Sometimes, things do not work out as people expect. They have been taught that taking a pill cures all ills. Yet, sometimes, people do take a pill and nothing happens. When talking about erectile dysfunction (ED), this failure of the medication happens more often than the drug companies would have you believe. Why is this? The answer is complicated. Although it’s tempting to see an erection as human plumbing in action - turn this valve, pump blood here, inflate this bit, and so on - the man has to want to respond to the sexual stimulation. Pills do not cure ED if the psychological and relationship issues are not also cured. Unfortunately, doctors in general practice are very bad at dealing with the social problems. It’s quicker and easier to write a prescription for the medication.
Looking back over the last forty years, it’s hard to ignore the change in sexual politics. Women as feminists have been pushing for more gender equality. They want the freedom to choose on questions of oral contraception and abortion. They want to be seen as people with feelings and needs in their own right. Many men who see sex as a symbol of their power find this intimidating. The problem is one of education. Few boys are taught how to form relationships or respond to sexual advances. The men most likely to have ED problems have a limited view of how sex is to be performed. Anxiety gets in the way if they do not feel well-endowed or their erection is not hard enough. Worse, women want to talk about intimacy. This is seen as threatening. If women are free to ask for what they want, this means men lose control and, if their performance of the “new thing” is inadequate, they risk rejection. For example, research shows that many suffer ED if their partners insist on using a condom.
There is a psychiatric overtone to many ED cases with men suffering from anxiety and stress disorders, depression and other conditions that affect the way in which emotions are handled. Put another way, if the man does not feel satisfied with the relationship, he is likely to perform badly. The failure rate increases if he feels angry with his partner, no longer finds her so attractive, is having an affair, and so on. This is not to say that powerful drugs like cialis cannot help to restore sexual power. This drug has an amazing reputation as the “weekend pill”, restoring sexual responsiveness in most cases the first and every time it is used. But the relationship must be supportive. The partners must want sexual intimacy to resume. The decision to buy cialis is not the same as counseling or therapy to help a couple come to terms with who they are and what they want. Cialis does not reverse negative feelings about sex. All it can do is encourage the man to respond when he is in the right frame of mind. Sex happens when people want it to happen and are relaxed. If they have performance issues, sex becomes and stays difficult.
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