Men
Premature Ejaculation
Viagra and its generic form, sildenafil, are prescribed to millions of men every year to treat erectile dysfunction (ED). The drug was first approved as an ED treatment in 1998. It was initially developed and marketed by Pfizer in the 1980s as a hypertension medication. Since about half of all men will have to cope with erectile problems at some point (mostly in their older years), Viagra quickly became a popular ED medication.
Viagra works by inhibiting the function of a specific enzyme that helps regulate blood circulation, including blood flow to the blood vessels in the penis. Inhibition of this enzyme, leads to increased blood flow and to a faster and firmer erection.
However, this effect is purely physical. You need to be sexually aroused in the first place for the erection to happen. In other words: Viagra by itself doesn’t boost your sexual appetite. That job is left to you and your partner. That said, for some men, the psychological effect of feeling more assured about an erection makes it easier for them to get aroused as they are more relaxed.
Sildenafil takes between 30 to 60 minutes to become fully effective, and acts fastest when taken on an empty stomach. The effect of Viagra will last for about 4-6 hours, leaving plenty of time for you to enjoy sex.
Viagra improves erections and is well tolerated in over 70% of men who use the medication. However, it may not work well for men with diabetes, prostate cancer, and blood circulation problems. This is one of the reasons why Viagra is only available upon prescription. Your doctor will evaluate whether it’s the right drug for you or whether you should consider alternative medications.
Beware of online offers of prescription-free or unbelievably cheap sildenafil, as the market is awash with counterfeit ED drugs. Buy the latter only from a licensed U.S. pharmacy, and with a prescription from a licensed doctor.
While Viagra will help you get and maintain a higher quality erection, does it prolong or shorten your sexual performance?
The answer to these questions in large part depends on what your sexual performance is like without Viagra or other ED treatments. If you have to stop or interrupt sex because you lose your erection, then viagra can certainly make a difference. Very often ED has a psychological element to it, where the actual physical ED is made worse by your fear of not being able to perform. The more you think about getting erect, the more difficult it becomes to get and maintain an erection.
When taking Viagra or alternative medications, these fears are reduced, which in addition to the drug’s blood flow effect will improve your overall sexual confidence and performance. So, in that sense, sildenafil does make you last longer in bed.
However, if your reason for not lasting as long as you want to is premature ejaculation (PE) rather than ED, then Viagra won’t be of much help. A small study back in 2007 suggested that sildenafil can treat PE, but subsequent studies found no evidence that the drug delays the orgasm and ejaculation.
So, if PE is your concern, Viagra isn’t something you need to try. Instead, talk to your doctor about other options, such as SSRI class medications (Zoloft, Prozac, Lexapro) or anesthetic creams and sprays (lidocaine and prilocaine).
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