Does Viagra make you last longer?

Viagra (sildenafil) gives firmer and longer erections but doesn’t treat premature ejaculation

What is Viagra used for?

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 — after initially having been developed in the 1980s as a hypertension medication — and marketed by Pfizer. 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.

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How does Viagra work?

Viagra works by inhibiting the function of a specific enzyme that helps regulate the blood circulation, including the blood vessels inside your penis. The drug dilates the blood vessels and thereby increases the blood supply to the penis. This in turn can give a man 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. The job is left to you and your partner. That said, for some men, the psychological effect of feeling more assured about their erection makes it easier for them to get aroused as they are more carefree.

Sildenafil takes between 30 to 60 minutes to become fully effective and it acts fastest when used on an empty stomach. The effectiveness of Viagra will last for about 4-5 hours, leaving plenty of time for you to enjoy sex.

Viagra improves erections and is well tolerated in ~70% of men who use the medication. However, it doesn’t work so 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. These alternative options include Cialis (tadalafil), Stendra (avanafil), and Levitra (vardenafil). 

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 with a prescription from a licensed doctor.  

 

Can you last longer during sex with Viagra?

While Viagra will help you get your erection firm and ready, what’s its effect from there on forward? Does it prolong or shorten your sexual performance?

The answer to these questions in large part depends on what’s your sexual performance like without Viagra or other ED treatments. If without Viagra you have to stop or interrupt sex because you lost your erection, then the drug will definitely make a difference. Very often ED has a psychological element to it, where the actual physical ED is made worse by your fears over it. The more you think about your erection, the more difficulties you’ll have with getting one.

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).

 

References

  1. McMurray, James G, et al. “Long-Term Safety and Effectiveness of Sildenafil Citrate in Men with Erectile Dysfunction.” Therapeutics and Clinical Risk Management, vol. 3, no. 6, 2007, pp. 975–81, www.ncbi.nlm.nih.gov/pmc/articles/PMC2387281/. Accessed 30 Sep. 2020.
  2. “A Study Of The Safety and Efficacy Of Viagra In Men With Erectile Dysfunction Who Do Not Self Identify. - Full Text View - ClinicalTrials.Gov.” Clinicaltrials.Gov, clinicaltrials.gov/ct2/show/NCT00343200. Accessed 30 Sep. 2020.
  3. Prins, J, et al. “Prevalence of Erectile Dysfunction: A Systematic Review of Population-Based Studies.” International Journal of Impotence Research, vol. 14, no. 6, 2002, pp. 422–32, www.ncbi.nlm.nih.gov/pubmed/12494273, 10.1038/sj.ijir.3900905. Accessed 30 Sep. 2020.

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