Viagra no longer working? Advice and other options for ED (2023)

If Viagra is not working as it should or has stopped working, there may be some steps you can take to give the drug the best chance of working. Lifestyle changes and working with a therapist can also help.

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Some people have had success with the "little blue pill" (also known as Viagra) and find that it is enough to solve their problemerectile dysfunction (ED). However, many others find that Viagra never works for them or gradually stops working after successful use.

Why does Viagra work for some and not for others? We examine the causes and offer options for you to try.

What causes an erection?

Arousal is a complex combination of factors – from physical reactions to mood and emotions – so it's important to understand the physiology of erection. And it can help you understand why Viagra might not work.

"Erections occur when there is a significant increase in blood flow to the corpora cavernosa of the penis compared to blood flow," he said.S. Adam Ramin, dr. med., urological surgeon and medical director of Urology Cancer Specialists.

According to Ramin, to achieve a net increase in blood flow, these four critical steps must be taken:

1. First, the nerves in the pelvis must send neurotransmitters to the arteries in the penis that control the increased blood flow.
2. Second, the arteries must respond to the nerve's command by expanding in diameter to allow for increased blood flow.
3. Third, the erectile, spongy bodies of the penis must be compliant and able to stretch and elongate to accommodate the increased blood flow.
4. Finally, the veins in the penis must allow a net increase in blood flow by closing their release valves to keep blood in the penis.

"Viagra works at the arterial level by increasing the command of neurotransmitters to cause dilation and increase flow through the arteries," Ramin said.

But if there's a problem with any of these four steps on the road to an erection, Ramin says Viagra won't work.

5 Viagra Dos and Don'ts

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Several factors can affect the effectiveness of Viagra. That includes:

• if youTake Viagra
• how do you understand that?
• What happens in your body when you take it?

According to the American Urological Association, the cause is improper use of phosphodiesterase type 5 (PDE5) inhibitors.56 out of 81 ranktreatment failure.

Here are common mistakes to avoid and what you can do to ensure Viagra has the best chance of working.

1. Avoid taking Viagra with a large or fatty meal

The level of Viagra in the blood reaches its peak an hour after you swallow the pill on an empty stomach. According to Ramino, if you eat a large or high-fat meal and then take Viagra, the drug loses its potency and it may take longer for the effects to appear.

2. Avoid taking Viagra with alcohol

Alcohol consumption, especially chronic alcohol consumption, can contribute to ED. If Viagra loses its effectiveness, you can think about itReduce or eliminate alcoholto see if that helps.

3. Don't expect Viagra to work a few minutes before sex

"If you take Viagra and try to have sex right away," Ramin said, "it won't work."

"The optimal way to take this medicine is an hour before sex on an empty stomach, without alcohol in the body," explained Ramin.

4. Don't expect Viagra to work on its own

Although Viagra has a powerful effect, it alone cannot cause an erection. You have to be sexually aroused for it to work.

5. Check your testosterone levels

Viagra and other PDE5 inhibitors do not work well if your testosterone levels are too low.

Testosterone therapy in addition to or instead of ED medications may be a treatment to consider. Your doctor should be able to test your testosterone levels and evaluate them with you.

What happens if Viagra does not work after taking it?

(Video) 4 tips you MUST try when Viagra doesn’t work

Spar, who is the chief physicianstate of the vault, said that if Viagra doesn't work, it may mean the problem isn't vascular — meaning that increasing blood flow isn't helping.

"It can happen because of neuropathy or other problems," he said.

What happens if Viagra stops working after successful use?

Even if you've been able to get or keep an erection while using Viagra, you may find that it doesn't work as well. But before you give up on prescribing Viagra, it's important to consider why it may no longer be as effective.

Viagra may become less effective over time due to changes in your body or health. If that happens, Spar said, you can try to switch to another drug in the same class (that is, a different one).PDE5 inhibitor).

Can you use other PDE5 inhibitors if Viagra doesn't work?

Yes, if Viagra doesn't help, you can try another PDE5 inhibitor - but don't expect rock star results.

Although switching to another drug is sufficient, it is not always a guarantee. Your doctor can help you decide if another PDE5 is worth trying.

In addition to Viagra, there are other oral medications that are considered the first line of treatment for ED, according toRückblick 2016.,contain:

• Tadalafil(Cialis),
• Vardenafil HCL (Levitra)
• Avanafil (Stendra)

The four PDE5 inhibitors are the only oral medications approved by the United States Food and Drug Administration for the treatment of ED.

Tadalafil could be a good choice in this case.

One of the reasons this PDE5 inhibitor is favored by many people, including healthcare providers who treat ED, is that tadalafil has a longer window of action, meaning you can take it in a daily dose.

This can remove some of the psychological aspects and insecurities that come with taking the pill before sex. It can also help you find out how effective PDE5 inhibitors are for you.

Why doesn't Viagra work for everyone?

Viagra may not be the most effective drug for everyone, either because of the dosing schedule, the way it works, or the medical conditions for which it is not suitable.

Here are some of the most common physical and emotional reasons why Viagra may not work.

nerve dysfunction

According to Ramin, people with diabetes who have neuropathy or who have had prostate surgery and nerve damage may find that Viagra doesn't work.

Atherosclerotic heart disease

If Viagra does not work, it may mean that blood flow in the penile artery is severely restricted. That could be a sign of generalized atherosclerosis, or plaque in the arterial system, Spar said, which is a risk factor for heart attack and stroke.

People with atherosclerotic heart disease have arteries that are clogged with cholesterol plaques or have lost elasticity, Ramin said. In this situation, the arteries do not respond to Viagra since it is a vasodilator. This means that it is a chemical that causes the artery to widen or dilate.

Cavernous disease of the penis

In people with an injury to the body of the penis orPeyronie's disease, the erectile tissue may not be able to handle the increased blood flow, Ramin said.

Venous leakage

If your valves are leaking, Ramin says blood can flow more quickly into your penis, but it will leak out completely and won't stay long enough to cause an erection.

It is also possible that you can get an erection but cannot maintain it due to venous leakage.

One of the causes of ED due to venous leakage is Peyronie's disease, which affects the connective tissue in the penis.

Anxiety, depression, stress or relationship problems

Spar said another reason Viagra doesn't work for all anxiety is emotional health. From a neurotransmitter perspective, this can make sexual arousal more difficult.

What are your options now?

The good news is that some of the things that can have the biggest positive effect on ED symptoms are over-the-counter measures you can take.

Make lifestyle changes a priority

In addition to medical procedures, it is important to consider lifestyle factors that play a role in ED. Common factors that can lead to conditions that affect blood flow include:

• lack of activity
• smoking habits
• emphasize
• drink alcohol

To improve your overall health and improve ED symptoms like blood flow, consider the following changes:

• Stop smoking.
• Reduce everyday stress.
• Control your weight with a healthy diet and regular activity.
• Do exercise and physical activity every day.
• Reduce or eliminate alcohol consumption.

Work with a urologist

They are thereMore possibilitiesto treat erectile dysfunction other than oral medications like Viagra, including:

• Pump for erectile dysfunction(penis or vacuum pump)
• Penile injection
• Surgery to inflate the penile prosthesis
• therapyfor emotional, psychological and ED-related problems
• Suppositories (Alprostadil)

Work with a therapist

No matter what treatment or medication you're taking for ED, talking to a licensed counselor can help you get the most out of your treatment and help you reduce stress, pressure, or anxiety—in the bedroom in general.

For example, sex therapists focus on intimacy, communication, relationships, and yes, sex.

Online search tools such as HealthlinesFindCare Tool, can help you find GPs and specialists in your area.

Food to take out

how did youbave ED, You are not alone. The inability to achieve or maintain an erection sufficient for sex can affect many people30 million men, ifølge Urology Care Foundation.

If Viagra doesn't work for you, there are things you can try to increase the chances that it will work. You can also try lifestyle changes or consult a urologist or therapist instead.