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Carson Tueller became paralyzed from the chest down after an accident in 2013. "I absolutely know that there is a sense of loss and grieving that comes when you lose physical function," he told Death, Sex, & Money, our colleagues at WNYC. "If you could previously have an erection and have penetrative sex with your partner in a really fulfilling way and you can't anymore, the grief and the loss from that is totally legitimate." However, Carson adds, "that doesn't have to mean that something's wrong with you. It just means it’s time to learn how to have sex differently." In this final part of DSM's series Hard, we hear from Viagra users past and present whose ideas about sex have shifted—from being a goal-oriented pursuit to one that is much more about pleasure and acceptance. This is the third episode of a three-part series. Listen to the first episode—about the impact of ED and Viagra on relationships—here, and the second episode—about the surprising origin story of the drug—here.