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This seems the natural extension to medical advertising in the US. The ads are always "ask your doctor about X/Y/Z", and trying to make people question their health.

DTC found the opportunity to make it convenient for people to not have to go to the doctor, so of course they're going to go for the more convenient option.

However, the way this article is written, it makes me wonder if it was paid for by CVS, Walgreens, Rite-Aid, etc. They are the ones who lose out in this market, aren't they?

I’m not sure Hims are the greatest example. Erectile dysfunction in young men is up to around 15%, from 5% in 2005 (if I’m remembering correctly). This is likely due to the increased availability and potency of porn, but the issue with Hims isn’t that it’s humiliating men it’s that porn is so potent.
just curious cause i've never heard it before but how does porn cause erectile dysfunction?
A link between the topic of an article here and someone's pet cause is like the free square in bingo.
So you don’t think an increase in erectile dysfunction should be associated with an increase in erectile dysfunction medication (sildenafil)?
So if you’ve never had sex and you spend years watching men with huge penises making women scream and apparently have multiple orgasms and then you finally have sex yourself and the reality is far different to what you’ve been watching…

I have no doubt this affects young men. Erectile dysfunction in younger men isn’t based on something physical, it’s mental. And what mentally is likely to be affecting them? Insecurity is the most obvious cause. These guys are worrying they are “too small” or not making their girlfriend scream or orgasm enough like they’ve seen in porn.

Sure I don’t have data to prove this, but from actually speaking to people and reading so many posts from young man saying what I literally mentioned above, I’m strongly inclined to the above theory.

It certainly can be physical, especially with how unhealthy portions of the population are (circulation issues, etc).
I agree it CAN be physical, but it's far more likely to be physical if the men affected were 60 plus, who are far more likely to have physical issues than young men.

While 18 year old men can have physical issues which could cause ED, IN GENERAL, 18 year old men are in the prime of their life and also are usually extremely horny. I remember one kid I knew in school telling me he would jerk off 3 to 5 times per day! Not many 60 year olds are doing that...

The point is this, generally at 18-25 roughly your body is working better than it ever will, so I would be inclined to believe that if young men cannot get hard, on balance and probability, it's more likely to be mental than physical.

If it was physical, then why don't we see the same trend in older men?

This is a common explanation given but I haven’t seen it acknowledged that anxiety in general is way up among young people of both sexes, which could be the cause.
No sex = anxiety = No Sex, it's a spiral. We really need a campaign to just promote IRL socializing again. Like all the stop smoking ads on the 90s, we need to push people to bars / parties and whatever other low stress social evens exist.
Or teach people that not having sex isn't the end of the world.
This is true, but a very difficult thing to accept as a 16 year old. (At least, it was fairly difficult for me!)
There are fewer and fewer places for young people to meet. And bars aren't really an option for Americans who are under 21.
could have to do with weight gain, lack of exercise, sitting a lot, and even covid.
Could also have to do with increased rates of diagnosis stemming from better access to care through… D2C telehealth providers?
> The dynamic is similar to pharmaceutical ads on TV for drugs like Ozempic or Cialis. Instead of getting advice from disinterested parties, like their doctors, people are getting messages from quite interested parties — pharmaceutical companies — hoping they show up at their next medical visit and make an ask.

‘disinterested parties’ is a bold statement to make when there are plenty of cases of pharma reps giving out gifts and causing conflicts of interest with doctors. Corruption can occur anywhere, at least with DTC the motives are clear.

Indeed. A lack of regulation in one area doesn't meant it's not lacking elsewhere.
I've noticed a lot more ads for anti aging cosmetics aimed at men. When I was a teenager, it seemed like we'd move away from this for women. But what we got instead is making men obsessed with unrealistic beauty standards and snake oil as well.
Call me cynical, but I'm surprised how far behind predatory cosmetics industry advertising male-targeted marketing has been and how long it's taken to start taking off.
40s is middle aged.
My neighbor is 82. Every time I complain about being middle aged she tells me I am young.

Its all relative.

(She also tells me of the time she met the Beatles in Melbourne and that her childhood house had no flushing toilet. A 'nightman' would come to take the waste away. And she's on Instagram)

There certainly is some opportunity for men with tele-health, for whatever reason were more open to discuss health problems with a semi random person on the internet than to make a dr appointment in our hometown and talk to the guy or gal doctor that we’ve known our whole lives.

I don’t think ozempic or any injectable should be prescribed via platforms like this. I think they have a lot of time needed to mature, so far they are not far off pill mills.

The article mentioned the fellow got generic viagra, which I’ve heard happens on these platforms too, they promise name brand viagra and show pictures of the same then send you a ton of generic viagra. Obviously a profit play there.