No morning erection, I have erectile dysfunction

Dear Susant ji,

Thank you for your question.

In general, Viagra (sildenafil) 50 mg taken occasionally, such as twice a month, is considered safe for most healthy men, provided there are no underlying medical conditions and it is not taken with certain medications (especially nitrates or heart medicines).

However, it’s very important to keep in mind:

• A doctor should always evaluate your overall health, heart condition, and any existing medications before confirming it's safe for you

• Even if taken occasionally, side effects can include headache, flushing, dizziness, nasal congestion, or visual changes

• Taking Viagra without medical guidance can be risky if there are heart or blood pressure-related issues

We strongly recommend a quick consultation with a urologist or physician. They can advise whether it’s suitable for you personally and discuss safer alternatives if needed.

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.