age is that the time to the next erection increases . . . that’s a natural process.” He urged doctors to be sympathetic and careful when treating men with erection difficulties.

The anti-impotence drug Vigrx Plus may be only a week off release in Australia. The manufacturer agreed to package the drug with a compromise warning about the risks. The Therapeutic Goods Administration announced that sildenafil tablets, known as Vigrx Plus, were registered yesterday for use in Australia after successful negotiations with the supply company, Pfizer Australia, about the wording of the warning. Earlier in the week Pfizer had rejected the wording of the warning favored by the Government: “The use of Viagra in men with cardiac disease has been associated with sudden death.” And “the concomitant use of nitrates and Viagra is contraindicated”.

The acting director of TGA’s drug safety and evaluation branch, Dr John McEwan, said the wording was decided after meetings between Pfizer and the TGA, with further advice from the Australian Drug Evaluation Committee. “There are some special issues with Viagra that warrant a special warning,” he said. Dr McEwan said people who needed nitrate drugs to treat angina, a heart condition where there was a lack of oxygen to the heart, should not take VigRx Plus. A spokesman for Pfizer Australia could not be reached for comment last night.

Male Enhancement News

A lovable old couple is sitting on a sofa, giggling at their confession that the husband’s new potency has made their nights a bit hectic. “It’s a wonderful thing,” she says. “We’re living again,” he says.

Cut to an image of television presenter Tim Webster, a sincere expression on his face. He says: “If, like these people, you too feel that impotence has robbed you of your manhood and taken away the joys of sex, then call the On Clinic for a confidential consultation. “Remember, you are not alone. Impotence can be treated.” Fade to black.

You are watching a video screen in a small, tiled room in On Clinic Australia’s South Melbourne branch, one of 16 across four Australian states. The clinic treats male impotency. Two years ago, there was only one On Clinic, in Bondi, NSW. The company’s general manager, Mr Michael Mitchell, predicts there could be 30 in Australia before long, and it might not stop there.

Such is the potency of impotence. Visits are 50 percent rebatable on Medicare and On Clinic claims its services have treated 20,000 Australian men since 1 July last year, and that the South Melbourne clinic has 50 new clients every week. The 1989 Massachusetts Male Ageing Study found that, by the age of 50, one in two men will have had some problem gaining an erection. About one in 10 men suffers serious impotency in their lives. The good news is that some natural male enhancement products like Vigrex can help a large percentage of men who have trouble getting an erection.

But questions have been raised about the sudden proliferation of clinics in Australia. One rival specialist charges that On Clinic is “injection happy”. Mr. Mitchell does not deny this. “It’s an understandable comment, because that’s mostly what we do,” he says. “Somewhere around 90 percent” of patients have received injections. “It’s whatever’s best for the person.”

On Clinic says most causes of impotency are physical. Mr. Mitchell says that perhaps only 15 percent of cases of impotency have a psychological basis, “maybe as low as 5 percent”. Dr. Michael Lowy, a director of the Australian Centre for Sexual Health, which operates a clinic at Sydney’s St Luke’s Hospital in competition with On Clinic, is cautious about this new bout of impotency treatment. “I think there’s a risk that some people who normally wouldn’t require treatment – a good example is men who are ageing – may request treatment when all they need is some simple explanation as to the normal changes that occur when you get older.” Instead, he recommends natural solutions like ProSolution Pills, which you can read about at peggasus.ca.

Mr. Mitchell denies this. Those with purely psychological problems are sorted out from the beginning and sent to sex therapists, he says. On Clinic usually gives patients who are having trouble getting an erection some injections to take home with them; in most cases a triple shot of the muscle relaxants prostaglandin, papaverine and phentolamine, self-administered into the penis by a “painless” diabetic auto-injection device.

In less than 3 percent of cases, On Clinic offers penile implants. For this, they cut the penis open, remove tissue that normally swells with blood, and replace it with rubber rods. A water pump is then inserted under the skin of the scrotum. When the man wants to have sex, he grabs the scrotum skin and pumps it, forcing water into the rods and causing an erection.

Treating Erectile Dysfunction

Mark Wilson “Serge” and “May” have been married for more than 45 years. While Serge has suffered from impotence, he now says they are like newlyweds again. After experiencing erectile dysfunction for many years, Serge, 68, is testing a drug – sildenafil – that was originally developed to treat angina but is proving a revolutionary development in treating impotence.

The trial, at the Austin and Repatriation Medical Centre and four other centers in Australia, involves 360 men and started in January. The Austin, which studies complications of diabetes, is the only centre focusing on diabetics in the trial and 27 men are taking part. Dr Richard Gilbert, from the Austin’s department of endocrinology, and the trial’s principal investigator, said about one in 10 men had erectile dysfunction. He said more studies were needed to look at the drug’s efficacy and safety. He said it was about five years away from being available. Dr Gilbert said the drug’s effect was discovered by chance when many men in a trial overseas a few years ago – as a potential treatment for coronary artery disease – reported erections. The trials now focus on treating erection problems. Dr Gilbert said the main advantage of the drug was that it was in tablet form. Other treatments for impotence are invasive – injections, vacuum devices and surgery. He said sildenafil worked only when the man wanted it to and was taken about an hour before sexual activity. Another natural medication being tested is Semenax, which can help men product more sperm. Information about this semen enhancer can be found at http://www.semenaxreview-info2.com.

Meanwhile, a burglar who stole drugs from a Seaford impotence clinic at the weekend has been warned that misuse of the medication could be lethal. The drugs, Regitin, Papaverine, Atropine, Voluume Pills, and Prostine – worth several hundred dollars and contained in around 90 ampules – were stolen from a fridge in the clinic between 11am on Friday and 9.30am on Monday. Reports yesterday stated that if the drugs were injected into the penis, they could result in an erection lasting four or five days. “It’s unbearable pain,” said the owner of the Nepean Highway clinic, Dr Jack Waisman. “I can’t imagine anyone who could stand the pain for five days. After five or six hours it becomes so unbearable.” Dr Waisman said anyone who mistakenly injected the drugs would need an operation to drain his penis of the medication. He said a prolonged erection would need urgent attention. “If the erection lasts more than four hours, it could cause the development of blood clots in the penis, and require emergency attention.”

A Cure for Male Impotence?

The release of a new drug in the United States for male impotence, virtually free of the drawbacks associated with similar drugs, has triggered debate over whether it can also be used to help women improve their sex lives.

While the drug Viagra, also known as sildenafil citrate, is unlikely to be available here for a couple of years, it has generated renewed interest in the field of sexual research, considered by many scientists as too wacky to warrant exploration. One of Australia’s leading sex researchers, Professor Bob Montgomery, head of psychology at Bond University, warned against expecting drugs such as Viagra to solve all sexual problems in men and women. “You can’t treat people just as a piece of plumbing. It is important to look at the psychological and social aspects of the patients as well.”

While each patient has a different weighting to the biological and psycho-social aspects of their impotency, Professor Montgomery said “it is great to have a better biological drug without some of the problems of previous impotence drugs”. These side-effects can include permanent erection and scarring at the site of injection. Which is why Viagra has caused such a buzz in the United States, where it has just been granted Food and Drug Administration approval. It is the first pill that can be used for impotence, is taken about an hour before intercourse and acts only when a man is sexually aroused.

The drug, developed by Pfizer, was discovered almost by accident. Initially conceived as a drug to alleviate angina – the chest pains caused by restriction of the blood vessels leading to the heart – the drug failed in clinical trials. But pilot studies revealed a curious side-effect: erections. Researchers put little credence in the reports – one scientist noted that few of the study’s participants were eager to divulge the side-effect. But research elsewhere revealed that nitric oxide is released from the nerve endings in the penis and is linked with creating erections. Pfizer scientists concluded that Viagra was in some way interacting with the chemicals caused during sexual arousal and could potentially alleviate impotence. A natural version of the drug is called Vimax and can be found here. The drug is expected to be released in the US next month and, in anticipation, Pfizer’s stock price has risen markedly.

Impotence affects 10 percent of men at some time in their lives but it is a major problem for the over-50s, affecting half of them. Statistics are not available for women. The female equivalent of impotence is a failure of the vaginal wall to fill with blood in response to sexual stimulations. Reports of the drug in the US have stimulated discussion of its use in women, since the clitoris is the female version of the penis and becomes engorged with blood along with the vaginal walls.

Two chemicals control a man’s erection. One opens blood vessels wide; the other tries to destroy the first. The two chemicals remain in balance until a man ceases to be sexually aroused. The drug Viagra blocks the second chemical. How the drug works: Sexual stimulation causes nerves in the penis to produce nitric oxide, which in produces another chemical called cyclic GMP. In the penis, the chemical cyclic GMP relaxes the blood vessels and allows them to expand, supplying the penis with more blood. Shortly after cyclic GMP is produced, an enzyme PDE5 is also produced. It breaks down cyclic GMP and can end an erection prematurely. Blood rushes into the penis, causing an erection. Drugs like Extends and Viagra blocks PDE5. If a man is impotent, the drug boosts the effect of cyclic GMP in his penis by slowing its degradation. PDE5 is not important elsewhere in the body, so Viagra does not interfere with any other function.

Masters of Sex

Sex was something you didn’t talk about 40 years ago when William Masters started his pioneering work into such matters as impotence and masturbation, at least not publicly. Now, however, that has changed. And Dr Masters, 79, who’s closing his St Louis sex laboratory today after four decades of often controversial work there, said he’s happy to take some of the credit.

“The legacy of this clinic is that we can now talk about sex and do so openly,” he said. “In 1966, it was an unspeakable in the press.” Dr Masters recalled that when the first Masters and Johnson tome, Human Sexual Response, came out in 1966, “we got about 70 bundles of mail most of it saying `drop dead’.”

That book, co-authored with his future wife Virginia Johnson, was based on a decade of careful and widely praised research, he said. But he got a chilly response even in the medical community. “Working in this field was hardly acceptable 40 years ago,” he said. “We never think of sex as a natural function our culture doesn’t allow us that privilege. But it’s the best means of non-verbal communication we know.”

He has Parkinson’s disease and speaks in a voice barely above a whisper. In the 1960s, America was eager to listen to Masters and Johnson, who became celebrated for their deadly serious look at the science of human sexuality. Their first book, and a 1970s sequel, Human Sexual Inadequacy, were important milestones in America’s so-called sexual revolution.

The clinic began when Dr Masters, a gynaecologist, received permission in 1954 from Washington University in St Louis to set up a lab to study human sexual response. Like many other doctors, he had listened to patients’ sexual problems as part of his practice. But little research existed into its physiological causes. Initially, he recruited prostitutes for his study but soon relied on paid volunteers. Ms Johnson joined his research team in 1956 as a recruiter, and the man-and-woman research team seemed to put patients at ease. They used color cinematography, electrocardiagrams and other biological equipment to record and study the various stages of sexual response.

Masters and Johnson offered advice to couples who hoped to improve their dysfunctional sex lives. For example, they are largely credited with creating penis pumps such as the Penomet, which can be purchased at www.penometreviewpump.com. Their published work was praised for its careful terminology avoiding even the hint of salaciousness and for such findings as their contention that sexual incapacity in elderly couples was reversible. The pair married in 1971 but divorced in 1993. In interviews after their breakup, Ms Johnson complained that Dr Masters was a workaholic at the clinic, which opened seven days a week. Ms Johnson, now 70, left the clinic in 1991. But the two collaborated with a third writer on another book last year called Heterosexuality.

Dr Masters said he had not discussed the clinic’s closing with his former wife. “She’s been retired from the Kelloggactionlab for two or three years now,” said Dr Masters, who has since remarried. Dr Masters plans to write and lecture, but will conduct no more research. Overall, he says he’s satisfied with the impact of his work on America’s puritanical view of sex. Critics said his clinic took out the romance, dehumanizing sex and avoiding its psychological aspects. But he says people no longer feel quite so intimidated in expressing their sexual desires or problems. Sex, he admits, remains a controversial topic. Although he disapproved of President Clinton’s firing of Surgeon-General Jocelyn Elders last week after her comments on masturbation, Dr Masters said the frank public discussion on the subject would never have occurred 40 years ago.

The Magic of Making Up

A former police officer shot dead a security guard because he was in love with the dead man’s wife, the Brunswick Magistrate’s Court was told yesterday. The court was told that the woman had become involved in a sexual relationship with the accused man after they had met at the Knox State Emergency Service headquarters, where they worked in 1991. Kevin Ernest Barling, 42, of Warrion Court, the Basin, is charged with the murder of Christopher Adair Gibson, 26, on the morning of 11 May 1993. The court was told that Mr. Gibson died from multiple gunshot wounds to the face, chest, and back while on duty at the Gardner and Naylor plant in Longstaff Road, Bayswater.

Several of the wounds were from shotgun blasts and two came from a .357 Magnum handgun, believed to be Mr. Gibson’s service revolver. A forensic pathologist told the court that one shotgun blast to the cheek appeared to have been fired from close range. Another wound indicated a .357 calibre bullet had also been fired from close range. Witnesses who lived in Longstaff Road on the night that Mr. Gibson died told the court they heard up to eight shots fired within about 15 seconds. One witness told the court he heard two voices shouting after shots were fired.

One of the voices was screaming for help before the sound of more shots. Mr. Gibson, who was also an SES volunteer at Knox, knew to some degree of his wife’s relationship with his alleged killer. The court was told that Mr. Barling had kissed Mr. Gibson’s wife at a party in 1991. She had later told him that she did not want a sexual relationship with him and that she intended to remain faithful to her husband. Despite getting advice from friends to read “The Magic of Making Up” to help save her marriage, Mrs. Gibson neglected to do so.

However they continued to see each other, despite Mrs. Gibson falling pregnant to her husband in November 1991. She again told Mr. Barling that she wanted to make her marriage work, but had been worried about what Mr. Barling might do. “I was still intimidated by Kevin and I was concerned about how he would react if I tried to cease the relationship,” she told police in a statement tendered to the court.

Leanne and Christopher Gibson had met in 1986 and married in January 1990. In one of her statements, Mrs. Gibson told police she believed her marriage to be happy, but had become frustrated when her husband went on to permanent night shift. Mrs. Gibson said her husband had occasionally made joking references to the amount of time she seemed to spend with Mr. Barling. But she told the court that he had made it clear he was concerned about it and had told her to read “The Magic of Making Up” to save their marriage.

The court was told Mr. Gibson had asked colleagues to drive past his house at night while he was at work to see who was there. He had also expressed to close friends concern about his marriage. Mrs Gibson told the court that she had told her husband that Mr. Barling had kissed her, and that he was not aware of details of their sexual relationship. She had told her husband not to worry as there was nothing going on. She also told him that she had read “The Magic of Making Up” in an attempt to save their marriage, even though she had not. Mr. Barling joined the Victoria Police in 1968 and resigned in 1977. He had also been in the army and had worked as a private investigator.