Recreational Use of Erectile Dysfunction Medications and Its Adverse Effects on Erectile Function in Young Healthy Men: The Mediating Role of Confidence in Erectile Ability

Harte, Christopher B.; Meston, Cindy M.

doi:10.1111/j.1743-6109.2012.02755.x

Cited by 26 publications

(24 citation statements)

References 27 publications

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“…Previous work sheds light on this apparent contradiction. Survey research shows an association between informal use of PDE-5 inhibitors and low erectile confidence, 15 27 and suggests that lack of sexual confidence is a common reason for use. 8 Qualitative research suggests that informal medication use among highly sexually active homosexual men may be an attempt to mask a lack of sexual confidence and self-esteem 3 or to mask low desire.…”

Section: Discussionmentioning

confidence: 99%

“…Second, there are worries about potential iatrogenic effects, including harmful drug interactions between PDE-5 inhibitors and protease inhibitors and nitrates, 10 14 and erosion of confidence in ability to achieve an erection, creating psychological dependence. 15 Third, where medication is accessed informally, there is no professional consultation to rule out contraindications or to ensure immediate and long-term safety for the individual. There is also a missed opportunity to talk to patients about their perceived need for medication, to discuss the implications for their partner 16 and to consider possible alternative treatment options.…”

Section: Introductionmentioning

confidence: 99%

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Medicated sex in Britain: evidence from the third National Survey of Sexual Attitudes and Lifestyles

et al. 2015

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ObjectivesTo describe the prevalence of medication use to assist sexual performance in Britain and to identify associated factors.MethodsCross-sectional probability sample, undertaken in 2010–2012, of 15 162 people aged 16–74 years, resident in Britain, of whom, 5617 men and 8095 women reported sexual experience (ever) and 4817 men were sexually-active (reported sex in the last year).ResultsEver use of medication to assist sexual performance (medicated sex) was more commonly reported by men than women (12.9% (95% CI 11.9% to 13.9%) vs 1.9% (95% CI 1.7% to 2.3%)) and associated with older age in men and younger age in women. It was associated with reporting smoking, and use of alcohol and recreational drugs, as well as unsafe sex (≥2 partners and no condom use in the last year) in both men and women. Among men, the proportion reporting medicated sex in the last year was higher among those reporting erectile difficulties (ED) than those not doing so (28.4% (95% CI 24.4% to 32.8%) vs 4.1% (95% CI 3.4% to 4.9%)). In all men, medicated sex was associated with more frequent sexual activity, meeting a partner on the internet, unsafe sex and recent sexually transmitted infections diagnosis; associations that persisted after adjusting for same-sex behaviour and ED. However, there were significant interactions with reporting ED, indicating that among men with ED, medicated sex is not associated with same-sex behaviour and ever use of recreational drugs.ConclusionsA substantial minority of people in Britain report medicated sex, and the association between medicated sex and risky sexual behaviour is not confined to high-risk groups.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Medicated sex in Britain: evidence from the third National Survey of Sexual Attitudes and Lifestyles

et al. 2015

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“…Within the regimes of self-care and bodily regulation, sexuopharmaceuticals are seen by some scholars as promoting and supporting spaces of sexual recreation (Fisher et al 2006;Harte and Meston 2012), while others suggest that the use of sexuopharmaceuticals might produce or sustain a variety of sexualized desires (Del Casino 2007a, 2007b. After all, 'drug use .…”

Section: Viagra Bodies and New Pharmasexualitiesmentioning

confidence: 99%

Talking about bodies online: Viagra,YouTube, and the politics of public(ized) sexualities

Casino

Brooks

2014

Gender, Place & Culture

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The development of Viagra in the late 1990s ushered in a new age of conversation about sex and sexuality, as men's bodily abilities were put on display for all to discuss. In 2005, the video-sharing technology YouTube was launched. Taken together, these technological innovations -both biomedical and representational -have produced debate around sex, sexualized and gendered bodies, and sexual health. This article interrogates Viagra-related representations posted on YouTube and analyzes sexuopharmaceuticals as a set of intertextualities that create space for both normative discourses and social critiques. Three analytic themes illustrate how Viagra-related YouTube videos (1) reinforce a regime of self-care within a wider context of individualized responsibility for one's sexual health, (2) highlight the values attached to the pharmasexed gendered body for men and women in the age of Viagra, and (3) provide disruptions, in the form of criticism, to the assumption that healthy bodies and relationships need pharmasexual enhancement. The article concludes by suggesting that social networking sites such as YouTube are managed public spaces through which one can interrogate the intertextualities that link discourses related to bodies and sexual health to the virtual and material spaces of everyday life.

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“…Recent work has suggested that recreational EDM use may carry some risks. One study found a relationship between recreational EDM use and later psychogenic ED [10], while other investigators have demonstrated associations between recreational EDM use and use of alcohol and other drugs [11].…”

Section: Introductionmentioning

confidence: 99%

A Pilot Study of HIV/STI Risk among Men Having Sex with Men Using Erectile Dysfunction Medications: Challenges and Opportunities for Sexual Medicine Physicians

Goltz

Coon

Catania

et al. 2012

The Journal of Sexual Medicine

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Recreational Use of Erectile Dysfunction Medications and Its Adverse Effects on Erectile Function in Young Healthy Men: The Mediating Role of Confidence in Erectile Ability

Cited by 26 publications

References 27 publications

Medicated sex in Britain: evidence from the third National Survey of Sexual Attitudes and Lifestyles

Medicated sex in Britain: evidence from the third National Survey of Sexual Attitudes and Lifestyles

Talking about bodies online: Viagra,YouTube, and the politics of public(ized) sexualities

A Pilot Study of HIV/STI Risk among Men Having Sex with Men Using Erectile Dysfunction Medications: Challenges and Opportunities for Sexual Medicine Physicians

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