Common physical causes of erectile dysfunction include heart disease, diabetes, nerve damage and high blood pressure. Hormonal issues, such as low testosterone, can also affect your level of sexual desire, which may stop you from getting an erection even with Viagra.
If Viagra isn't working for you, you might need a higher dose. But don't experiment on your own: Always speak with a healthcare provider about dosage changes and never take more than one dose of Viagra in any 24 hour period.
Although it can be taken with or without food, Viagra tends to work best when taken on an empty stomach. So, to maximize its effects, try to take it separately from meals.
Because 100mg is the highest dose available, you should never 'double up' on tablets or take more than one in 24 hours. Sildenafil 100mg is the highest safe dosage you can take – if it is ineffective, you should try another ED treatment.
Vardenafil (Levitra) is almost 10 times more biochemically potent than sildenafil, therefore a lower dose is needed to facilitate the penile erection, potentially resulting in less side effects. Selectivity is the ability of the drug to attach to the specific enzyme PDE 5 found in penile tissues.
Viagra doesn't stop your erection going down after you ejaculate, so you'll likely lose your erection after you do. If you are having trouble orgasming too early then you may need separate treatment for premature ejaculation.
The concentration of Viagra in the blood peaks around 30–120 minutes after taking the drug — usually around the 60 minute mark. It is possible to start feeling the effects of Viagra at any time during this window.
There's no “magic” to how Viagra works, and contrary to popular belief, it won't make you get an erection spontaneously unless you're already sexually aroused. It also has no significant impact on your level of interest in sexual activity, or issues such as sexual desire disorders.
When you have trouble achieving or maintaining an erection with a partner, it can be embarrassing – especially if it is happening for the first time. When something like this happens, it is easy to close yourself off and wallow in your worry and self-pity.
Viagra doesn't start working immediately after taking it, as the medication needs time to be absorbed into your blood. For most men, it takes around 30 minutes before you start to feel the effects of Viagra. 12 minutes after – One study has shown that some men got an erection just 12 minutes after taking Viagra.
No pill does. It can help you get and maintain a firmer erection that lasts longer, though. To put it another way, sildenafil and other ED medications make the most of what you've got. They won't magically endow you with more length or girth permanently.
Unfortunately, that's one of many dangerous logical fallacies when it comes to ED medications: taking two pills isn't going to make your erection twice as hard, or twice as large — it's just going to cause your risk of adverse effects to double.
When used in women, Viagra is thought to raise blood flow to the genitals so that there's more sensitivity and stimulation. Studies have shown that Viagra may provide a benefit for women having difficulty with sexual arousal — since it may help them respond better to sexual stimulation.
While Viagra does not work for everyone, up to 70% of people with ED and their providers have reported that it helps with sexual performance. As for using it recreationally, some men report improved sexual performance, but one study showed that there is no improvement in sexual function for men without ED.
Pfizer, the company that manufactures this drug, has confirmed that the typical Viagra user is on average 53 years old. The company does not keep records of users younger than 33 years. The drug should not be used in young men who do not have erection problems.
Penile implant. A penile implant involves a 30- to 45-minute surgical procedure that places a water-based device into the erection chambers of the penis, which enables you to reliably control exactly when and how long an erection lasts. Dr. Starke says this is the closest option to a cure that exists for ED.
"Tell him it's really OK if the two of you don't have intercourse tonight. Maybe he's not ready yet,"—and "yet" is the key word. Sometimes, he says, just removing that pressure makes the penis change its mind. "If that happens, tell him you're happy he's feeling better."
Be open about the situation – You may want to hide the problem from your partner, but discussing the issue can take some of the pressure off. Simply say you need a little longer to get hard and focus on foreplay and you could find your erection will come on its own.
Losing an erection or being unable to become erect often results from nerves, anxiety, or using alcohol or other drugs. Sometimes men worry about performance, and sometimes they're anxious about whether or not having intercourse is the right decision, or whether they're with the right partner.
Erectile dysfunction is common, and there are many things you can do to manage it. A variety of factors may be causing your ED. These include your lifestyle, alcohol intake, some medications, diseases, disorders, and psychological stress. Depending on the cause, several effective strategies and treatments exist.
Less than 2% of men with erection problems reported their symptoms first started before the age of 40. Only 4% reported symptoms of ED starting between 40 and 49 years of age. About 1 in 4 said their ED symptoms started between the ages of 50 to 59. Two in five men reported their symptoms started between age 60 and 69.