Does Sexual Activity Affect Treatment for Erectile Dysfunction? - Urology

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Will it affect the treatment?


Hello: I have sought medical attention due to insufficient erection hardness and have been prescribed medications such as Cialis.
Is it inappropriate to engage in sexual activity or masturbation during the treatment period? Will it affect the treatment?

Azhang, 20~29 year old female. Ask Date: 2015/12/15

Dr. Xu Weikai reply Urology


Hello, I cannot understand the main point of your question.
If there are any unclear aspects, please feel free to ask again, and we can discuss and research further.
Responses on the internet should only be used as a reference; if necessary, it is important to seek medical attention at a healthcare facility.
This response is provided by Dr.
Hsu Wei-Kai, Director of the Urology Department at Taitung Hospital, Ministry of Health and Welfare.

Reply Date: 2015/12/15

More Info


Sexual activity can indeed have an impact on the treatment of erectile dysfunction (ED), particularly when medications such as sildenafil (commonly known as Viagra) or tadalafil (Cialis) are involved. These medications work by enhancing blood flow to the penis, which helps achieve and maintain an erection when sexual stimulation occurs. However, the relationship between sexual activity and the effectiveness of these treatments is multifaceted and can vary from person to person.

Firstly, engaging in sexual activity while on ED medication is generally considered safe and can be beneficial. Regular sexual activity can help maintain erectile function and improve overall sexual health. It can also provide psychological benefits, such as reducing anxiety related to sexual performance, which can be a significant factor in ED. The act of engaging in sexual activity can reinforce the positive effects of the medication, as it allows for the practical application of the treatment in a real-life context.

However, there are a few considerations to keep in mind. If you are experiencing difficulties with erections, it is essential to communicate openly with your healthcare provider about your sexual activity. They can provide tailored advice based on your specific situation. For instance, if you are using ED medications but still experiencing challenges, it may indicate that the underlying causes of your ED are not fully addressed. These causes can range from psychological factors, such as anxiety or depression, to physical issues, such as cardiovascular problems or hormonal imbalances.

Additionally, if you are engaging in sexual activity frequently while on ED medication, it is crucial to monitor how your body responds. Some individuals may experience side effects from the medication, such as headaches, flushing, or gastrointestinal issues, which can be exacerbated by sexual activity. If you notice any adverse effects, it is advisable to discuss these with your doctor.

Moreover, if you are using other medications, such as antidepressants or anti-anxiety medications, it is essential to consider their potential interactions with ED treatments. Some antidepressants, particularly selective serotonin reuptake inhibitors (SSRIs), can contribute to sexual dysfunction, including decreased libido and difficulty achieving orgasm. If you are on multiple medications, your healthcare provider can help you evaluate whether any of them might be contributing to your ED or affecting your sexual activity.

In summary, sexual activity during the treatment of erectile dysfunction with medications like sildenafil or tadalafil is generally safe and can be beneficial. It is essential to maintain open communication with your healthcare provider to ensure that your treatment plan is effective and to address any concerns you may have. Regular sexual activity can help reinforce the positive effects of ED medications, but it is crucial to monitor your body's responses and discuss any issues with your doctor. Ultimately, a comprehensive approach that considers both physical and psychological factors will yield the best outcomes in managing erectile dysfunction.

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