Is it okay to use Viagra repeatedly?

Question

Hello doctor,

I am having trouble with erections, but I can get it with Viagra (Sildenafil citrate) 25 milligram. I have used Viagra before, but is it okay to use it again?

Kindly guide.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understood your concern.

According to your complaints, you may be suffering from erectile dysfunction (ED).

Reasons for ED include following:

Stress due to work or family-related issues, night duties – plan for regular exercise and yoga.
Depression.
Varicocele – ultrasound of the scrotum can help diagnose.
Fear of failure – having one episode of ED can make you feel you will end up with ED permanently.
Low self-esteem.
Chronic masturbation.
Homosexuality – not attracted to the same sex.
Religious constraints.
Smoking and alcohol.
Long-term illness – cardiac disease, thyroid disease, kidney disease, or any other disease requiring long-term medication.
Simple vitamin deficiency.
Negative attitude towards your partner.
Hormonal issues – thyroid issues, low testosterone, or increased prolactin.
Long-term drug use.
Diabetes and hypertension.

I suggest you undergo following tests:

Doppler ultrasound of the penis.
Ultrasonography pelvis and scrotum.
Blood pressure.
Random blood sugar (RBS).
Free T3/T4 (Triiodothyronine and Thyroxine).
Testosterone.
TSH (thyroid stimulating hormone).

Share more details regarding the above reasons so we can work on diagnosis and treatment.

I also suggest you perform regular exercise and a proper diet.

List of exercises:

Basic exercises like Kegels, squats, yoga, running, or fast walking for 5 minutes.
Missionary sex position: Planks, push-ups, mountain climbers, glute bridges.
Standing sex position: Bicep curls, pull-ups, jump squats.
Doggy style: Jump squats, walking lunges.
Cowgirl or girl-on-top position: Glute bridges, leg raises.

Food recommendations: Strawberry, apple, avocado, sweet potato, sesame seeds, almonds, garlic, and a little chocolate.

For a temporary solution, you can use Tadalafil (phosphodiesterase type 5 inhibitors) 5 mg twice a day.

I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.