Concerns About Viagra Use: Long-Term Effects and Risks Explained - Urology

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I understand that Viagra should not be taken casually, and that it is not necessary for normal individuals.
However, a year ago, I used it several times without understanding the consequences.
Each time, I experienced an erection lasting nearly an hour, and even had two ejaculations (meaning that after ejaculating, I remained erect and continued, resulting in a second ejaculation).
I have not used it since, and I can still achieve normal erections and complete sexual intercourse.
However, I am concerned about whether my previous actions could cause any long-term effects (I know that an erection lasting over four hours is considered priapism, which can injure the penis, but I am unsure if an erection lasting nearly an hour with two ejaculations could also cause harm) or if any residual components of Viagra could remain in my body and cause damage.
I realize I made a mistake and hope the doctor can provide some answers.

Dàdà, 20~29 year old female. Ask Date: 2002/12/23

Dr. Liu Jianting reply Urology


Please! It's been so long; if something were wrong, it would have happened by now.
It's best to correct the mistake if you realize it.
Remember, that medication is for treatment, not an aphrodisiac, and certainly not candy, okay? Everything is fine!

Reply Date: 2002/12/23

More Info


Viagra, known generically as sildenafil, is primarily used to treat erectile dysfunction by increasing blood flow to the penis, facilitating an erection when sexual stimulation occurs. However, its application has expanded into other areas, including potential use in women undergoing fertility treatments. In your case, the recommendation to use Viagra before artificial insemination is based on its ability to enhance blood flow to the uterine lining, which may improve the chances of implantation. While there is some literature supporting this use, it is essential to approach it with caution.


Safety and Efficacy of Viagra in Women
Research indicates that Viagra can increase uterine blood flow and improve endometrial receptivity, which is crucial for embryo implantation. However, the data is still limited, and while some studies suggest potential benefits, others call for more extensive research to confirm these findings. The safety profile of Viagra in women is not as well established as it is in men, and potential side effects can include headaches, flushing, and gastrointestinal disturbances. It is crucial to follow your physician's guidance and report any adverse effects you may experience.


Long-Term Use and Risks
Regarding your concerns about the long-term effects of Viagra, it is important to note that occasional use, as you described, is unlikely to cause significant harm. However, using Viagra without medical supervision can lead to complications, especially if taken inappropriately or in excessive doses. The risk of priapism (a prolonged erection lasting more than four hours) is a serious concern, as it can lead to permanent damage to the penile tissue. Fortunately, your experience of having an erection for about an hour, even with multiple ejaculations, does not necessarily indicate long-term damage, especially since you have returned to normal erectile function.


Residual Effects and Concerns
As for the concern about Viagra remaining in your system and causing harm, sildenafil has a relatively short half-life of about 4 hours, meaning it is typically eliminated from the body within a day. Therefore, it is unlikely that any residual effects would persist long after use. However, if you have any ongoing concerns about your sexual health or psychological effects from your past use, it would be wise to consult a healthcare professional. They can provide reassurance and help address any anxiety you may have regarding your sexual function.


Conclusion
In summary, while Viagra has potential applications in women's reproductive health, its use should be carefully monitored by a healthcare provider. The risks associated with inappropriate use, particularly concerning priapism and psychological impacts, should not be underestimated. If you have any lingering concerns about your past use or its effects, discussing these with a physician can provide clarity and peace of mind. Always prioritize open communication with your healthcare provider regarding any medications or treatments you are considering, especially those that may impact your reproductive health.

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