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Many men are too embarrassed to admit that they have the problem and feel they cannot talk to their partners or health .
But experts say that if the problems are tackled, sometimes with drugs like Viagra or other treatments, 99% of problems can be alleviated.
Dr Mike Kirby, a GP who has a special interest in erectile dysfunction (ED) and the problems it causes, has turned to the world of the arts because of his concerns that men need more help.
With the help of West End playwright David Eldridge, whose works include “Festen” and “Serving it Up”, Dr Kirby wrote a play examining the delicate issues surrounding impotence, with the aim of promoting a better understanding of the condition.
He went on to perform it in front of an audience of GPs at University College, London.
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Erectile dysfunction
Erectile dysfunction affects at least one in every ten men.
There are an estimated 2.3 million UK men with impotence, but only 10% of them ever get treatment.
Impotence problems increase with age.
Impotence was thought to be almost entirely psychological, but physical conditions account for about 75% of cases.
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The play was a great success and there are hopes to use extracts filmed from it to help educate other professionals about how to handle the sensitive issues.
“I talked to the playwright about the issues and explained to him the problems and what issues needed to be brought out to make it easier for people to talk about their problems,” Dr Kirby said.
“People don’t like to talk about it. They are ashamed and they can’t talk to anybody. Men on average go between two and 10 years before they can tell anyone that they have a problem.”
Physical problem
Dr Kirby said that ED was often thought to be psychological, but that for many men it turned out to be linked to a physical condition such as early diabetes, high blood pressure or heart problems.
Impotent men can struggle with their emotions
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He said that in his surgery in Letchworth, in Hertfordshire, if men presented with any of these problems staff had been trained to delicately ask them if they were also having problems with ED.
“Doctors asking as part of a check-up can lead to diagnosis being quicker than it otherwise would be.”
Dr Kirby said that a failure to talk about the problems would also put strains on relationships, causing a rift between partners at a time when support was most needed.
“Because the man does not want to initiate anything that could cause himself , he often pushes his wife away and stays up late watching the television, rather than going to bed and talking about the problem.
“Then the wife starts to worry ‘am I not attractive any more?’ and the whole thing becomes very difficult. I wanted a way to get all these things across and the play seemed the best way to do this.”
He said the play had been aimed specifically at doctors because they are also often embarrassed about tackling sexual problems.
But he said that the sooner the problem is tackled the better it will be for the patient.
“There are some good treatments that can help,” Dr Kirby.
“About 10 years ago the treatments were a bit barbaric, such as putting needles into men’s penises, but now with Viagra we can help 99 out of 100 men.
“A lot of men just think it is part of getting older, and put up with it, but they can get help.”
Suffering in silence
Rachel Cummings, from the Chandler Chicco Agency which helped commission the play, said it had focused on the lives of one particular couple.
It showed through their relationship how difficult it could be for men to seek help and talk to their families and medics about the problem.
“We tried to portray a real-life couple. The man is suffering, but he can’t talk to his wife or his GP, so he just stays up late watching television,” she said.
“The relationship with his wife is damaged and he goes to the doctor, but he does not talk to him. He finds it too difficult.
“His wife asks him whether he still loves her and so he realises he must go to his GP. He finally talks to him and he gets treatment.
“It also helps by showing the GPs what is going on outside of their surgery and the impact something like this can have on a patient’s life.”
Ann Tailor, director of the Sexual Dysfunction , agreed that the play had been a great initiative.
“So many men with ED and their partners are experiencing the emotions portrayed in the play, such as embarrassment, disappointment and anxiety, but even worse there are still men with ED who are not going to their doctor for help and advice,” she said.
“This play raised awareness of ED and got doctors and patients talking about it with more ease.”
Posted by on 02-27-2008 at 09:02 pm
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Posted by on 02-26-2008 at 09:02 pm
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These are uncertain times for the global drugs industry. Last year, US pharmaceutical giant Merck was forced to withdraw Vioxx, its top selling painkiller for arthritis sufferers, after the drug was linked to heart attacks and strokes in some patients. Meanwhile, the world’s largest drug company, Pfizer, has also been hit by fears about the safety of its own arthritis drug, Celebrex. Pfizer’s share price has fallen by 25% in the last five years, and the company has warned that its performance in 2005 could be affected by stiffer competition. However, Pfizer believes that investors have failed to understand the company properly. Patents expiring Celebrex became a billion dollar earner for Pfizer in the final three months of 2004. That was after Merck’s rival pill Vioxx was taken off the market, and before the damaging allegations about Celebrex. Analysts are now warning that sales of the drug could halve in 2005. In October, Pfizer said sales of its best known drug, Viagra, fell 15%, although the company last month reported fourth quarter profits of $2.82bn (1.5bn).
But future profits may be endangered by the expiry of patents on some of its leading drugs. The spiralling cost of in the US is also pushing patients towards alternative sources of medication, such as counterfeit versions of drugs available over the internet. Too expensive? Only last week, the cost of some of Pfizer’s drugs went up by 5% - despite recent bumper profits at the company. Stuart Adkins, an analyst at Lehmann Brothers, says drug companies use price increases to fill earnings gaps left when the patent on a successful drug expires. It is a policy that draws criticism in certain quarters, he says. “There are populations - and I’m not just talking about the Third World - but within the US, who cannot afford these medicines.” Pfizer maintains that its prices are lower, on the whole, than much of its competition.
Other analysts believe that Pfizer simply does not have enough new drugs in the pipeline to keep earnings up. That is a view refuted by Pfizer’s chief executive, Hank McKinnell. “I think the public and many of the analysts are the productivity of our pipelines,” he says. “I think we are going to see a return to the introduction of more important medicines in the years ahead.” Agency probes However, Mr McKinnell that the company faces some difficulties in the near future. “We do have a particular problem over the next few years of some very large selling medicines going off patent, but it looks like the products we partner with other companies, plus the products we are developing in our own laboratories, will serve us very well through a long period of time,” he says. The safety of Celebrex is currently under investigation by the US Food and Drug and the European Medicines Agency. Initial reports questioning the safely of Celebrex caused a 50% drop in prescriptions, Mr McKinnell says, but the company hopes that both the US and European agencies will eventually vindicate his product. He also defends Pfizer from criticism that it is interested in satisfying the needs of its shareholders over the needs of patients and customers. “The perception by many is that we are greedy, that we put our shareholders interests ahead of the interests of patients. But it’s crystal clear, at least to those of us at Pfizer, that we can only succeed if the patient succeeds, we can only prosper if health care systems prosper.”
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Pfizer allegations
Oiling the wheels
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