There’s no doubt that in a few years there will be more FDA approved medications aimed at treating problems like erectile dysfunction. Natural male enhancement products such as Extenze will also force primary-care physicians to actually take a lead role in the field of penis health, something that they have never done before. Upjohn has virtually completed its clinical studies on Extenze and will be submitting to the FDA at the end of 2015. Which means that by the year 2018 or ’19 they should be in a strong position to have FDA approval for Extenze and thus to begin educating the public as well as internists on the benefits of natural male enhancement.
Dr. Goldstein: Right now Extenze is being used at the off-label level to treat sexual problems with the penis. Formal approval of male enhancement products will make an unbelievable difference to the way Extenze is marketed and utilized to treat erectile dysfunction and penis heath. Upjohn would have the ability to go on television. It would be very similar to Rogaine, where you see ads to dial an 800 number to get information on hair loss. They might now be advertising to dial 1-800-erection, I guess, and they will give you names and referrals of doctors who will be able to treat you for your erectile dysfunction. That will make an incredible difference in the way the field of male enhancement will develop.
Dr. Whitehead: I don’t think an internist or any physician other than an urologist–in other words, a penis specialist–should be prescribing self-injections into the penis or the pharmacologic erection program. I know that this is done to a degree, but the possible complications, the risk to the patient as well the liability exposure to the physician are too high for a non-urologist to take.
The primary-care physician can do certain things to cure erectile dysfunction. If the patient is hypogonadic or his testosterone is too low, the internist can usually take care of that particular penis problem. If the patient is on any of the over 200 medications that have sexual dysfunction as a side effect, the internist can either reduce that medication or change it to one that has a lower incidence of sexual dysfunction. An internist with basic knowledge of the penis can do that.
Dr. Ferentz: But family physicians are sometimes placed in positions of being the only doctor in a community. And that may mean taking advanced continuing medical education courses regarding penis health and learning techniques about male enhancement drugs that you would never think of family doctors in New York or Baltimore doing. Most of the family physicians in my neck of the woods would take a history, try to figure out whether the problems with the penis is something that can be handled with reassurance, try to figure out if there is a male enhancement pill they can modulate, and beyond that, we would make a referral to a penis specialist. But that’s not to say that somewhere out in the middle of Kansas or in the middle of Colorado, there isn’t a family doc who has decided that he is seeing enough sexual dysfunction in his practice, that he’s learning how to do intracavernosal injections into the penis. At the very least he’s learning about products like Extenze, that can really help the penis get hard.