Hi I am facing erectile issue while having sex my penis does not get hard and if it gets within 3-4 minutes it gets small. I always wanna have sex but my penis does not get harder and larger. But if I take viagra 50 mg/ half tablet then my penis remains harder and can have good sex. Could you just what shall I do as taking viagra every time is also not good for health.

Dr. Satyajeet P PattnaikUrologist12yrs exp

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Patients suffering from erectile dysfunction should first be evaluated for any underlying physical and psychological conditions. If treatment of the underlying conditions doesn't help, medication and assistive devices, such as pumps, can be prescribed. Oral medications are a successful erectile dysfunction treatment for many men. They include: Sildenafil (Viagra) Tadalafil (Adcirca, Cialis) Vardenafil (Levitra, Staxyn) Avanafil (Stendra) All four medications enhance the effects of nitric oxide ? a natural chemical your body produces that relaxes muscles in the penis. This increases blood flow and allows you to get an erection in response to sexual stimulation. Taking one of these tablets will not automatically produce an erection. Sexual stimulation is needed first to cause the release of nitric oxide from your penile nerves. These medications amplify that signal, allowing some men to function normally. Oral erectile dysfunction medications are not aphrodisiacs, will not cause excitement and are not needed in men who get normal erections. The medications vary in dosage, how long they work and side effects. Possible side effects include flushing, nasal congestion, headache, visual changes, backache and stomach upset.  

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