the Effects of Viagra on Erectile Dysfunction and Delayed Ejaculation

The results of taking Viagra?

Perhaps everyone is different, and I’m not sure if it’s due to excessive masturbation before marriage (about twice a day), the fact that I haven’t had a circumcision, or if my penis is too narrow, but for the past 25 years of marriage, I have struggled with delayed ejaculation.
During the first ten years of marriage, I didn’t feel much during intercourse; I had to think about various things and exert a lot of effort to build up pleasure through speed in order to reach orgasm and ejaculation.
The last ten years have been somewhat better, but I still can’t let my guard down.
A few years ago, I started having issues with achieving natural erections.
I consulted doctors twice, and about five years ago, I was prescribed Viagra.
It was effective; I could achieve natural erections that were firm enough.
However, even after a long time of intercourse, I still couldn’t ejaculate, which was reminiscent of my earlier experiences, but without the youthful stamina to maintain speed, I became hesitant to take it.
Later on, even when I did take it, I never took a whole pill; I would just bite off a small piece.
Recently, I only took about a third of a pill, and after an hour of intercourse, I felt sensations but couldn’t reach the point of ejaculation.
However, this sometimes happens even without taking the medication.
I have very infrequent sexual encounters; my wife is willing to engage once every two weeks, which is considered a lot, and I haven’t engaged in any solo activities for many years.
Currently, I can only achieve an erection manually, and I need to insert quickly; if I take my time, I lose my erection.
This situation can be somewhat discouraging, and I can sense my wife’s impatience.
I wonder if there is a way to take Viagra without desensitizing the glans?

Lao Bu Xiu, 50~59 year old female. Ask Date: 2015/12/30

Dr. Fu Shizhang reply Urology

Basically, Viagra does not cause numbness; its effect is to dilate blood vessels, which leads to engorgement of the corpus cavernosum and erection.
Inability to ejaculate, also known as delayed ejaculation, is a type of ejaculatory disorder.
The main causes include the following: 1.
Psychological factors; 2.
Surgical nerve damage; 3.
Spinal cord injury; 4.
Diabetes and other neuropathies; 5.
Medication-induced.
It is recommended to identify the underlying cause to address the issue.
Online responses are for reference only; if there are any concerns, it is advisable to consult a healthcare facility.

Reply Date: 2015/12/30

More Info

Understanding the effects of Viagra (sildenafil) on erectile dysfunction and delayed ejaculation is crucial for individuals experiencing these issues. Viagra is primarily used to treat erectile dysfunction (ED) by enhancing blood flow to the penis, which helps achieve and maintain an erection during sexual stimulation. However, it is important to note that Viagra does not directly address the issue of delayed ejaculation, which can be a separate concern.

In your case, it seems that you have been dealing with both erectile dysfunction and delayed ejaculation for many years. The fact that you experienced difficulty achieving ejaculation even with the use of Viagra suggests that there may be underlying psychological or physiological factors at play. It's not uncommon for individuals with a history of performance anxiety or other psychological stressors to experience delayed ejaculation, even when they are able to achieve an erection.

The use of Viagra can indeed help with the erectile aspect of sexual function, but it may not necessarily resolve issues related to ejaculation. Delayed ejaculation can be influenced by various factors, including anxiety, relationship dynamics, and even certain medications. Since you mentioned that you have been relying on manual stimulation to achieve an erection, it may indicate a psychological component where the pressure to perform is affecting your ability to climax.

Regarding your concern about the sensitivity of the glans (the head of the penis), some men find that using a condom or applying a desensitizing cream can help reduce sensitivity and potentially aid in achieving ejaculation. However, it's essential to approach this carefully, as excessive desensitization can lead to further difficulties in achieving pleasure.

You also mentioned that you have been taking smaller doses of Viagra, which may not provide the full effect intended for treating ED. It's essential to consult with your healthcare provider about the appropriate dosage and whether a different medication or treatment plan might be more effective for your specific situation. They may also explore other options, such as therapy for performance anxiety or pelvic floor exercises, which can help improve sexual function over time.

In summary, while Viagra can be effective for erectile dysfunction, it may not resolve issues related to delayed ejaculation. A comprehensive approach that includes medical evaluation, psychological support, and open communication with your partner can be beneficial. If you haven't already, consider discussing your experiences and concerns with a healthcare professional who specializes in sexual health. They can provide tailored advice and treatment options that address both the erectile and ejaculation aspects of your sexual health.

Similar Q&A

Exploring Medications for Erectile Dysfunction Beyond Viagra

I would like to ask what medications are available for erectile dysfunction? Besides Viagra, are there any others? I need this information for a report on erectile dysfunction. Thank you!

Dr. Shou Weijin reply Pharmacology
Erectile Dysfunction Treatment: The term "enhancement" can refer to men, indicating the need for men to be strong, which can be achieved through regular exercise. This term can also be used to describe the improvement of male reproductive function, including conditions ...

Understanding Post-Ejaculation Erection Changes and Viagra Effects

Hello Doctor: In the past, I could maintain an erection for about 3 minutes after ejaculation before it gradually softened. However, for quite some time now, I immediately lose my erection after ejaculation. What could be the reason for this? My lifestyle and routine have not cha...

Dr. Xu Weikai reply Urology
Mr. Wang: Hello, in a normal person, the penis typically becomes flaccid immediately after ejaculation. Your previous situation, where you maintained an erection for 3 minutes, is relatively uncommon. It may be due to your better circulatory system. If you wish to maintain the pr...

Understanding Viagra: Effects, Duration, and Usage for Erectile Dysfunction

I have erectile dysfunction, so I went to see a urologist who prescribed Viagra for me. The doctor only mentioned that I should take it before sexual activity. However, I have some misconceptions about Viagra from reading online. Does it mean that once the medication takes effect...

Dr. Xu Weikai reply Urology
Mr. Zhang: Hello, for the use of Viagra, the initial dose is 50 mg, which is half a tablet, and adjustments can be made based on the patient's response. The maximum dosage is 100 mg per day. Generally, taking the medication does not cause an erection; sexual stimulation is s...

Can Cialis or Viagra Help with Premature Ejaculation and Erectile Dysfunction?

Hello, doctor. I would like to ask about my situation. I have issues with premature ejaculation and erectile dysfunction, often finishing within 5 minutes during intercourse. My wife has a high sexual demand, so there is often a need for a second round. I was wondering if taking ...

Dr. Xu Weikai reply Urology
Mr. Lin: Hello, generally, these types of medications can induce an erection within 12 to 24 hours after stimulation. In other words, after ejaculation, they shorten the refractory period, allowing for a quicker return to erection. The interval in between varies depending on indi...