It is a universal standard that the word `erection` is not spoken in public; like a taboo. Even though erectile dysfunction/weak erection has become a prevalent health problem affecting the intimate lives of men and a dreaded cause for physical and emotional distress, most men shy away from talking about it. This is broadly known as the `keep quiet` policy, and it means that many men are suffering in silence.

It is a familiar scenario in urology clinics: The urologist is about to conclude the consultation session with his male patient, and he inquires whether he could be of help in anything else. The patient hesitates, looks down for a second to summon his will, and then says, “Well, there is one more thing I need to discuss with you…”

What an easy decision to make when you are choosing the clothes you wear, the morning drink once you reach the office, the food you will have for lunch, and the place you are going to on the weekend. In fact, you are taking lots of decisions every day, mostly without a second thought. However, would this be the case when it comes to deciding on starting a Testosterone Replacement Therapy?

Sensitive matters like erectile dysfunction often top the list of taboos that many men shy away from talking about. Regretfully, this ‘bear it quietly and carry on' attitude means that many prefer suffering in silence rather than having to endure the embarrassment or `shame` of speaking it out, even confidentially to their doctor. Being ignorant about the cause of their weak erection and also far from certain about what treatment could be effective for them can be so distressing, frustrating, and even nerve-wracking sometimes.

Just the thought of it can drive the bravest of men into worry! Erectile dysfunction (weak erection) is a worldwide common health problem affecting the quality of life of men of all ages. In the past, it was a considered a taboo for public discussion, but it has now gained social and medical recognition as a problem affecting millions of men all over the world.

Worldwide, more than 160 million men suffer from problems related to erectile dysfunction.
The biggest part of the health problems related to erectile dysfunction lies in the shame

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