Category: Viagra

Erectile Dysfunction Question:

I have a hormonal imbalance which is Gynecomastia and therefore most often loss erection even in the course of having sex and want to know if it will be of help to take viagra considering my situation and any side health issue. thank you

Doctor Alsayes Answer:

As you know, Gynecomastia results from an alteration in the ratio of testosterone to estrogen leading to stimulation of the tissue in the breast.
Viagra doesn’t work by increasing testosterone levels, but rather increasing the blood flow in the penile tissue leading to an erection.

I’d suggest you follow up with your doctor for treatment of your Gynecomastia and have your hormone levels checked, and you may take Viagra if you want; it’s safe.

Don’t worry, Viagra doesn’t affect (improve or worsen) Gynecomastia, however, you should know that among men with Gynecomastia, Viagra was helpful for erectile problems in some of them, but in some others, it wasn’t effective.

Thanks, Dr. Alsayes

Erectile Dysfunction Question:

I have a hormonal imbalance which is Gynecomastia and therefore most often loss erection even in the course of having sex and want to know if it will be of help to take viagra considering my situation and any side health issue. thank you

Doctor Alsayes Answer:

As you know, Gynecomastia results from an alteration in the ratio of testosterone to estrogen leading to stimulation of the tissue in the breast.
Viagra doesn’t work by increasing testosterone levels, but rather increasing the blood flow in the penile tissue leading to an erection.

I’d suggest you follow up with your doctor for treatment of your Gynecomastia and have your hormone levels checked, and you may take Viagra if you want; it’s safe.

Don’t worry, Viagra doesn’t affect (improve or worsen) Gynecomastia, however, you should know that among men with Gynecomastia, Viagra was helpful for erectile problems in some of them, but in some others, it wasn’t effective.

Thanks, Dr. Alsayes

Viagra – Erectile Dysfunction Question:

If took 50mg doses after taking meal like afternoon or evening so my questions are how many minutes does it can last.

Doctor Alsayes Answer:

The duration Viagra lasts for vary from man to another, but on average it should work for up to 3 hours at a time, of course when used alongside sexual stimulation.
On the other hand, it takes around 30-60 minutes to take effect, but this duration can be affected by food or alcohol.

You should know that eating any meal before you take Viagra will cause it to take effect more slowly. Also, fatty meals are the enemy of Viagra, they can make it harder for the medicine to reach the bloodstream. Ideally, you should take Viagra on an empty stomach or two hours after eating and 1 hours before the intercourse.

I hope that answered your question.

Thanks, Dr. Alsayes

Viagra – Erectile Dysfunction Question:

If took 50mg doses after taking meal like afternoon or evening so my questions are how many minutes does it can last.

Doctor Alsayes Answer:

The duration Viagra lasts for vary from man to another, but on average it should work for up to 3 hours at a time, of course when used alongside sexual stimulation.
On the other hand, it takes around 30-60 minutes to take effect, but this duration can be affected by food or alcohol.

You should know that eating any meal before you take Viagra will cause it to take effect more slowly. Also, fatty meals are the enemy of Viagra, they can make it harder for the medicine to reach the bloodstream. Ideally, you should take Viagra on an empty stomach or two hours after eating and 1 hours before the intercourse.

I hope that answered your question.

Thanks, Dr. Alsayes

Viagra Question

I take a generic high blood pressure medication called lisinopril. Does this drug interact adversely at all with the active ingredient in Viagra?

Answer

Lisinopril belongs to a family of blood pressure medications known as an angiotensin-converting enzyme, or ACE, inhibitors. This class of drugs generally causes little interference with optimal blood flow, because ACE inhibitors dilate blood vessels and thus increase blood flow. However, it’s estimated that a tiny percentage of men — less than 1 percent — taking the drug experience impotence as a side effect. For most men, it should not interact adversely with Viagra or any of the other oral ED drugs.

According to MayoClinic.com, the two classes of antihypertensives most likely to cause ED or at least make it more difficult to get an erection are diuretics and beta blockers. By flushing excess fluids from the body, diuretics can decrease the forceful flow of blood to the penis. They can also deplete the body’s stores of zinc, which are necessary for the synthesis of testosterone, the primary male sex hormone.

Beta blockers, especially older generation formulations of the drug, are commonly associated with ED. Among this class of drugs, you should avoid, if at all possible, those that contain propranolol (sold under the brand names of Inderal and Innopran XL), which is known to interfere with optimal erectile function.

In addition to ACE inhibitors, blood pressure medicines that are less likely to cause ED include calcium channel blockers and angiotensin II receptor blockers.

However, if you believe that your blood pressure medications are interfering with erectile function, talk to your doctor to see if he can switch you to a medication that has little to no adverse effects on erectile function.

Viagra Question

What is the incidence of erectile dysfunction among American men? And would Viagra help all of them to regain at least temporary erectile function?

Answer

According to MenMD.com, erectile dysfunction affects roughly 30 million American men and more than 100 million men worldwide. In the United States, this means that roughly 18 percent of all men suffer from some degree of ED. While the percentage of men affected by ED increases with age, impotence is by no means an inevitable consequence of aging. The increased incidence of the disorder in older men can be explained by the greater exposure to behaviors and medical conditions that can cause ED.

For example, years of eating an unhealthy diet, high in saturated fats and empty calories, eventually may lead to atherosclerosis, a buildup of plaque on the inner walls of arteries. And atherosclerosis can impede blood flow to the penis, causing erection problems.

Likewise, men who have smoked for years can sustain damage to blood vessels, which can also lead to ED. The vast majority of ED among American men is caused by insufficient blood flow to the penis, a form of impotence that Viagra is designed to treat. However, for those suffering from ED caused by psychological issues or traumatic or congenital damage to the pelvic regions, particularly the blood vessels in that area, surgical intervention may be required to restore normal blood flow.

Q. Until recently the airwaves were full of commercials for Viagra, but I haven’t seen many, if any, in the last few months. Why has Pfizer cut back on its advertising for Viagra?

A. For almost two decades, Viagra was widely advertised in both print and broadcast media. Eli Lilly & Company’s Cialis was also widely touted, particularly in TV commercials. However, those advertising campaigns are winding down as the introduction of generic alternatives to Viagra nears.

Because generics are most popular because they are lower in cost than the brand-name drugs for which they substitute, the sales of Viagra will certainly decline significantly when generics hit the market. However, because generic Viagra can accomplish the same goals as the other brand-name ED drugs, sales of those other drugs are also likely to decline.

Although Viagra will be first to face generic competition, beginning in December 2017, Cialis is now expected to square off against generic substitutes beginning as early as September 2018. And Levitra’s patent is due to expire in 2018, so it too will face generic competition before too much longer.

As most people now realize, smoking can be very damaging to your overall health, increasing your risk of heart disease in particular. Smoking’s damage to the cardiovascular system comes primarily from its effects on blood flow.

The chemicals in tobacco smoke damage the delicate endothelial cells that line the inner walls of your arteries, which in turn restricts blood flow. And to achieve and sustain an erection, it is essential that your penis receives strong blood flow.

Several years back, a team of Iranian researchers studied the effects of smoking cessation on former smokers who were able to quit through the use of nicotine replacement therapy or NRT. The research team recruited 281 smokers who expressed a desire to quit through the use of NRT.

Only 118 of the study participants successfully gave up smoking, while 163 were unable to quit that habit. Among those who were successful in quitting, 25 percent reported significant improvement in their erectile function a year after quitting smoking.

Q. I’ve read that doctors sometimes give newborn babies the same active ingredient that’s in Viagra. Obvious the treatment of erection problems, so what medical purpose does the drug serve in newborns?

A. It’s true that some newborns, most premature babies, are given small amounts of sildenafil, the active ingredient in Viagra. This is done to improve the respiratory function of infants whose lungs may not be fully developed at birth.

Sildenafil is also marketed at lower doses as a treatment for pulmonary arterial hypertension, a form of high blood pressure that targets the lungs and puts a strain on both the lungs and heart. By dilating the blood vessels in and around the lungs, the blood pressure is lowered and breathing is improved.

And lowering the blood pressure in the lungs reduces the heavy burden on the heart. As the child grows and the lungs, as well as the arteries that supply them, become more fully developed, the need for this extra help from sildenafil is reduced. But it has proven to be a lifesaver for premature babies born with pulmonary hypertension.