“…Indeed, failure to initiate sex because of low desire or poor erectile capacity is construed as unmasculine (Kimmel, 1996) and results in feelings of humiliation and despair (Lee & Owens, 2002). For many men, erectile difficulties also precipitate depression (Hatzichristou et al, 2005), shame (Schuetz-Mueller, Tiefer, & Melman, 1995), decreased self-worth (Korenman, 1998), anger (Feldman, Goldstein, Hatzichristou, Krane, & McKinlay, 1994), low self-confidence (Swindle, Cameron, & Rosen, 2006), and poor self-esteem (Cappelleri et al, 2005).…”