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" Nurnberg is also a paid consultant for Pfizer and other pharmaceutical companies. "You don't ignore the sex life," Katlowitz adds. "Sex is a strong motivator. " SOURCES: H. George Nurnberg, M.executive vice chair, department of psychiatry, and professor of psychiatry, Viagra replacements over counter of New Mexico School of Medicine, Albuquerque; Nachum Katlowitz, M.director, male sexual dysfunction, Maimonides Medical Center, Brooklyn, N. ; Jan. 1, 2003, Journal of the American Medical Association. Last Updated: Jan 3, 2003.

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" Clin Ther 20 (1998): 1033-48. Conti CR, Pepine CJ, Sweeney M "Efficacy and safety of sildenafil citrate in the treatment of erectile dysfunction in patients with ischemic heart disease. " Am J Cardiol 83 (1999): c29-34.

This acrosome reaction is the process by which the head of the sperm releases digestive enzymes to break down the outer shell of an egg, which then allows the sperm to enter and fertilise the egg. The new findings are supported by previous work by the group in mice. Male mice given Viagra and then mated with females produced 40 per cent fewer embryos than those given a control pill.]