Men are simple! If a man can achieve a penile erection and has sex, he has an orgasm about 95% of the time and is quite satisfied. This is why the yearly sales of Viagra (sildenafil), Levitra, and Cialis combine to almost three billion dollars. Men are simple, and it is easy for men to achieve sexual satisfaction as long as they have a penile erection.
Women are complex! Several inter-connected factors impact our ability to achieve sexual satisfaction, including estrogen, testosterone, and progesterone levels. These hormone levels are affected by age, oral contraceptives, and some antidepressant medications, and can heavily influence a woman’s normal sexual response. (Sexual Desire, Sexual Arousal including vaginal lubrication and clitoral erection, Orgasm!)
To be able to market a medication like Viagra¨ to women, clinical studies must be done that prove, to the FDA (Food and Drug Administration) and the medical community, that the medication is safe and effective. Effectiveness is always measured against a placebo (sugar pill). For women, Viagra could not prove any effectiveness over placebo in several large clinical studies, which were commissioned and paid for by Pfizer, the pharmaceutical company that produces Viagra. One study did however show that Viagra¨ can improve a woman’s sexual responses; but only if her estrogen, testosterone, and progesterone levels were optimized using hormone replacement therapy along with the medication. Further, it was only effective when hormone levels were equivalent to that of a 20 year old woman in the prime of her Sexual Health – not much help for us older women.
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