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Johnson, The Associated Press, imagine not being able to afford one of lifes great pleasures sex. Thats true for how much does cialis cost without insurance many older couples, doctors say. Soaring prices for prescription medicines for impotence and how much does cialis cost without insurance other problems have put the remedies out of reach for some. Without insurance coverage, Viagra and Cialis cost about 50 a how much does cialis cost without insurance pill, triple their 2010 list prices. The new female Viagra, a daily pill for low sex drive called Addyi, costs 800 per month. Older products for women also have seen huge price run-ups, Truven Health Analytics data show. Many of them dont get past the pharmacy counter once they see the price, says Sheryl Kingsberg, a University Hospitals-Cleveland Medical Center behavioral psychologist and researcher who counsels men how much does cialis cost without insurance and women. What people actually pay out of pocket varies. Some insurance prescription plans, including Medicare, cover some of the medicines. Some plans dont cover any, arguing theyre not medically necessary. Many require steep copayments or limit the number of impotence pills per prescription. Once you get to a certain price point, sex becomes a financial decision, says. Elizabeth Kavaler, a sexual dysfunction specialist at New Yorks Lenox Hill how much does cialis cost without insurance Hospital. It takes a lot of the joy out of this. Five of six specialists interviewed by The Associated Press say patients have told them theyve given up sex because of the cost. Now, a little relief is coming. Late next year, Viagra and Cialis will get at least one generic competitor costing slightly less; prices will plunge later when more how much does cialis cost without insurance generics reach the market. For women, an Addyi rival is in late-stage testing. A few other products now have generic versions, and other options are in development. A generation ago, long-married couples accepted their sex lives trailing off with age, Kavaler says. Key hormone levels drop with age, reducing sex drive and causing problems such as impotence and vaginal dryness, which often makes intercourse painful. Today, midlife divorce is more common, divorced or widowed men and women often seek new partners, and sex becomes important again. Meanwhile, theyre bombarded by ads for impotence remedies and other treatments. Couples in their 50s, 60s and 70s are more sexual than theyve ever been, says Kavaler. Until Pfizer launched the first impotence pill, Viagra, in 1998, there were few options for men besides penile implants and injections. Viagra and Cialis each quickly topped 1 billion in global annual sales, and products for womens symptoms eventually followed. However, price hikes appear to be limiting usage for some products in the.S., where prices arent regulated. Since 2010, the number of Viagra prescriptions filled in the.S. Has fallen 42 percent to about 5 million a year. Meanwhile, prescriptions for Cialis, which now has a popular daily pill option, have gone up slightly, according to health data firm QuintilesIMS. Popular womens estrogen products such as Vagifem vaginal tablets and Estrace cream also have seen prescriptions decline in recent years. Addyi, only on the market for a year, has had dismal sales.

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