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If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5211<\/span><\/a>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n We offer affordable appointment prices<\/a> with or without insurance. Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.<\/strong><\/span><\/p>\n Dr. Alex Shteynshlyuger <\/a>is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation<\/a> and other sexual concerns. He helps men of all ages who experience impotence to regain confidence and erections.<\/b><\/p>\n Viagra doesn’t work for everyone.<\/strong> It is also important to remember that Viagra may not work the first time you take it. Sometimes you need to give it a chance and try it a few times to see if it works.<\/p>\n It is also important to remember that Viagra is not a magic pill<\/strong> – it helps to get blood to flow to the penis. Stimulation by a partner or self-stimulation (masturbation) is necessary for the erection to occur.<\/strong><\/p>\n Genetic differences<\/strong> between different people account for the reason why Viagra may work for many people but not all men. Genetic differences determine how the body, and in particular blood vessels respond to Viagra.<\/p>\n In obese men, the testosterone and estrogen levels may be abnormal which makes it more difficult to get an erection. Weight loss and exercise can help. In men with low testosterone levels, the treatment of low testosterone<\/a><\/strong> can help with erections.<\/p>\n Sometimes Viagra may not work because the dose of the medication is not sufficient<\/strong> for you. If Viagra worked but not as well as you want it to work, discuss with your doctor whether a change in prescription dose is right for you.<\/p>\n Often, men do not take Viagra properly and this accounts for many reasons that Viagra may not work. Stress<\/strong> can make ED treatments less effective. A substantial meal before taking Viagra can slow down the absorption of the drug and direct blood flow away from the penis to the gut. Men need to take Viagra at least 1 hour before<\/span> trying to have sex, preferably on an empty stomach<\/strong>. I advise patients not to eat or drink 1 hour before and after taking Viagra.<\/p>\n Viagra may not work the first time you try it. I advise patients to try Viagra at least 5-10 times.<\/p>\n In other men, sildenafil (Viagra) is simply ineffective and other treatment options need to be considered<\/strong>. This can happen if your arteries are too narrow for Viagra to work its magic. You may require a different treatment – schedule a follow up appointment with us and we will help you solve your erection problem.<\/p>\n Men who come to New York Urology Specialists<\/a> <\/strong>with complaints that Viagra does not work for them are advised a number of tests:<\/p>\n A good erection is a combination of nerve stimulation and blood vessel activation. Diseases like diabetes can damage nerves to your penis, making you less responsive to Viagra.<\/p>\n If Viagra is not working for you, make sure you are following prescription instructions<\/strong>. If you have side effects from Viagra or if you do not get the expected benefit, talk to your doctor to discuss other options that are available to you for the treatment of ED. Some men cannot tolerate the side effects such as the upset stomach, headache, and occasional muscle pain. Other medications may be available that do not cause the same side effects.<\/p>\n For men for whom Viagra or sildenafil does not work or they have intolerable side effects, Cialis daily<\/a> <\/strong>can be tried. Shockwave therapy for ED<\/a><\/strong> can be effective in many men for whom Viagra does not work well. Penile injections with Trimix<\/a> and penile implant<\/a><\/strong> are effective treatment options for most men for whom sildenafil does not work.<\/p>\n At New York Urology Specialists, we offer specialized treatment for ED for men<\/strong>. Same-day appointments are available.<\/p>\n Call\/text today: 1-646-663-5211<\/span><\/a><\/span> <\/span><\/strong>or <\/span>make an appointment<\/span><\/a> online. <\/span><\/span><\/strong><\/p>\n We treat sexual and erection problems<\/a><\/strong> and offer comprehensive STD testing<\/a><\/strong> for infections. We treat penile problems in men<\/a><\/strong>, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy<\/strong>, vasectomy reversal, cosmetic circumcision<\/strong><\/a>, circumcision revision<\/a><\/strong>, penile frenuloplasty. We offer confidential<\/strong> appointments.<\/p>\n Our prices are ED treatment prices<\/a> are affordable with or without insurance<\/strong>. Low-cost<\/strong> Viagra (sildenafil) and Cialis (tadalafil) are available to our patients. We offer free insurance verification<\/strong>.<\/p>\n We offer ED treatment to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, and Connecticut, and over 30 countries worldwide.<\/p>\n You can find pictures of penile problems including before and after treatment images in our image gallery<\/a><\/strong>.<\/p>\n If you have any questions, to schedule a consultation<\/a>, please <\/a>contact us<\/a> or call\/text: <\/strong>1-646-663-5211<\/span><\/a>.<\/strong><\/p>\n We have excellent reviews from patients <\/a><\/strong>and their partners. Information for out-of-state and international patients<\/a>. Find out our office hours or directions to our office<\/a>. <\/strong><\/span><\/p>\n
\nWhat is Viagra?<\/h2>\n
![\"Viagra](\"https:\/\/www.newyorkurologyspecialists.com\/ed\/wp-content\/uploads\/sites\/13\/2016\/08\/shutterstock_302127770-Copy-200x300.jpg\")
Viagra, also known as sildenafil<\/a><\/strong>, is a prescription medication for the treatment of impotence in men<\/strong>. It helps men to get and keep erections when they are unable to get erections or cannot maintain erections on their own. Viagra can also help with getting penis harder when it’s erect if the erections are not sufficiently hard<\/a><\/strong>.<\/p>\nWhy Didn\u2019t Viagra Work For Me?<\/h2>\n
Talk to Your Doctor: Is the Viagra Dose Right for You?<\/h2>\n
Take Viagra Properly for it to Work Well<\/h2>\n
Tests That Can Help Determine Why Viagra Does Not Work Well<\/h2>\n
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Treatment Options if Viagra or Sildenafil Does Not Work<\/h2>\n
Where to Get Treatment for ED in NYC?<\/h2>\n
Read Real Stories of Men<\/a> who Underwent Treatment for ED at New York Urology Specialists.<\/h2>\n
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What do Penile Problems Look Like?<\/h2>\n
What You Need to Know:<\/strong><\/h2>\n
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Why Choose New York Urology Specialists for Treatment of Erectile Dysfunction?<\/h2>\n
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Scheduling Appointments for ED Treatment at New York Urology Specialists<\/h2>\n
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