Impotence — the preferred term is now erectile dysfunction — is a common problem, especially among older men,1 and if it is not caused by psychological problems it certainly can cause them. Among the components of sexual function and satisfaction in men — desire, erectile function, orgasmic function, ejaculation, and fertility — decreased erectile function is not only the most common but also the most distressing and threatening. It can destroy a man's ego and threaten happy relationships.In this issue of the Journal, Goldstein et al. describe the efficacy of oral sildenafil in men with erectile dysfunction.2 This is . . .
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Robert D. Utiger (1998) studied this question.
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