Men often fantasize, possibly fed by ample images and scenarios from readily available pornography of the always available, insatiable, and sex hungry and very carnal "hotee." This wish of men to have their long term partners initiate sex and thereby match up to their fantasy may be unrealistic and in conflict with female sexual physiology and psychology.

Studies report that having too little sexual desire is the sexual dysfunction most frequently seen among women, reported by 10 - 51% of women surveyed in various countries.

Women reporting low sexual desire also report low levels of arousal and sexual excitement and infrequent orgasms.

This all adds up to a lot of women feeling sexually dissatisfied with the experience.

Getting back to the Viagra study (see Journal of American Medical Association, 8/08), there were promising results in that the group that received Viagra (in comparison to the placebo control group) showed significant improvement in arousal and orgasm.

However, there was no improvement in sexual desire.