Insurance companies commonly don't cover the cost of pills for sexual dysfunction issues, Wake said. Insurance will pay for that treatment.“People who have LUTS secondary to BPH often have associated ED,” Wake said.
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So they're not using the daily dose."Men may put up with a headache, facial flushing and nasal congestion when they use ED drugs on demand, Wake said, but it's a different lifestyle choice if they take the daily low dose of Cialis.
They might have continuous side effects while not treating their urinary tract symptoms as well as they could with Flomax.
Doctors have to oversee the ED prescription process carefully, Wake said.
Conversations about sexual dysfunction between men and their doctors once were strained and difficult, if they took place at all.
Now urologists find they can hardly avoid requests from their patients for common erectile dysfunction (ED) drugs such as Cialis and Viagra.“Men are much more open about talking about erectile dysfunction than they were 15 years ago, 10 years ago,” said Robert W.
Wake, MD, professor and chairman of the Department of Urology at the University of Tennessee Health Science Center and residency program director. Often wives want to take control of the samples.”Doctors say easy access to information about ED on medical sites such as Web MD, as well as the prevalence of television ads for Cialis and Viagra, make it easier for patients to bring up the subject.
"It's no longer a taboo subject at all.“It's very common, even when they bring in their wives. (Some of the TV ads are so provocative, critics say, they shouldn't be watched by children. Bob Dole, who had undergone a prostatectomy.)Wake called the new dialogue a healthy one for men.“We're happy about that,” he said.
And sometimes if they don't mention it, the wives will say, 'Remember you wanted to talk about that other thing? One contributor to magazine called on Viagra to withdraw one of its ads last year, writing that a message featuring a blonde on a bed had strayed too far from the "initially subtle" TV campaigns that employed spokesmen such as former U. “The majority of patients between the ages of 40 and 80 years old are interested in getting information about ED drugs.
Their interest allows the physician to have a realistic discussion about which patients would benefit from these medications versus those patients who may just want it as a performance enhancer, which is not the intent for these ED drugs.”David A.