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    When a man is sexually excited, the penis rapidly fills with more blood than usual. With this extra flow of blood, the penis then expands and hardens. After the man is done having sex, this extra blood flows out of the penis back into the body. In an opposite extreme situation, if an erection lasts for a long time (more than 6 hours), it can permanently damage your penis. You should call a doctor immediately if you ever have a prolonged erection that lasts more than 4 hours. Therefore sexual activity may not be advisable for people who have heart problems. Before you start any treatment for erectile dysfunction, ask your doctor if your heart is healthy enough to handle the extra strain of having sex. If you have chest pains, dizziness or nausea during sex, stop having sex and immediately tell your doctor you have had this problem. This is called erectile dysfunction if it becomes a frequent problem. Erectile dysfunction is a serious problem that can affect both the young and the old, involving psychological causes in some cases. Among other treatments that are nowadays available for erectile dysfunction, Viagra was the first. Some conditions and medicines interfere with the natural erection process. Erectile dysfunction, defined today as the inability to attain and maintain an erect penis with sufficient rigidity for sexual intercourse, has become an increasingly common complaint that affects 140 million men worldwide. So Viagra stands out as the pioneer of drugs that treat erectile dysfunction, for twenty years. Sildenafil citrate was the first oral agent to be introduced for the treatment of erectile dysfunction, thanks to the researchers from Pfizer. Sildenafil is the active substance of Viagra, while Viagra is the commercial name. Teva’s generic Viagra has launched already in December 2017 in the United States. Risk factors for developing erectile dysfunction include age, diabetes, hypertension, obesity, lack of exercise, dyslipidemia, smoking, depression, lower urinary tract symptoms, and pelvic surgery. Sildenafil is a highly selective inhibitor of PDE type 5 and enhances NO-mediated relaxation of human corpus cavernosum. Pfizer recently started to sell the new generic version of Viagra. The blunt truth is that everyone responds to medication differently, but the good news is that most guys find that Viagra (sildenafil) works the first or second time out. Viagra treats erectile dysfunction (ED), the inability to get and maintain an erection during sex, by increasing blood flow to your penis. If you take Viagra but it doesn't do its job, don’t panic. Throwing a fit or stressing over it out won't restore your erection any more quickly—and could actually prevent the drug from working. You may need more time to get back into the saddle than you thought. Remember that sex is more than just getting aroused and getting hard. You’ve got to get your mind and body on the same page for everything to work.

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  7. Jan 15, 2008 · Allow at least 40 minutes for it to take effect an hour or so if you take it with a big meal. You still have to be stimulated to get an erection. The first time I took it, it didn't take much stimulation for me though. Just relax the first time you take it and let things come naturally -- don't get anxious.

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