Is viagra 50 mg is safe for 2 times in a month .

Viagra (sildenafil) taken occasionally, such as 1–2 times a month, is generally considered safe for most healthy men, if prescribed by a doctor and not mixed with certain medications (like nitrates or heart medicines).

✅ Safe use depends on:

• Your overall heart and blood pressure health

• Any current medications or medical conditions

• Proper dosage (usually 25–100 mg as per doctor’s advice)

🚫 Do NOT take it without a doctor's consultation, especially if you have heart disease, low blood pressure, or are on medications for chest pain or other heart issues.

If you’re unsure, it’s best to speak with a urologist or general physician before using it.

Dear Abhijeet,

Based on your concerns, consulting a urologist is the best option. A urologist specializes in both premature ejaculation (PE) and frequent urination and can provide the right diagnosis and treatment plan. Additionally, for drug addiction, a psychiatrist can help you with de-addiction therapy and mental health support.

Treatment for Premature Ejaculation (PE)

• Behavioral Therapy: Techniques like the start-stop method and squeeze technique can help delay ejaculation.
• Counseling & Therapy: Cognitive Behavioral Therapy (CBT) can help manage anxiety and stress related to sexual performance.
• Medical Treatment: After proper evaluation, a urologist may prescribe topical creams, selective serotonin reuptake inhibitors (SSRIs), or other medications. Do not take any medication without a doctor’s advice.
• Surgical Options: In rare cases, dorsal nerve desensitization surgery may be recommended for persistent PE that does not respond to other treatments.

Lifestyle Tips for Better Sexual Health

• Maintain a Healthy Diet: Include zinc- and magnesium-rich foods like nuts, spinach, and seafood to improve sexual health.
• Regular Exercise: Pelvic floor exercises (Kegels) can strengthen muscles and improve ejaculatory control.
• Stress Management: Practice meditation, yoga, and deep breathing techniques to reduce anxiety.
• Avoid Smoking & Alcohol: These can negatively impact sexual performance.
• Quality Sleep: Ensure 7-8 hours of restful sleep to maintain hormonal balance.

Hello Saifullah Khan Ji,

Thank you for reaching out.

Before proceeding further, could you please let me know if you have had any investigations done, such as a PSA test, ultrasound, or DRE (Digital Rectal Exam), to confirm whether you have an enlarged prostate?

For sexual problems, these can sometimes be linked to prostate issues, medications, or other factors like hormone levels, stress, or lifestyle. I recommend:

1. Consulting a urologist to assess both your prostate health and sexual function.

2. A hormonal evaluation to check for testosterone levels.

3. Exploring medications or therapies for erectile dysfunction if necessary.

4. Lifestyle modifications such as regular exercise, a healthy diet, and stress management.

Additionally, please do not take any medication without consulting your doctor, as certain medications may have side effects or interactions that need to be carefully managed.

Feel free to reach out for further assistance.

Wishing you good health!