Viagra is likely the most written-about drug in the last 25 years and for a good reason. This medication gave the baby boomers from the 60s and 70s, plus many other men, a lifeline if they developed erectile dysfunction. When it was introduced in the late 90’s, it completely changed how men thought about and communicated about their health. But how exactly does Viagra and medications like it help men with ED?
If you want to explore treatment options for erectile dysfunction contact our highly trained urologist, Dr. William Brant. Call our urology clinic in Salt Lake City, UT today at (801) 965-2767.
What Causes Erectile Dysfunction?
Erectile dysfunction is the persistent inability to achieve and then maintain an erection firm enough for sexual intercourse. It is a frustrating and depressing condition for millions of men.
There are a myriad of reasons why a man may have erectile dysfunction. There may be emotional, psychological, or physical reasons. 
How Does Viagra Help?
The little blue pill, Viagra, helps ED with one of the physical issues. Viagra (or its generic namesake Sildenafil) increases blood flow to the penis which is one of the requirements for an erection. Although we will refer to it as Viagra in this blog, there are quite a few drugs (both brand name and generic) that work in the same manner so this information can be generalized to these medications.
When a man is aroused, the body releases nitric oxide, a molecule that triggers an erection. However, a protein or enzyme known as PDE5 intervenes to start getting rid of the erection. Viagra is a PDE5 Inhibitor, so it obstructs the enzyme and allows the erection to occur.
It improves firmness, frequency, and maintenance, and it is most effective for mild to moderate ED.
Viagra may also be effective for ED caused by diabetes and prostate surgery, but may not be as successful in these situations as it would be for other disease states.
Basic and Cautionary Facts About Viagra
FDA-approved for men over the age of 18, there are some important facts to know if you are considering Viagra for erectile dysfunction treatment.
- Viagra only works if a man is sexually aroused.
- Take Viagra one hour before sexual activity.
- Only take one pill per day.
- The drug comes in doses of 20mg. 25mg, 50mg, and 100mg. Only take the recommended dosage provided by Dr. Brant based on your age and general health. Other medications have different doses (for example, Cialis/tadalafil typically comes in 5mg, 10mg, or 20mg doses)
- Viagra works within one hour but can take between 30 minutes to 4 hours to have an effect. In some, its effects can last up to 12 hours.
- You may get multiple erections during this time, but an erection should never last longer than 4 hours. If this happens, get medical attention immediately. This usually occurs if other drugs (such as recreational drugs) are taken with the Viagra.
- It is best to take Viagra on an empty stomach. Avoid fatty foods, excessive alcohol, and marijuana.
- There are some common side effects like headache, flushing, abnormal vision, and cold-like symptoms, but generally these effects are mild and do not prevent usage. Talk with Dr. Brant about all possible side effects before taking Viagra.
Contact Dr. William Brant at (801) 965-2767 if you are having issues getting and keeping an erection. Our urology clinic in Salt Lake City, UT offers a comprehensive list of treatment options for erectile dysfunction—schedule an appointment to explore options that could be right for you.