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As fascinating as the cases for and against the idea of a pharmaceutical intervention for female sexual dysfunction are, the issues that Cacchioni and others expressed the greatest concern about when testifying in 2010 were much less philosophical and more to do with hard data. Urogenital — priapism [see Warnings and Precautions (5.3)].

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One of these scientists is Marya Lieberman, a chemist at the University of Notre Dame. “In a developing country, if you go to one of the little shops that sell medications, you cannot look inside the pill and see if it’s good or not,” Lieberman says. “The technological tools that you need for that are very rare and expensive.”