Viagra: Risks, Concerns, and Erectile Dysfunction Solutions

Viagra

1.
About six months ago, I experienced an issue where I sometimes had an erection during foreplay, but it wasn't firm enough for penetration.
I took Viagra several times.
Recently, I came across information stating that Viagra could cause erections lasting over four hours, which could injure the penis.
This scared me a lot because I am unsure if I have experienced this condition.
If I took it at night and had an erection for over four hours while sleeping, I wouldn't even know.
I have stopped taking it now, but I am worried if my penis has been harmed.
What symptoms should I look for? Could it damage the blood vessels or the erectile tissue? If, unfortunately, there is an injury, is it treatable? Thank you, doctor, for clarifying this for me.
I will never take it recklessly again.
2.
As mentioned in point 1, sometimes I find that my erection is not firm enough for penetration, and I may need to be stimulated again.
If I don't use a condom, it's manageable, but using one causes significant trouble.
Would reducing masturbation help improve this? Do I need to get checked? Am I experiencing erectile dysfunction? These two issues are causing me considerable stress as a student, so I am seeking help from a doctor.

Wu Zhi De Ren, 20~29 year old female. Ask Date: 2002/09/23

Dr. Chen Zhihong reply Urology

1.
The term "priapism" refers to an erection lasting more than 4 hours, which can damage the erectile tissue, specifically in the context of a "sustained erection," not intermittent erections over a 4-hour period.
Currently, I have not seen any formal literature reporting sustained erections lasting over 4 hours after taking Viagra.
Nocturnal erections are a normal physiological response and do not last for 4 hours.
Viagra should not be used indiscriminately; please refrain from casual use in the future.
2.
I am curious about your frequency of masturbation (how often do you masturbate?).
Excessive frequency may lead to insufficient rigidity, as the erectile tissue requires time to rest in order to recover its function.
Given your age, 2 to 3 times a week should not pose a problem.
If you continue to experience issues, it would be advisable to consult a physician, preferably one who specializes in treating erectile dysfunction.

Reply Date: 2002/09/23

More Info

Viagra, known generically as sildenafil, is primarily used to treat erectile dysfunction (ED) by increasing blood flow to the penis, facilitating an erection when sexual stimulation occurs. However, concerns about its safety and potential side effects, particularly regarding prolonged erections (priapism), are valid and warrant careful consideration.

Understanding the Risks of Viagra
One of the most serious risks associated with Viagra is priapism, a condition characterized by an erection lasting more than four hours. This situation can lead to permanent damage to the penis, including erectile dysfunction, if not treated promptly. Symptoms of priapism may include a painful, prolonged erection that does not subside after sexual stimulation has ended. If you experience this, it is crucial to seek immediate medical attention to prevent long-term damage.

In your case, since you have taken Viagra several times and are concerned about potential damage, it is important to note that not everyone who takes Viagra will experience priapism. However, if you have had prolonged erections or pain during erections, it is advisable to consult a healthcare professional. They can perform a physical examination and may recommend tests to assess blood flow and overall penile health.

Symptoms of Potential Injury
If there has been any injury to the penis due to prolonged erections, symptoms may include:
1. Pain: Persistent pain in the penis during or after an erection.

2. Swelling: Noticeable swelling or changes in the shape of the penis.

3. Changes in Erection Quality: Difficulty achieving or maintaining an erection, or a noticeable change in the firmness of erections.

If you notice any of these symptoms, it is essential to seek medical advice. A urologist can provide a thorough evaluation and determine if any treatment is necessary.

Addressing Erectile Dysfunction
Regarding your concerns about erectile dysfunction, it is common for young men to experience occasional difficulties with erections. Factors such as anxiety, stress, and even lifestyle choices can contribute to these issues. Here are some considerations:
1. Psychological Factors: Anxiety about performance can create a cycle of fear and dysfunction. Speaking to a therapist or counselor may help alleviate some of this stress.

2. Physical Health: Regular exercise, a balanced diet, and avoiding smoking and excessive alcohol can improve overall health and potentially enhance erectile function.

3. Masturbation: While some believe that reducing masturbation can improve erectile function, this varies from person to person. If you feel that it is affecting your sexual performance, you might consider moderating it.

4. Medical Evaluation: If you continue to experience difficulties, it may be beneficial to consult a healthcare provider. They can assess for underlying conditions such as hormonal imbalances, vascular issues, or psychological factors contributing to erectile dysfunction.

Conclusion
In summary, while Viagra can be an effective treatment for erectile dysfunction, it is essential to use it responsibly and be aware of the potential risks, including priapism. If you have concerns about your sexual health or the effects of Viagra, do not hesitate to reach out to a healthcare professional. They can provide personalized advice and treatment options based on your specific situation. Remember, addressing these issues early can lead to better outcomes and improved sexual health in the long run.

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