Sir: Frank Dobson should be applauded for his attempt to supply clear guidelines for GPs about who should receive Viagra ("Viagra rules ration sex to once a week on NHS", 22 January). For those who may end up paying for this drug, at least there is the knowledge that this decision is the product of some rational consultation and thought process. This is in contrast to the lottery faced by infertile couples, many of whom have little choice but to pay thousands of pounds for treatment because they live in the "wrong" part of the country.
NICOLA LEE-BROWNE
Wickhambreaux, Kent
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