the Impact of Night Shifts on Sexual Health and Medication Use - Urology

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Questions about medications such as Viagra and similar drugs?


Hello Dr.
Du, I am 25 years old and I have to work 5 night shifts every month.
Recently, I have been feeling a bit inadequate in my sexual life with my girlfriend (sometimes I find it hard to maintain an erection, or it becomes soft quickly).
I know that staying up late can affect sexual function, but I can't avoid night shifts due to salary reasons.
I try to sleep well in the afternoons before work, and I have a regular exercise routine, running at least 4-5 kilometers twice a week and occasionally doing weight training at the gym.
My diet is normal, and I avoid everything I can except for staying up late, yet I still feel inadequate.
I am considering trying Viagra, at least to take it before my girlfriend comes over so I don't have to worry about my condition.
However, I am a bit apprehensive about using such medication and would like to know if there is a possibility of developing a dependency on it.
After all, the medication is quite expensive, and if I need to use it frequently, it would be unaffordable.
Additionally, if this issue is caused by lifestyle habits, can changing those habits (e.g., switching jobs) help restore normal function? I am really worried that if this continues, it might lead to long-term effects.
Thank you for taking the time to read my lengthy message, and I wish you all the best.

Chen Zi, 20~29 year old female. Ask Date: 2017/03/27

Dr. Du Shixi reply Urology


Hello: Using this medication can lead to a certain degree of psychological dependence, as you may feel unsatisfactory when not using it if it is effective (this is a comparative issue).
In addition to exercise (but do not overexert yourself), sleep duration and dietary habits can also have an impact.
Sometimes, taking a short break can help improve the situation; it is not always necessary to change jobs.
However, if this persists for several months, it is advisable to seek medical evaluation for safety.
Thank you for your inquiry.

Reply Date: 2017/03/27

More Info


The impact of night shifts on sexual health is a significant concern for many individuals, particularly for those who, like yourself, are experiencing difficulties in sexual performance. Working night shifts can disrupt the body's natural circadian rhythms, which play a crucial role in regulating various physiological processes, including hormonal balance and sexual function.
When you work at night, your body may struggle to produce adequate levels of testosterone, a hormone that is vital for sexual arousal and performance. Studies have shown that irregular sleep patterns and insufficient sleep can lead to decreased testosterone levels, which may contribute to erectile dysfunction (ED) or reduced libido. Additionally, the stress associated with adjusting to a night shift schedule can exacerbate these issues, leading to anxiety about sexual performance, which can create a vicious cycle.

You mentioned that you are physically active and maintain a healthy diet, which are both positive factors that can help mitigate some of the negative effects of night shifts. Regular exercise has been shown to improve mood, reduce stress, and enhance overall sexual health. However, the key to improving your sexual function may also lie in addressing your sleep patterns. Aim for consistent sleep schedules, even on your days off, and create a sleep-conducive environment that is dark, quiet, and cool.

Regarding the use of medications like Viagra (Sildenafil), it's understandable to have concerns about dependency. While these medications can be effective in treating erectile dysfunction, they are not a cure for the underlying issues that may be causing your symptoms. Psychological dependence can develop if you rely on these medications to achieve sexual performance, leading to anxiety when you are not using them. It's essential to discuss your concerns with a healthcare provider who can guide you on the appropriate use of these medications and explore other treatment options.

Changing your lifestyle can indeed have a positive impact on your sexual health. If your current work schedule is significantly affecting your quality of life and sexual performance, it may be worth considering a job change or seeking a position that allows for a more regular sleep schedule. Additionally, stress management techniques such as mindfulness, meditation, or counseling can help alleviate anxiety related to sexual performance.

In summary, the interplay between night shifts, sexual health, and medication use is complex. While night shifts can negatively impact sexual function, lifestyle changes and proper management of sleep and stress can lead to improvements. If you continue to experience difficulties, it may be beneficial to consult with a healthcare professional who specializes in sexual health to explore further options tailored to your specific situation. Remember, open communication with your partner about these challenges can also help reduce anxiety and improve intimacy.

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