Viagra for Treatment of Erectile Dysfunction in Men: What You Need to Know

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation or if you need a second opinion, please contact us or call 1-(646) 663-5211.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns. He helps men of all ages who experience impotence to regain confidence and erections.


What is Viagra?

ED Treatment with ViagraViagra (generic name: sildenafil) is the first oral pill that became available for the treatment of impotence in men.    Viagra increases the size of blood vessels (dilates blood vessels) and allows more blood to get to the penis.  Increased blood flow to the penis results in better erections.

What does Viagra Treat?

Viagra is used to treat erectile dysfunction or ED for short.  ED is also called impotence.  Viagra can effectively treat most erection problems in men including erections that are not hard enough, difficulty with obtaining erections and problems with maintaining erections.

Effectiveness

Viagra is effective in 60-70% of men. Some studies have shown up to 95% user satisfaction with an improved ability to engage in sexual activity.  Viagra is easy to use and convenient.  It can be used without the partner knowing about your erection problems, which is important to some men.

Viagra is effective in men of all ages.  It can be successfully used by young men with ED.  Sildenafil or Viagra is also effective in men with diabetes and ED, as well as in men with ED and kidney failure. Viagra works well in combination with shockwave therapy for ED in many men with vascular erectile dysfunction. It can also be used safely together with most medications for high blood pressure, diabetes, cholesterol, asthma, HIV and multiple sclerosis.

How to Use Viagra:

Taking Viagra at least one hour before sexual intercourse is most effective but it may work as soon as 30 minutes after taking it. Typically, men are advised to take Viagra by mouth at least 1  hour to 4 hours prior to sexual activity.

It is advisable not to eat or drink anything 1-2 hours before and after taking Viagra. If Viagra is taken with food, it may not work as well especially if taken shortly before attempting intercourse. Taking Viagra with an oily or fatty meal can delay its effect – it may work when you no longer it.

Viagra should be stored at room temperature, away from light and moisture (avoid storing it in the bathroom). Like all medications, keep Viagra out of reach of children and pets.

Viagra is not a “magic” pill and does not cause an erection to ‘pop’ up.  It helps you get an erection. You still need to be stimulated to get an erection.

Side Effects of Sildenafil (Viagra)

Common side effects of Viagra include flushing, headache, dizziness, and stomach upset. Some men experience vision changes with blurring, color blindness, or sensitivity to light.

Priapism (an erection lasting more than 4 hours) is an unwanted painful and prolonged erection.  Priapism is an extremely rare side effect of Viagra.   You should seek medical attention if your erection will not go down for more than 4 hours in the absence of sexual stimulation.  

Priapism is a very rare side effect of Viagra. In fact, it is not clear if Viagra or similar medications are the cause of priapism as many men with priapism have used multiple other drugs. In the year 2007, for instance, the FDA received notification of only 93 cases of priapism from Viagra, Levitra, and Cialis combined – tens of millions of men were treated with these medications during that time period.

There are some rare reports of blindness with a rapid reduction in vision after taking medications such as Viagra in men with underlying eye problems. However, after the medication had been on the market for 10 years and had been taken by more than 27 million men, the FDA concluded there was no evidence linking Viagra to blindness or other serious eye conditions. You should consult a Urologist before beginning Viagra and always follow prescribing instructions.

Safety of Viagra:  Is Viagra Safe to Use?

It should be noted that Viagra has a good record of safely with millions of men successfully treated with it.  Men with medical problems such as lung problems, COPD, diabetes, arthritis, high blood pressure, liver and heart problems as well as men with cancer can be treated safely with Viagra.

It’s important to inform your doctor of all the other medications and supplements you take because they may affect the efficacy of Viagra. Interactions with other medications can put you at risk for serious complications. Viagra can cause your blood pressure to become low if used in combination with nitroglycerine (for angina or chest pain) or medications such as Flomax (tamsulosin for an enlarged prostate).

You should not take sildenafil (Viagra) with nitroglycerin containing medications.  You should space medications for enlarged prostate by at least 6 hours from Viagra or other medications for enlarged prostate.  You should take Viagra a few times and see how your body reacts to it before participating in activities such as driving or operating heavy machinery after taking Viagra. Alcohol intake should be limited when you use Viagra.

How Does Viagra Compare to Other Treatments for ED?

Viagra or its generic sildenafil is an effective treatment option for men of all ages with erection problems. Viagra has similar effectiveness as Cialis, Levitra, and Stendra in treating ED.  Viagra tends to be more effective than vacuum pump but VED works better in some men with venous insufficiency.   A penile implant is a more effective treatment for ED for some men but for many men Viagra works just as well. 

Shockwave therapy for ED works similarly well for many men with ED caused by vascular insufficiency as Viagra; often, combining shockwave therapy with Viagra can lead to stronger erections.


Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.

If you have any questions about ED treatment, schedule a consultation, contact us or call 1-(646) 663-5211.  We have excellent reviews from patients and their partners. 

We offer affordable, highest-quality urology care with or without insurance.   Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.


ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, your lifestyle and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We treat some of the most complex ED problems including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call today: (646) 663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urological problems in men and women using modern effective and proven treatment methods.  He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.

 

 


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