Bob Melville is 46 and lives in Aberdeenshire. He sustained a spinal injury in 1996, and has been using Viagra for the past three years.

Bob met his wife Alison after his spinal injury, so she was aware of the limitations that it imposed on him from the start. "Before taking Viagra our relationship was fine, but the sex was far less natural," he says. What Viagra has done for Bob and Alison is to increase the options that are available to them in the bedroom. Bob speaks highly of the little blue pills, but he is quick to point out that "good sex doesn't necessarily rely on an erect penis and penetration. You can have good sex in other ways."

"I would say I had quite a high libido before the injury, and to suddenly find I was impotent was really quite a blow. When I came out of hospital, the two options that were open to me were either using a vacuum erection device or injections - and both of them were rather complicated procedures that one went through. With Viagra, you just take the pill and everything happens far more naturally." Bob uses a 50mg dose of Viagra and is lucky to have a GP who is sympathetic to his needs. "Access to Viagra has helped me tremendously - and due to improved feelings of self-esteem, it may well be the single greatest improvement I have enjoyed since my injury in 1996."

"The only side effect I notice regularly is a sort of heartburn sensation, but that's flushed away with a good drink of water." According to the package leaflet, the most common side effects are headache and facial flushing - but these are normally mild to moderate in nature. Indigestion is one of the less commonly reported side effects listed.

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