Does Occasional Use of a Nitroglycerin Pill Make it Inadvisable for me to use Viagra?

Viagra Question

I suffer from periodic bouts of angina pectoris. When the chest pain becomes an issue, I pop a nitroglycerin pill under my tongue, and as it dissolves, my pain abates. Does occasional use of a nitroglycerin pill make it inadvisable for me to use Viagra?


Answer

It sounds as though you are suffering from unstable angina, which can strike at almost any time if your heart isn’t getting a steady and uninterrupted flow of oxygen-rich blood. Left untreated, unstable angina can — and often does — lead to a full-blown heart attack. Because you have no way of accurately forecasting when you’ll need to pop a nitroglycerin tablet, it is probably unwise for you to use Viagra or any of the other oral ED medications. Because both the nitroglycerin pill and Viagra work by lowering blood pressure, they can cause a life-threatening decline in blood pressure when taken together. Sexual relations can put an extra strain on your heart, perhaps triggering an attack of angina. If you have already taken Viagra to overcome erectile problems, popping a nitroglycerin pill on top of that could lead to serious health consequences. Stay away from the PDE5 inhibitors as long as you are using nitrate-based drugs. And as always when taking drugs, consult your doctor.

Does Occasional Use of a Nitroglycerin Pill Make it Inadvisable for me to use Viagra?

Viagra Question

I suffer from periodic bouts of angina pectoris. When the chest pain becomes an issue, I pop a nitroglycerin pill under my tongue, and as it dissolves, my pain abates. Does occasional use of a nitroglycerin pill make it inadvisable for me to use Viagra?


Answer

It sounds as though you are suffering from unstable angina, which can strike at almost any time if your heart isn’t getting a steady and uninterrupted flow of oxygen-rich blood. Left untreated, unstable angina can — and often does — lead to a full-blown heart attack. Because you have no way of accurately forecasting when you’ll need to pop a nitroglycerin tablet, it is probably unwise for you to use Viagra or any of the other oral ED medications. Because both the nitroglycerin pill and Viagra work by lowering blood pressure, they can cause a life-threatening decline in blood pressure when taken together. Sexual relations can put an extra strain on your heart, perhaps triggering an attack of angina. If you have already taken Viagra to overcome erectile problems, popping a nitroglycerin pill on top of that could lead to serious health consequences. Stay away from the PDE5 inhibitors as long as you are using nitrate-based drugs. And as always when taking drugs, consult your doctor.

I’m 28 Years Old and I am Facing Erection Problem I Masturbation and Watch Pornography

MASTURBATION PORNOGRAPHY – ED QUESTION:

Hi, I am 28 years old and past 4 days I am facing erection problem. It is not responding and getting hard. I used to do masturbation and watch pornography. Please help me with this. I may get married soon. I am so worried about this. Please help me with this.


DOCTOR ALSAYES ANSWER:

I need to explain to you that erectile dysfunction has many factors and underlying causes, one of these aspects are the psychological aspect.

A psychological aspect can in form of anxiety or pressure to perform under heightened anxiety, or acute stress disorder, or Low sex drive due to underlying cause (as a bad memory from a previous relationship).

Also, watching pornography and masturbation more frequently can also lead to erectile dysfunction during actual sex relation. Some studies have found that frequently masturbating to porn can contribute to ED by desensitizing you to certain imagery and physical intimacy.

The key to dealing with this situation is to identify the cause and to treat it accordingly, in your case, I advise you first to visit your doctor and make some evaluation tests to exclude any medical/physical cause, and if all tests came up negative then your doctor will advise you on how to deal with your stress and performance anxiety or he may refer you to a psychotherapist.

Thanks, Dr. Alsayes

Husband Late 40’s Having Trouble with ED, Love Life Suffering, Should I Suggest Viagra?

Viagra Question

I’m married to a man in his late 40s with whom I’ve enjoyed a healthy sex life until the last few months. He tries but is finding it difficult to get and keep an erection. Needless to say, our love life has suffered. Is there any way I can help? Should I suggest that he take Viagra or one of the other ED drugs?


Answer

It has been observed that every case of erectile dysfunction has at least two victims: the man suffering from impotence and his partner who suddenly faces the loss of a fulfilling sex life because of ED. You can support your husband by being as understanding about his erectile problems as possible. Together, you can work toward finding a solution.

If your spouse’s ED symptoms are caused by insufficient blood flow to the penis, it’s likely that Viagra or one of the other ED drugs can help.

If the impotence is physiological in origin but doesn’t respond to treatment with Viagra, your family doctor can discuss other options that might help your husband to resume relatively normal sexual relations. Such alternatives include penile injection therapy, penile implants, and vacuum erection devices.

If the causes of his impotence are psychological in origin, the doctor might refer your husband to a psychological counselor who specializes in treating sexual dysfunction caused by depression, anxiety, or stress.

Perhaps the biggest gift you can give your husband as he seeks to overcome his erection problems is your understanding and willingness to partner with him in searching for a solution.

Husband Late 40’s Having Trouble with ED, Love Life Suffering, Should I Suggest Viagra?

Viagra Question

I’m married to a man in his late 40s with whom I’ve enjoyed a healthy sex life until the last few months. He tries but is finding it difficult to get and keep an erection. Needless to say, our love life has suffered. Is there any way I can help? Should I suggest that he take Viagra or one of the other ED drugs?


Answer

It has been observed that every case of erectile dysfunction has at least two victims: the man suffering from impotence and his partner who suddenly faces the loss of a fulfilling sex life because of ED. You can support your husband by being as understanding about his erectile problems as possible. Together, you can work toward finding a solution.

If your spouse’s ED symptoms are caused by insufficient blood flow to the penis, it’s likely that Viagra or one of the other ED drugs can help.

If the impotence is physiological in origin but doesn’t respond to treatment with Viagra, your family doctor can discuss other options that might help your husband to resume relatively normal sexual relations. Such alternatives include penile injection therapy, penile implants, and vacuum erection devices.

If the causes of his impotence are psychological in origin, the doctor might refer your husband to a psychological counselor who specializes in treating sexual dysfunction caused by depression, anxiety, or stress.

Perhaps the biggest gift you can give your husband as he seeks to overcome his erection problems is your understanding and willingness to partner with him in searching for a solution.

75 Years Old and Want to Have Sex. Should I Take Viagra 50 mg?

Viagra – Erectile Dysfunction Question:

I am 75 yes, old young girl wants sex with me, I am taking BP tab Amodep AT one daily, one Urinex D, +Anxiset plus at bedtime, erection time very short, should I take Viagra 50 mg Or any other tab to satisfy the girl/lady?


Doctor Alsayes Answer:

I’d suggest you not take Viagra at this age and with your medication, I’d suggest you check with your doctor first because I can’t tell how much stable are your conditions.

You should also know that when Viagra is taken by the elderly people of 65 and older, it circulates in blood much longer so it is necessary to define the dosage individually.

In most cases, we prescribe a lesser dosage than usual to senior citizens. So kindly check with your therapist.

I hope this answers your question.

Thanks, Dr. Alsayes

Early 50’s, No ED But Losing Interest in Sex, Will Viagra Help?

Viagra Question

I’m in my early 50s and have never had a problem getting an erection until recently. Lately it seems that I’m losing my interest in sex. Can Viagra help in a situation like mine?


Answer

Neither Viagra nor any of the other oral ED medications are likely to increase your level of sexual desire. Testosterone, the primary male sex hormone, plays a key role in sexual desire, and low levels of the hormone can sometimes lead to a loss of desire for sex.

However, it should be noted that some men have very low blood levels of testosterone and still boast relatively robust libidos. Apart from a possible placebo effect, which in time would likely wear off, Viagra alone is not going to increase sexual desire. Ask your doctor to order a blood test to determine if your testosterone levels are abnormally low.

If they are, he might be persuaded to prescribe testosterone replacement therapy, which might help to fire up your libido.

In an article posted at WebMD.com, writer Emma Alvarez Gibson says most men buy into the myth that “real men are always in the mood,” which simply isn’t true.

Other physical causes of a loss of sexual desire include substance abuse, too little or too much exercise, or certain medications that tend to dampen sexual desire.

Psychological causes of declining sexual desire include depression, relationship problems, and stress. In some cases, a man may be suffering from a loss of sexual desire that is caused by both physical and psychological factors.

Early 50’s, No ED But Losing Interest in Sex, Will Viagra Help?

Viagra Question

I’m in my early 50s and have never had a problem getting an erection until recently. Lately it seems that I’m losing my interest in sex. Can Viagra help in a situation like mine?


Answer

Neither Viagra nor any of the other oral ED medications are likely to increase your level of sexual desire. Testosterone, the primary male sex hormone, plays a key role in sexual desire, and low levels of the hormone can sometimes lead to a loss of desire for sex.

However, it should be noted that some men have very low blood levels of testosterone and still boast relatively robust libidos. Apart from a possible placebo effect, which in time would likely wear off, Viagra alone is not going to increase sexual desire. Ask your doctor to order a blood test to determine if your testosterone levels are abnormally low.

If they are, he might be persuaded to prescribe testosterone replacement therapy, which might help to fire up your libido.

In an article posted at WebMD.com, writer Emma Alvarez Gibson says most men buy into the myth that “real men are always in the mood,” which simply isn’t true.

Other physical causes of a loss of sexual desire include substance abuse, too little or too much exercise, or certain medications that tend to dampen sexual desire.

Psychological causes of declining sexual desire include depression, relationship problems, and stress. In some cases, a man may be suffering from a loss of sexual desire that is caused by both physical and psychological factors.

22 Year Old Man with Sexual Problem Unable to Reach Orgasm Leak Precum

Premature Ejaculation – ED Question:

I’m not going to beat around the bush, I have a sexual problem. I’m a 22-year-old man and I have recently found myself a girlfriend. Things are really serious and I feel like this could turn into something good. I’m a virgin. My problem is, whenever things start to get intense, my penis leaks a transparent fluid – precum. I mean – we cuddle for about 30 minutes, and meanwhile, I leak a lot. After that, I just can’t get hard anymore to satisfy her. This happened about three times already, and I don’t know what to do.

Before we met, I masturbated quite often with no problem getting hard whenever I wanted. Now I don’t even feel horny and have real trouble getting erect while I’m alone. I have seen the doctor and he prescribed Sildenafil, this made me hard for a while, but unable to reach orgasm. I feel like the problem is psychological, or I’m having low testosterone levels or something. Could you provide me with any advice? Thank you very much, I feel really bad about this.


Doctor Alsayes Answer:

I’m very sorry to hear about that. First of all, you should know that above 80% of ED problems we see at our clinics are due to psychological problems and what makes them harder to treat is that many of these patients refuse to believe it’s just a psychological issue. And I’m afraid this might be the case for you.

However, I’d suggest first to check with your doctor for evaluation, and if all organic causes of ED were excluded then I’d suggest to you see a psychotherapist.
In the meanwhile, if you need to take something then it should be proven medications such as Cialis or Viagra.

Otherwise, I recommend healthy lifestyle by exercising regularly, eating healthy food (low cholesterol), and stop or avoid alcohol and tobacco as they both contribute to ED.

Also, try your best to let it go naturally when you are with your partner, don’t over think it or stress yourself about any of it.

I hope this answers your question.

Thanks, Dr. Alsayes

Is Viagra use Advisable for Someone Diagnosed with Chronic Hypotension?

Viagra Question

I suffer from low blood pressure. It gets so bad that I often feel like I’m going to pass out when I get up quickly from a seated position. Lately, I’m also finding it increasingly difficult to get an erection. Is Viagra use advisable for someone diagnosed with chronic hypotension?


Answer

Erectile dysfunction drugs, including Viagra and the other PDE5 inhibitors, are not recommended for men who suffer from chronic low blood pressure, also known as hypotension. The PDE5 inhibitors work their magic by temporarily dilating blood vessels to optimize blood flow to the penis.

This dilation of the blood vessels causes low blood pressure. If you are already suffering from chronic hypotension, taking Viagra or another of the PDE5 inhibitors could cause such a precipitous drop in blood pressure that you become faint and even lose consciousness.

Consult your doctor to see if there are alternative treatments for your symptoms of ED that won’t exacerbate your low blood pressure and cause serious health issues.