At FIRST Glance, the married couple from Vancouver appeared to be most suitable candidates for Cialis. The lady at 45, has remained married to her husband, 48, for some 19 years. A few years back, he began to experience difficulties achieving an erection. This led to much concern, however the man found some good in the situation. I no longer have chameleon eye's looking allm over the place these days, he stated, this because I am not in a position sexually to do anything about it. Although the wife said she could never imagine remaing married without having regular sex, she, too, became resigned to the fater once the couple learned that they were able to enjoy alternative types of intimacy as well as engage in different forms of sexual activities. Cialis, the increasingly popular 36 hour wonder drug for erectile dysfunction, would seem to be the married couple's ticket back to a more normal sexual lifestyle. But as with millions of couples contemplating Cialis use for the first time, they are starkly divided as to whether they should try Cialis: Whilst he is seeking a medical panacea for a physical condition that becomes more common the older a man gets, the wife has long enquired whether or not the issue of erectile dysfunction could perhaps be better addressed on a sex therapist's couch than by consulting with their doctor. Launched during 2003, Cialis (tadalafil) was being hailed and heavily promoted by everyone from doctors to drug company observers as the new 36 hour wonder treatment that was destined to help solve the sexual difficulties of millions of American couples. Cialis proved to be a smash hit and the little yellow pill quickly flew off pharmacy shelves across the United States. Today though sexuality experts, doctors and sex therapists are discovering that Cialis and other other such impotence treatments can actually cause major chaos in marriages that have fallen into a rut, Erectile Dysfunction and all. What appears most common the experts agrees, is that the married men hope to treat their erectile dysfunction as a simple issue, whilst the women almost always wish to address the emotional issues that are related to sexual impotence. In many cases, it appears that the men and women in a relationship are forced to confront their divergent views about what it means to have intercourse and how frequently they desire it - such issues that erectile dysfunction had rendered as moot. Today the result is that many many couples are discovering that a quick fix to what they percieved as a simple medical issue can and may uncover myriad other problems in the marriage. In today's high-technology internet society, people want things to be done Fast. Couples desire a very simplistic, easy, Quick fix solution. And many doctors just assume that because there is a physical sexual problem means that there be no psychological cause for the breakdown. Doctors that have been recently interviewed for this and other article's say they have been writing Cialis prescriptions by the hundreds, quite a few of these for male patients who had never before had the courage to let it be known that they were impotent. Some of theese men never bothered to confide in their sexual partners. What they did was simply avoid sexual intercourse. Many men realising they have trouble, and they, simply out of sheer embarrassment and lack of communication skills, put it to the wife this way, I am going to sleep in the spare room or on the couch. The women then assumes that he has found a girlfriend. This quickly becomes a gulf that enters a long established marriage, largely because the pairs egos have been allowed to get in the way of finding a solution. Frequently when the possibility of Cialis and resuming sexual relations resurfaces, married couples are often at a loss for words. Both never found the time to talk openly about their marriage issues before, and now they have no clue about how they should approach the possible change. Which means, all of the relevant issues that played a role in the sexual impotence or came abot as a result of him having it have for the longest time remained swept under the carpet. If a man simply hears about Cialis, he automatically expects that the sex problems will be overcome, however there are quite a number of things that can affect sexual desire: General life stress, the job, other home issues. Unfortunately most of the time, couples won't chat these problems through. These mostly become bedroom secrets. The couples really believe that Cialis will fix them.