How do you say it without saying it? Rumor, innuendo and Erectile dysfunction

This little ad is rather remarkable in what it says and does not say and how it says it.  Hope you're not too embarrassed by the topic - the mother lode of embarrassing topics.  On the hill Congressman Jim Moran wants to relegate ED ads to post 10 pm.  HR 2175 Families for ED Advertising Decency Act.  I find the whole matter absurd - from the ad itself to the brouhaha about ED ads - but I do believe there sure are a lot of these ads.  Could this truly be a medial problem in the U.S. or is it a problem being manufactured by the pharmaceutical companies?  Probably both.