Where and how to buy Viagra?

Before taking Viagra, you should be examined by a physician

When Viagra appeared on the market in 1998, it had a revolutionary effect. Up to then, the vast majority of men who suffered from erectile dysfunction (ED) were too embarrassed to come forward. The treatments were either slightly painful or inconvenient. Their self-esteem was already damaged and the idea of adding to their shame by asking for these treatments was not appealing. But when the news that ED could be treated by simply taking a pill was released, tens of thousands of men around the world came out of hiding to demand access.

This had a dramatic effect on the normally quiet and dignified process for approving the drug as safe to release to the public. As word spread, the FDA and other regulatory bodies around the world found themselves subject to political pressure to speed up the process. When each country did issue approval notices, queues of men formed outside physician’s offices for a prescription. In the first months, there was no time to do proper physical examinations. In any event, the physicians had not been trained to make detailed but sensitive examinations. Many were as embarrassed as their patients. The men simply wanted their pills. That is what they got.

When the word-of-mouth confirmed the consistent effectiveness of the drug, demand if anything increased. However, as physicians built up their expertise, men were more routinely screened before the prescription was written. This gave the first real indication of the scale of the problem and its causes. For every one hundred thousand men who complain of ED, less than half of one percent has untreated diabetes, around half of one percent has untreated heart disease, and about 1.5% has untreated hypertension (high blood pressure). So although the odds of a serious underlying cause are fairly small, it is still worth having a full physical check-up before taking Viagra.

Viagra in a partnership Whether you look for this drug as the branded Viagra or its generic equivalent, Sildenafil Citrate, there is one issue to resolve. Unlike the earlier injected form of treatment which produced fairly instantaneous results, it takes time for this drug to work its “magic”. Even with sexual stimulation and desire, an erection will not form for about an hour. There are several ways to react to this delay. The partners could sit around with a book and knitting until enough time has passed. Or the partners could develop new sexual scripts to pass the time more enjoyably until the man is ready for the next stage. There are many different ways in which foreplay can be extended. Indeed, from the woman’s point of view, this may well be an improvement on the previous habits which might have focused more on immediate penetration, climax and sleep. Although this is efficient from the man’s point of view, it is less exciting for the partner.

Since the point of the treatment is to recapture the days of unthinking enjoyment, the first step is to rekindle the romance of the relationship. You both need to remember what it was that first attracted you to each other. If you go back twenty-five years and ask a physician for the cause of ED, the answer would be that it was almost always psychological. Science has now given us a better understanding of the physical causes, but history reminds us that much of what couples find exciting about sex is what happens in the mind as well as the body. You both have to desire to please each other and find the giving of pleasure as exciting as receiving it. Taking Viagra is not going to give you sexual desire. All it does is to allow your body to react to sexual desire when you have it.

Although it is not something that all men are very good at, the couple should talk with each other about intimacy, about what they find sexy and the things they like each other to do. One of the usual results of performance anxiety is that the man stops talking to his partner because he does not want to raise any false hopes. Equally, women can stop talking to their men because they do not want to make them feel even more guilty if they fail again. The partners must therefore set out to rebuild trust in each other and work together to recreate a loving environment where it is acceptable to enjoy sex without the man having to produce a lasting erection every time. For more on this see the Psychology of ED.