It’s a topic many men struggle to talk about directly.
Some dance around the subject, telling me that ‘things aren’t working’ and gesturing towards their pelvis.
Others talk vaguely about problems with their partner, without explaining exactly what is going wrong.
In many cases they are, of course, talking about erectile dysfunction – and often one of the first things they ask about is drugs such as Viagra, which are highly effective treatments for the condition.
But medication isn’t the only thing I discuss with my patients.
Before simply reaching for a pill, as a urologist with more than four decades experience of treating this
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