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The culture of shame and sexual performance

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Man at a doctor's consultUntil the turn of this century, both healthcare providers and patients regarded sexual performance as a difficult topic to discuss, if not downright taboo. An unfortunate culture of shame and discomfort around this subject makes patients less inclined to see a doctor, especially when it is the main reason for the consultation or visit.

Unfortunately, this problem is especially prominent when men are looking for advice or treatment for problems with their sexual performance. In the case of women, consultations about sexual health might come up when there are other reasons for the visit, such as discussing abnormal smear results, using the pill, using condoms and for younger girls during their first consultation when they reach puberty, it’s more natural to talk about menstruation or contraception. In these terms, it is easier for the doctor to introduce some talk about sexual health, and then it can flow into a discussion of sexual performance.

For men, there are far fewer occasions when a visit to the doctor will come close to matters concerning sexual health. Mainly, such visits would be reserved for older men who are experiencing urinary or prostate problems or for younger men who are encountering sexually transmitted diseases and require nothing more than a prescription for antibiotics. Sexual performance would be barely, if at all, a subject brought up by either party in the consultation.

The bottom line is that men (and their doctors) do not commonly discuss sexual performance.

Even during the years of the “sexual revolution” that took place in the middle of the previous century, there were well-known social and psychological barriers placed before men when it came to discussion of their sexual well-being. 

For men experiencing any lasting problems with sexual performance, psychosocial factors were substantial barriers to seeking help. These included feelings of embarrassment and shame and went as far as denying to others that a problem existed. Men were probably embarrassed more because they don’t like to talk about sexual issues other than in a way that is ego-boosting. Fear of the repeat of any negative experiences significantly reduced willingness to seek help. 

What keeps men from seeking solutions to sexual performance issues?

The literature demonstrates that many men who have experienced difficulties such as erectile dysfunction and premature ejaculation feel that their sexual concerns will self-resolve, so they don’t often seek help from a professional. Confidence in one’s own abilities to resolve a sexual concern is particularly prevalent among men, who tend to prefer to fix things on their own. For decades (perhaps centuries), there has been a widespread sense that sexual difficulties will disappear with time, so intervention is not required. 

Until recently, the general sentiment has been that sexual performance concerns are not health problems severe enough to warrant intervention or treatment. Sexual difficulties are only perceived as important if they have progressed to the point of a relationship breakup or divorce. Otherwise, the problems are just viewed as bumps in the road without an awareness of the repercussions of sexual difficulties. 

And then along came sildenafil (aka Viagra)Man holding a Viagra pill

Before Viagra came onto the market, there was a significant cultural stigma attached to male sexual performance issues. Expressions of masculinity often equated sexual prowess with strength and virility. Consequently, conditions like erectile dysfunction (ED) and premature ejaculation (PE) were seen not just as medical issues but as personal failures, which led to a culture of silence and embarrassment around these topics.

The stigma attached to failure in male sexual performance was not only cultural but also profoundly psychological. Men may experience feelings of shame and inadequacy, fearing judgment or ridicule from peers and partners. Once again, this psychological burden makes it difficult for many to acknowledge their difficulties and seek help.

Before the development of effective treatments for ED, such as the PDE5 class of drugs, options for managing sexual health issues were limited and often unsatisfactory. Treatments were either too invasive, like surgical interventions, or insufficiently effective, which further discouraged men from seeking help.

The introduction of Viagra and similar medications represented a turning point. These treatments provided a simple, effective solution for ED and helped to destigmatize male sexual performance issues. This medical advancement facilitated more open discussions, both in the public sphere and in private consultations.

In the current cultural climate, talking about problems with sexual performance is no longer taboo. Doctors have generally become far more aware that the problems are more widespread than was assumed before, and men feel a lot more comfortable (on average) asking for help.

Treating Erectile Dysfunction in Other Ways


After Viagra and similar treatments for ED reached acceptance in the general public’s mind, it became simpler for men to start looking for solutions for problems that many men experience in their sexual performance. As revolutionary as the new group of medications was, it wasn’t the perfect solution for everyone, and research continued to try and find a different path that could treat erectile dysfunction in a more straightforward and less invasive way. That research led to a new approach not involving oral or injectable medication. Instead, the new product called Eroxon works entirely outside the body and induces quick and reliable erections with a simple rub-on of its special gel.

Learn about Eroxon Stimgel

Eroxon Stimgel is a topical gel that is effective for men suffering mild, moderate, and severe erectile dysfunction, whether it originates from psychological or organic causes. Eroxon has a unique evaporative mode of action that stimulates the sensitive nerves in the glans penis, and this induces a natural reaction that promotes an erection. In clinical trials, the majority of men achieved a satisfactory erection within 10 minutes of the application of the gel.

Its unique feature compared to oral medication like Viagra and other PDE5 drugs is that there’s no need to swallow or inject any medication. Also, because the gel contains no pharmaceutical components, Eroxon does not require a prescription. Eroxon is not even classified as a drug but instead is registered as a medical device for the treatment of erectile dysfunction. 

Without systemic side effects and producing a more spontaneous intercourse experience, Eroxon provides an important treatment option for anyone who is currently precluded from using the other prescription treatments (such as men taking nitrate medication) and for men looking for a less invasive and natural experience in regaining normal sexual prowess.

Questions people ask

How does erectile dysfunction make a man feel?

It is not unusual that men who experience frequent ED will feel anger and frustration. The problem can persist because a lack of confidence will instill fear of failing again. With modern medications, the condition can be treated, so anyone experiencing ED should be prepared to talk about it with their partner and their doctor.

What is the main cause of erectile dysfunction?

There is not usually a single cause. Multiple factors such as stress, overwork, or overindulging in alcohol or recreational drugs can all contribute. If the problem occurs frequently or doesn’t respond to simple treatment, there may be other causes, such as the side effects of some medicines, high blood pressure, or high cholesterol. Persistent ED should be discussed with your healthcare provider.

Can erectile dysfunction be cured?

If there is a fundamental cause of ED that can be corrected, then it is possible that the condition can be cured. In most cases, the symptoms of erectile dysfunction are treatable, leading to better sexual performance, even though the occurrence may be persistent, in which case ED is not curable.

How long can the average man stay erect?

There is no simple measure of what the persistence of a typical erection should be. It can vary significantly because of the many factors that can influence erection duration. As well, it’s not always the case that an erection must end in orgasm.

Can massage help erectile dysfunction?

There’s not much scientific evidence to either support or refute this claim. However, it is known that for any form of medical treatment like PDE5 drugs and Eroxon Stimugel to help reliably, the man’s penis must at least partially respond to a gentle massage. A totally flaccid penis will probably not be able to achieve any benefit from drugs, gel, or other treatments and will usually require a penile implant.

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