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[ad_1] DEAR DR. ROACH: My husband and I are very lucky to have had a cheerful relationship for a few years. Our lovemaking has at all times been a pleasure for each of us. Now, we've got so as to add Viagra to the combination. Generally it really works; generally it doesn’t, which is a disappointment to each of us. Is there something we will do to reinforce its effectiveness? Or is there one thing else you possibly can advocate that will do what we want Viagra would do constantly? — Anon. ANSWER: Sildenafil (Viagra) and comparable medicines have been very efficient therapy for a lot of males who've issue attaining and sustaining satisfactory erections for sexual activity. Nonetheless, they aren't efficient for all males, and many individuals have a misunderstanding about how they work. Most significantly, Viagra doesn't enhance libido, the need for sexual contact, in males or girls. It really works by altering the best way blood flows out and in of the penis. Erectile dysfunction could be attributable to circulation issues comparable to blockages within the arteries; neurological issues; endocrine issues, particularly low testosterone; and relationship points. Viagra helps to some extent for males with any of those issues, however it’s price reconsidering whether or not there may be an underlying medical challenge occurring, each earlier than prescribing it and periodically whereas taking it, particularly if it doesn’t appear to be working as effectively. Nonetheless, oftentimes the issue with Viagra working intermittently is that it's affected by meals, which many males don’t admire totally. Meals slows down absorption of the remedy, making the optimum time of administration tougher to find out. I've typically repeated the recommendation I heard from a urologist: “Take Viagra at 6, have dinner at 7, and you are good until midnight.” Viagra does develop into progressively much less efficient in some males, requiring larger doses to have the identical outcomes. Or, your husband may change to one of many different Viagra-like medication, which have larger flexibility with timing and meals. They work higher for some males. DEAR DR. ROACH: I'm a 69-year-old male in good well being aside from a low testosterone rely of 109 on a current check. I'm questioning about the advantages and dangers of remedy. I've learn that injection can result in very excessive after which very low counts, however the patch could be probably harmful to my partner. Are you able to make clear these points for me? — A.D. ANSWER: Testosterone is a vital hormone for women and men, though males have a lot larger ranges. It has many crucial features. This consists of selling bone and muscle power, and customarily favorable results on blood ldl cholesterol varieties and ranges. Plus, it's vital for wholesome sexual operate. Though very excessive ranges of testosterone, comparable to these taken illegally by athletes, are related to vital dangers, alternative of testosterone in a person with low ranges and signs of low testosterone has not been proven to be dangerous, and most proof suggests an total profit from getting the testosterone again into the conventional vary. There are oral varieties, injection and transdermal (patch and gel) formulations. Early injections confirmed issues with excessive ranges after the injection adopted by low, however there are higher formulations to reduce that danger. Most males now choose the gels or patches, which are inclined to have fairly constant ranges. Girls and kids shouldn't deal with the remedy instantly. Your partner is at low danger in case you wash your arms rigorously after software and keep away from pores and skin contact till it has dried fully, comparable to by sporting clothes. It is best to keep away from getting the realm of software (often the shoulder) moist for 5 hours after software. * * * Dr. Roach regrets that he's unable to reply particular person letters, however will incorporate them within the column each time potential. Readers might electronic mail inquiries to [email protected] or ship mail to 628 Virginia Dr., Orlando, FL 32803. Invalid username/password. Please examine your electronic mail to verify and full your registration. Use the shape under to reset your password. If you've submitted your account electronic mail, we'll ship an electronic mail with a reset code. « Previous Evidence of immunity to mumps may have waned over time Associated Tales Newest Articles Livermore Falls Advertiser Livermore Falls Advertiser Livermore Falls Advertiser Livermore Falls Advertiser Livermore Falls Advertiser [ad_2] Source link