cover image The Sexual Male: Problems and Solutions

The Sexual Male: Problems and Solutions

Richard Milsten. W. W. Norton & Company, $25.95 (331pp) ISBN 978-0-393-04740-0

This could have been titled ""The Dysfunctional Male,"" since the entire work is devoted to helping men and their partners (of either sex) overcome and prevent impotence. Authors Milsten, a urologist and director of the New Jersey-based Center for Sexual Health, and Slowinksi, a psychologist and sex therapist, offer a comprehensive look at male impotence--its causes, effects and treatments. Helpful chapters, such as ""What is Impotence"" or ""Myths and Fallacies that Promote Impotence,"" begin with a box of commonsense, albeit obvious, points (""The average time to ejaculation is simply not known""). A section, ""Topics of Special Interest,"" effectively examines a range of interesting issues such as ""Is There a Male Menopause"" or ""Is It Safe to Resume Sex After a Heart Attack."" And a self-evaluation section offers more than 20 questions that can help a man start the process of dealing with actual or potential impotence. Unfortunately, the book is marred by somewhat stiff and stilted medical-textbook language (""Any of these situations just mentioned can underlie both primary and secondary erectile difficulties and will require therapeutic attention""). But overall this is a practical health book that takes men's sexuality seriously. (Aug.)