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39 Using Viagra 100mg for Last 7 Years Hasn’t Worked. Performance Anxiety.

ERECTILE DYSFUNCTION QUESTION:

39 years old been using viagra 100mg for last 7 years, I hate having to take it, and recently it hasn’t worked causing performance anxiety what can I do

Thanks,
Tony

DOCTOR ALSAYES ANSWER:

Hello Tony,

The key to deal with this situation is to identify the cause and to treat it accordingly.

Erectile dysfunction has many factors and underlying causes, as you probably know. One of these aspects is the psychological aspect.

Your doctor must identify the source of this problem first—for instance, overweight or diabetes or being on certain medications—we must first address that problem.

For treatment options (assuming the underlying problem was addressed – if possible) usually, we start with oral medications (such as Viagra or Cialis), your doctor may suggest to change the dose or brand if the desirable effect is not achieved after a while, however these medications don’t work well for every case, and for some men they don’t produce the same effect over time, thus 2nd choice we may try is injections (such as Bi-Mix and Tri-Mix).

If these 2 options didn’t provide much improvement, we consider penile implants. There are 2 main types of these implants; semirigid and inflatable. Each type works differently and has various pros and cons. In most cases, patients report a satisfaction rate of 80%-90% with penile implants as they have erections suitable for intercourse.

However, you should know; the placement of penile implants requires surgery, and no surgery is totally free of possible complications or risks.

I’d suggest you speak to your doctor about the next treatment option that can be helpful for your current health condition.

I hope this answers your question.

Thanks,
Dr. Alsayes

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