The sexual side effects of S.S.R.I.s may, for some, be linked to specific physiological reactions. Dr. Irwin Goldstein has just finished an imaging study of internal penile tissue, performed during an injection-induced erection, with ultrasound technology that provides especially high resolution. Goldstein is a clinical professor of urology at the University of California, San Diego, and a specialist in sexual medicine who sees 50 to 75 new patients each year for erectile dysfunction. In his study, which he has presented at a major sexual-medicine conference and which he expects will soon join his 400 peer-revie

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