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As mentioned above, this was done 33 largely by developing and publishing the results from the MMAS, ‘estimating’ the extent of the ‘disease’ of erectile dysfunction in North America, and serving as chief author of the first peer-reviewed paper outlining sildenafil’s use as a treatment for erectile dysfunction. While appearing in media venues everywhere from Playboy to ABC’s Good Morning America to tout Viagra as “a dream practitioners in this field didn’t think possible” and “the start of an exciting revolution”, Dr. Goldstein did not readily divulge affiliations with Pfizer, thus appearing to the public as an unbiased expert (Loe, 2004). Interesting findings also arose from the search of the Science Citation Index with regards to the top 100 most cited articles with sildenafil in the title, abstract, or keywords. Of the top 25 articles, more than half have at least one author who publicly receives funding from (Order Viagra), or serves as a consultant or speaker for Pfizer. It also becomes apparent from an exploration of this group of articles that aside from funding individual researchers, Pfizer also takes the more direct route to disseminate much-needed studies on Viagra: the formation of their own research teams. Although the first article to appear about sildenafil in 1996 already associated it as a treatment for erectile dysfunction (completed at Pfizer Central Research in the U.K.), it serves as the third most cited article about the drug (Boolell et al., 1996,Order Viagra). The second most cited study focuses on drug biochemical properties, more specifically in reviewing recent work on the newly discovered cyclic nucleotide phosphodiesterase (PDE) families, as well as other specific PDEs in the regulation of Tcell activation, insulin secretion, growth, fertility and penile erection (Soderling and Beavo, 2000). With such a broad range of conditions and treatments related to PDEs, the article by Soderling and Beavo is undoubtedly cited in many publications which are not related to erectile dysfunction or sildenafil usage. Hence, it appears as the second most cited article associated with sildenafil almost by chance. The most cited article was completed by Goldstein et al., as part of the Sildenafil Study Group’s study on the evaluation of the efficacy and safety of sildenafil (1998,Order Viagra).

The appearance of Viagra on the medical scene in 1998 as the first FDA approved drug for erectile dysfunction (ED) helped over 16 million men around the world improve their sex lives and relationships. Amazingly, approximately 9 Viagra tablets are dispensed every second worldwide. Since its launch, no other therapy or prescription drug for erectile dysfunction has been studied as much or has the same amount of real-world experience as Viagra. More than 600,000 doctors have chosen the prescription drug Viagra for their patients with ED. As a result of its effectiveness and marketplace success, Viagra has been followed by similar ED medications, Cialis and Levitra, and the lives of men (and women,Order Viagra) haven’t been the same since. The goal of this eBook is to provide as much helpful information as possible for those men (and their loved ones) who believe they may be affected by erectile dysfunction, but have been reluctant to directly confront the issue – either in the bedroom, with their partner, or most importantly, with their physician. Included in this publication are links to sites for more information, links to informative websites, supplement providers, and suggestions for further reading. Please take advantage of these valuable resources. Erectile dysfunction is a highly treatable condition at any age, a fact which should offer hope and encouragement to those affected. Often, erectile dysfunction is an early warning sign of other more serious conditions, further supporting the wisdom in seeking professional medical counsel. The reader is strongly encouraged to consult with their physician regarding any symptoms of ED as soon as possible. Good luck and good sex!