This file photo taken on July 5, 2000 shows a Chinese doctor holding the anti-impotence drug Viagra at a hospital in Shanghai. / AFP / LIU JIN
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Twenty years ago, a blue pill called Viagra unleashed a cultural shift in America, making sex possible again for millions of older men and bringing the once-taboo topic of impotence into daily conversation.Ads for Viagra were designed to reframe what had been known as "male impotence" as "erectile dysfunction" or ED, a medical condition that could finally be fixed.Before Viagra, men wanted to talk about their erectile problems, and did, but the conversations were awkward and difficult, recalled Elizabeth Kavaler, a urology specialist at Lenox Hill Hospital in New York.Viagra, or sildenafil citrate, was first developed as a drug meant to treat high blood pressure and angina.For all its popularity, Viagra is still often misunderstood.Pfizer finally did include women in its marketing for Viagra, in 2014 .In 2015, the FDA approved a pill called Addyi (flibanserin), which was cast in the media as the "female Viagra" and was touted as the first libido-enhancing pill for women who experienced a loss of interest in sex.Viagra cost about $15 per pill when it first came out and rose to more than $50 .
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