For Some Women, Viagra Is A Turnoff
HealthyPlace.com Audio
Mind-Body Perspective on Female Sexual Health
Laura Berman, MSW, PhD at the 2002 Women's Sexual Health Conference discusses
psychological issues affecting female sexual function. Dr. Berman
has been working as a sex educator and therapist for over a decade. She
is Co-Director of both the Female Sexual Medicine Center (FSMC) at UCLA
Medical Center, Department of Urology, Los Angeles, CA. (Note: Start
this at 6:00 min. Before that is just introductory remarks.)
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Millions of men have been able to
enjoy sex again thanks to
the famous little blue pill,
Viagra. For years it was assumed that a man's
rejuvenated sex life would be happily shared by his partner. But in a series
of recent studies, researchers are noticing that the passionate romance with
anti-impotence drugs does not always cut both ways.
Dr. Annie Potts, a psychologist at the University of
Canterbury in New Zealand, began interviewing couples to determine if there
are any downsides to treating erectile problems. She has heard from women
who say that Viagra provides a renewed sex life, but at an unexpected cost.
Many complain of unwanted advances driven by a partner's need to "get his
money's worth on the $10 pill," with little input on their feelings. Some
even feel that the men in their lives are more attracted to Viagra than to
them.
"The thought of that little blue pill seems to get them very
excited," explained one 60-year-old woman to Potts. "It's almost like
they've fallen in love with Viagra."
"We won't have sex unless he's had the pill," said another
woman who thinks her husband is addicted to the drug. The woman said that
erectile dysfunction had certainly caused problems for her marriage before,
but after treating it with Viagra, the problems became much worse.
More Fans Than Critics
The recent findings are but a minor blemish to some of the
top selling drugs of all time. Critics concede that Viagra, as well as two
related drugs, Levitra and
Cialis, have helped rekindle old romances and are
a major reason why once taboo sexual problems are so openly discussed. But
the research highlights what some say is a long neglected issue in treating
erectile problems: how do women regard their sex lives now that Viagra is a
major part of it?
Compared to the large number of studies that have documented
the sexual benefits to the Viagra user, only a handful looked at the
attitudes of partners. Overall, research suggests that women generally enjoy
the sexual attention.
A survey done in Japan showed that two-thirds of women rated
their sex as satisfying after their partners took Viagra, compared to 20
percent who said they were disappointed. Another study, led by Dr. Markus
Muller in Germany, found more tenderness and less quarreling between couples
when men were successfully treated for erectile problems.
"There are obviously some women who are relieved when a man
is no longer interested in sex," says Dr. Stanley Althof, who directs the
Center for Marital and Sexual Health of South Florida. "But the majority of
women are eager to renew their sexual intimacy."
Many of the problems, such as wives feeling that husbands
like anti-impotence drugs more than them, are probably the result of
tensions already present in a relationship, he says. "That's their
insecurities speaking."
Yet Potts contends that Viagra has some potentially negative
effects as well, even in women who are supportive of their husbands or
boyfriends taking anti-impotence drugs. Potts says that men should not
assume that their desires are automatically shared by their partners.
"Viagra is not simply and only men's business," she says.
Potts interviewed 27 women and 33 men in New Zealand as part
of her research, which was published in Sociology of Health & Illness and
more recently, Social Science & Medicine. She presented her findings at a
female sexual dysfunction conference in Montreal, Canada in mid-July. A
recurring complaint, Potts found, is that some women said that men felt
entitled to have sex after taking Viagra.
HealthyPlace.com Audio
Sex in
Later Life
How does sex
change in later life? Does our sexualised society create pressure to keep up the
bedroom gymnastics? What if you just don't feel like it anymore - is retiring
gracefully frowned upon? Join our guests as we discuss whether our sexual
expectations change as we grow older and why we are so reluctant to discuss
intimacy in later life.
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One 48-year-old woman summed up her husband's discussion of
sex. "He would be, 'I've taken the pill, OK, let's go." The man also
expected to have intercourse for as long the drug would last, but with
little time for foreplay or romantic spontaneity. "You like to think it's an
act of love, rather than just lust," the woman said.
Making Viagra a Couple's Business
Dr. Leonore Tiefer, an expert on female sexuality who
teaches at New York University School of Medicine, says that she has heard
similar concerns. "It's called the 'I spent the money, let's have sex'
talk." She says that such one-way discussions do not make for healthy
relationships.
Indeed, researchers have found that as much as Viagra can
make for a happy love life, it can also cause some men to take their new
found sex drive too far. One man admitted to Potts that Viagra played a
crucial part in going from a monogamous relationship with his wife to 18
different affairs, including some with men, in the space of one year.
"You could be completely unemotionally involved and yet
still [be physically ready]," he said. Viagra also helped him, as he
characterized it, "endure" sex with his wife.
Although sex is something that men are thought to want most,
more than 75 percent of women in one large survey said this was moderately
to extremely important to them as well. So far, however, there is no female
equivalent of Viagra.
A recent study in the Archives of Internal Medicine found
that a testosterone patch could improve sexual interest and activity in
women who had low desire after having their ovaries removed. But the dangers
of taking steroids has led many to question the safety of the approach,
prompting the Food and Drug Administration to turn down a request to make
the testosterone treatment available for women.
Regardless of what is used in the bedroom, experts say that
the key to good sex begins with discussion.
"If Viagra or anything else is going to be put in a
relationship, it has to be collaborative," Tiefer says.
Last updated: 10/05
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