On the Pill
| I read with great interest Tama Janowitz's article on Viagra
["Sexual Healing"] in the July issue. I was particularly
interested in the sidebar by Joanne Chen. "Does Viagra have a
feminine side?" As an urologist in New York City specializing in
erectile dysfunction. I have prescribed Viagra to more than 700
men. Its effect in men has been well documented, and the experiences
of my patients are similar to those previously described. I have also
had the opportunity to prescribe Viagra to many women. It has helped
my postmenopausal patients with arousal, lubrication, and ability to
achieve orgasm. The women described a feeling of tingling and enhanced
sensation in the vagina and clitoris. This is a result of increased
blood flow. As Ms. Chen reports, the penis and the clitoris are very
similar morphologically. In the younger population with anorgasmia, or
difficulty achieving orgasm. Viagra also results in increased
sensation and is usually described as making sex feel better. It is
not clear whether it will facilitate orgasms in these women, as there
are many factors contributing to a female orgasm, and these women may
have psychological or neurological factors making orgasm
difficult. Female sexual dysfunction has long been overlooked by the
medical community, and one of the beneficial outcomes of the Viagra
craze will be increased attention to this often troubling problem for
many women.
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