Review Article: When science meets culture: the prevention and management of erectile dysfunction in the 21st century

  • Published 2014 in


It is now well recognised that sexual health is important to overall health and well-being.1 Sexual performance carries a sense of identity and self-esteem for men and results in anxiety when sexual ability declines.2 Despite substantial progress in the treatment of erectile dysfunction (ED) and available treatment facilities throughout the world, low treatment-seeking behaviour could be attributed to the sensitivity and social stigma associated with ED,3 as well as the cost, lack of availability and side-effects that are linked to pharmacological treatment.4,5 It is estimated that the global prevalence of ED will be 322 million by the year 2025.6,7 According to Fazio and Brock,8 the ageing global population, decreasing social stigma associated with ED, and increasing availability of effective oral treatment, has increased the number of patients presenting with this condition.


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