In the past decade surgeons and sex therapists have given an enormous amount of attention to and assistance for men's sexual problems. Now pharmacological help, although controversial, is also available, both informally and from physicians. Sexual disorders afflict men in all walks of life, be they executives or window cleaners. Men persist in seeing themselves as erection machines. They take inordinate risks at incredible expense to attain the "instant" erection, often ignoring lovemaking in their sexmaking urgency. Today's "penis industry" caters to this ever-ready market. Physicians need to understand and educate such men and prevent them from harming themselves.