Happy ending to erectile dysfunction problem
T.S. is a 35-year-old investment banker who developed erectile dysfunction (ED) and decreased libido over a period of several months. His wife was seriously concerned about the development as they were still childless. Initially, he visited his family physician, who told him he was too young and healthy to be suffering from a serious medical condition, advising him to reduce stress at work and have more “romantic time” with his wife of 5 years. T.S. did his best to follow these recommendations but continued to struggle with ED over the ensuing months, so he made an appointment with a urologist. There, he was evaluated by a nurse practitioner because the urologist was “too busy” seeing a prostate-cancer patient. The nurse practitioner prescribed Viagra but offered T.S. no specific instructions about how to use it. The medication helped him achieve a good erection some of the time, but his sexual performance remained inconsistent, and his sex drive stayed low. Frustrated, he us...