man taking viagra

I’m 43 years old and suffering for Erectile Dysfunction. I tried Viagra (sildenafil) 50 mg last year and the pills worked very well the first month, but after that, not very well. I increased the dose to 100 mg, which worked great for a while, then less effectively. Now I’m to a dosage of 200 mg. Sometimes this works, sometimes not. Very disappointing. I tried 400 mg once for a session of intercourse thinking might have good effect but it didn’t work, and at such a high does, I was scared of any sides effects, but thanks God, I was fine. Please let me know if there is any other alternatives to Viagra  What about shock wave therapy for ED?

Responses

  • Michael Castleman says:

    Over time, many men need higher doses of ED drugs. Unfortunately, some doctors don’t mention this.

    You might experiment with the other ED medications: Cialis, Levitra, Staxyn, and Stendra, or the drugs that use the medicinal herb yohimbine: Yohimbe, Testomar, Aphrodyne, and Yocon. Sometimes switching drugs helps. But over time, you may still need higher doses.

    Shock wave therapy is, indeed, another option. The studies I’ve seen look uniformly promising. It’s still considered experimental, so few health insurers cover it. You’ll probably have to pay out of pocket, and it’s not cheap. But it’s worth a try.

    Meanwhile, 43 is rather young to have serious ED. You might consider consulting a sex therapist to explore all possible causes and see if there are any non-medical approaches that might help. If you’re unfamiliar with sex therapy, the therapist does NOT have sex with you and does NOT watch you have sex. Sex therapy is a form of talk-based psychotherapy with “homework.” It usually takes four to six months of weekly one-hour sessions. It costs $150-300/hour, though many therapists discount fees for those who can’t afford standard rates. For more, read my low-cost article, An Intimate Guide to Sex Therapy, and/or see the film, “Hope Springs” with Meryl Streep and Tommy Lee Jones. To find a sex therapist near you, visit the American Association of Sex Educators, Counselors, and Therapists, the Society for Sex Therapy and Research, or the American Board of Sexology.

    I wish you great sex.

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