Sexual dysfunction this is a woman who is chronically impacted by this concern and it causes her personal distress. She's really bothered by it. So that's how you make the difference between, you know, your everyday waxing and waning desire, or arousal, or pain issue, versus no, no matter what I do, this problem is going to be there. So that's when it becomes dysfunction.
When you heard just briefing about viagra many years ago and the small amount of time that was spent, and that time was pretty condescending at best. Why do you think that is so far in the future, you know, fast forward to today, and we still have this huge understanding gap in the sexual needs of women and men as they relate to dysfunction? You know, that's really interesting. I think we've made a huge amount of progress in the past 18 years. What we've seen and I’ll tell you where the biggest gap was. The biggest gap was in the education of clinicians or healthcare providers, how are you going to get women to open up to their doctors or their clinicians, it is bare providers are not opening up to them.
And if you ask (and studies have been done) doctors why they don't talk about sexual dysfunction with a patient, they'll say: “I was never educated about it. I don't know how to treat it. I am not always comfortable with that topic of conversation.” Now that you know from 15 years ago fast forward to today. Sexual health curriculum is now, you know, they're sort of commonplace in medical schools around the country. So we see improvement in clinicians and healthcare providers talking to patients about sexual function. There is recognition of how important it is for a woman's overall health and wellness.
And even more importantly I think is that we know that sexual concerns can be an underlying sign or a sign of an underlying medical condition. For example, low libido can be a sign of depression or hypothyroidism. The difficulty with lubrication and genital arousal or change in orgasmic intensity can be a sign of a neurologic disorder or a blood flow issue like a peripheral vascular disease or diabetes. So very important for health care providers to identify a sexual concern and really it is not the responsibility of the of the woman to report it. I want women to report it. It's the responsibility of the healthcare provider to ask the question.
Now let’s talk about the FDA-approved drug for FSD Addiy. The major problem with the Addiy is the cost. The cash price for the drug is little more than 800 dollars a month, or 27 dollars a pill, or more than 9000 dollars a year for a pill that's associated with a lot of side effects and probably doesn't work very well. Well, there's not a problem with a pill. It's considered lifestyle medication and some insurance companies, and some pharmacy benefit managers say “we're not covering the drug or if we do it's going to be on a third tier.” So you don't have to pay a lot for it supposedly.