DEAR DOCTOR. ROACH: My husband and I’ve had a cheerful relationship for a few years. Our love has been a pleasure. Now, we now have so as to add Viagra. Typically it really works; typically not. Is there something we are able to do to enhance its effectiveness? Or is there anything I can advocate that works constantly? – Anon
ANSWER: Sildenafil (Viagra) and comparable medicines have been efficient for many individuals who’ve problem attaining and sustaining correct erections. They aren’t efficient for everybody, and plenty of have a misunderstanding about how they work.
Viagra doesn’t improve libido, the will for sexual contact, in males or girls. Change the way in which blood flows out and in of the penis. Erectile dysfunction could be brought on by circulation issues, corresponding to blockages within the arteries; neurological issues endocrine issues, particularly low testosterone ranges; and relationship issues. Viagra helps to some extent, however rethink if there’s an underlying medical downside, each earlier than prescribing and periodically whereas taking it, particularly if it isn’t working effectively.
Typically, the issue with Viagra that works intermittently is that it’s affected by meals. Meals slows the absorption of medicine, which hinders the optimum time of administration. I’ve repeated the recommendation I heard from a urologist: "Take Viagra at 6, have dinner at 7 and also you'll be superb till midnight." Viagra turns into progressively much less efficient in some, requiring greater doses to have the identical outcomes. Or change to different medicines much like Viagra, which have better flexibility over time and meals.
DEAR DOCTOR. ROACH: I’m a 69 yr previous man in good well being, apart from a low testosterone depend of 109. I ponder about the advantages, the dangers of remedy. I learn that the injection can result in very excessive after which very low counts, however the patch could be doubtlessly harmful for my partner. Are you able to make clear – A.D.
ANSWER: Testosterone is a vital hormone for women and men, though males have a lot greater ranges. It has important features, together with the promotion of bone and muscle power, and favorable results on the categories and ranges of blood ldl cholesterol. As well as, it’s vital for wholesome sexual perform.
Though very excessive testosterone ranges have vital dangers, alternative suggests a basic profit. There are oral, injectable and transdermal types (patch and gel). Most males now favor gels or patches, which are typically constant.
Girls and kids mustn’t deal with the medicine. Your partner has a low danger in case you wash your palms rigorously after utility and keep away from contact with the pores and skin till it has dried. Keep away from moistening the appliance space for 5 hours after utility.
(Roach is a columnist for the North American Press Union. Write to 628 Virginia Drive, Orlando, FL 32803.)