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ED with inability to maintain erections 9 out of 10 times

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I am a 22 years old male and seemed to develop symptoms of ED, possibly could be due to anxiety but not sure. It seems that 9 out of 10 times while performing sexual intercourse I have no problem getting an erection but it dies out pretty quickly and cannot maintain it at all. I went to see a doctor, however, free public doctors in my country are usually careless, he told me to try out viagra while not testing if i'm safe for it or not. Viagra is sold legally here with no prescription. I tried a 50 mg pill and it worked great, my erection lasted for a very long time and me and my partner were both satisfied. However, as I'm reading online about possible side effects I'm becoming afraid to use it again. I have no allergies, currently using no other medications, have normal blood pressure and sugar level, and have no other serious illness, but I am slightly overweight. Is it safe for me to use viagra? I have tried dieting, exercising, lost a lot of weight, but viagra is the only thing that worked for me. Please note that I am 6 Foot 1, and weight about 230 lbs.

Category: Family Physician-GP

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Category: HIV- AIDS Specialist
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Thank you for asking your query at DoctorSpring.

Yes, it is generally safe to take Viagra. Especially since you have used it without adverse effects, it is safe. I assume you not on any medication for any chronic disease. But let’s see whether you really need Viagra at all in the first place.

Could please provide some additional information in certain matter if it is acceptable to you.

1. You say 9 out 10 times there is no problem getting erection, BUT you are not able to maintain it. This happens 9 out of 10 times ? (Please correct me if I have read it wrong)
2. For how long are you having this issue ?
3. How many sexual partners do you have ? If more than one does this happen with all of your partners ? How was this in the past ?
4. Does the problem occur all of a sudden as in after "one night when I could not perform"
5. Do you get early morning erections ?

You can reply as a followup
Thank you

Patient replied :

Hello Doctor,

Yes I am not under any medication at all. However, please note that my father has heart disease and high blood pressure, he is the only one in the family to have it though, and that's only because he did not watch his diet.

To reply to your questions:

1- Yes, I'd say I have had quite a lot of sexual encounters for my age, I could only remember not having this problem a couple of times. And like I said there is absolutely no problem getting aroused, it's just that I can't maintain it.

2- Honestly I had this problem the very first time I was in sexual intercourse. So about four years ago.

3- Well I've had quite a few sexual partners, some were just one night stands, others were more than once, it happened with all my partners except one. Currently I have a steady girlfriend and it still happens.

4- No this problem is persistent, it happens almost every time.

5- Yes I get them every day, and I get erections when something arouses me as well with no problem. This problem only happens in bed with a partner.

I don't know what causes this issue, I'm guessing anxiety and being worried about how well I am going to perform but it keeps happening even to partners that I am usually very confident around, so I don't know. Viagra did help a lot, but obviously if there is a more natural solution I would definitely go for it.

Thank you so much for your fast feedback!


Thank you for providing the additional information.

As I said earlier, Viagra is a safe medication. However I suggest you should undergo a baseline evaluation for erectile dysfunction. Your symptoms appear to be anxiety induced. But certain features require further evaluation. A thorough evaluation and knowing that everything is anatomically and functionally normal will be the best anxiety reliever for you. S. Testosterone, LH, A duplex ultrasound will be the first line investigation. You can discuss with your Doctor about these options.
Meanwhile you can take Viagra as and when required. But please note Viagra won’t be definitive solution. You should undergo the above tests at the earliest.

Hope this helps
Thank you
Please feel free to ask followup questions.

Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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