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These factors, especially Viagra’s efficacy, are well-known, have already been proven 50 through scientific research, and are not expected to alter with regards to ethnicity. Why do researchers, and ultimately individuals at Pfizer believe that Viagra will work differently on men of different races? Seldom are medications tested in this manner. The majority of countries do not require a study to be conducted on a specific population in order to approve a new pharmaceutical agent. Even if this was the case, the specific subset of studies in question most often deals with a grouping of men from surrounding regions, not solely one country. There is a lot that can be written about the issue of race and biology with regards to these undertakings. One important point to note is that such studies reify ‘race’, in effect confirming the idea, for which there is no biological basis, that there is something inherently different between racial or ethnic groups. It can be argued that sex for recreation is important to our culture. Perhaps this is not so to individuals living in other cultures and other countries. These individuals are undoubtedly seen through the lens of economics, and as such, as entire markets, by Pfizer. Hence, the articles may be attempting to condition and prepare individuals outside of North America and Europe. By creating interest in, and instilling the importance of this form of sex in ‘others’, it seems that Pfizer may be attempting to create a market for erectile dysfunction (and possibly FSD,Cheap Viagra). Are individuals of these countries perhaps being conditioned to consider erectile dysfunction as a ‘big deal’ and a bodily condition in need of treatment? In this subset of articles, researchers often address cultural implications of arousal and sexuality by referring to their usage of the International Index of Erectile Function. In theory, the index is noted to be “crossculturally valid”, and although it is available in ten languages, there is no evidence of cultural implications or sensitivity to different interpretations of sex-related issues and lifestyles (Rosen et al., 1997,Cheap Viagra). In addition, since most often the entire index is not employed, but only certain questions, its validity is questionable. As mentioned above, it is hypothesized that these studies, rather than focusing solely on the efficacy and side effects associated with Viagra as they overtly claim to do, are part of a larger agenda to increase sales of the drug.ED is by no means an inevitable consequence of aging. Of equal concern is its association with other medical conditions. In fact, it is usually a symptom of some underlying medical condition. In most cases, erectile dysfunction can be overcome. One can find Internet references to the term “female erectile dysfunction”, used to define a condition by which a female does not achieve the satisfaction of orgasm due to a lack of arousal. This condition is more appropriately termed “female sexual dysfunction”, and its origin is more eclectic than clinical. And while female sexual dysfunction is an important issue affecting millions of women, it is not part of the discussion of this publication. Erectile Dysfunction – Prevalence Developing an estimate of incidences of erectile dysfunction is difficult due to variations in the individual cases. But the National Institutes of Health estimates that 15 million to 30 million men in the U.S. have some form of ED. Additional information on the size of the problem comes from the National Ambulatory Medical Care Survey (NAMCS), which found that in 1985, for every 1,000 men in the United States, 7.7 physician office visits were made for ED. By 1999, that rate had nearly tripled to 22.3. The increase was gradual, presumably as new treatments, e.g., vacuum devices and injectable drugs became more widely available, and discussion of erectile function became more socially accepted. Further NAMCS research finds that the incidence of ED increase with age: a mere 5% among the 40 year old men experience impotence; however, that number shows an increase to 15% to 25% in case of men in their 60s. Transient or intermittent ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. Without a doubt, the most publicized advance in ED treatment was Pfizer’s introduction of the oral drug Viagra (sildenafil citrate,Cheap Viagra) in March of 1998. NAMCS data on new drugs.

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