There are men who don’t want to ever lose what they presently have. To that end, they are willing to do everything possible—including taking the pill. Their thinking goes like this: why shouldn’t a healthy man use it to make sure he won’t lose his own hard erection? This and other philosophical dilemmas raised by the pill are perplexing because they verge on areas where there are no clearly defined medical answers at this time. The oral erection drugs are so new that no one as yet has had enough experience to be able to say yes or no to their “off-label” use.
Should doctors give patients who are not suffering from ED—but who nonetheless want to maximize their peak performance in every way—access to these new medications? They have already demanded them. One of my patients, a forty-two-year-old man with no erection problems, was insistent. He stated categorically that he wanted to see if he could turn back the clock and regain the rocklike hardness he had when he was twenty. His rationale was direct. “If it’s available,” he said, “why shouldn’t I use it, as long as it won’t hurt me?”
In another significant turn of events, one of my female patients, a very attractive forty-one-year-old divorcee who had heard of the pills, wanted to know if she could get a prescription for them. “If they are all that I’ve heard they are, I want to keep them in the night table, next to the condoms.”
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