When you're aroused, your body releases a molecule called cGMP, which enhances blood flow to the penis, aiding in the process of achieving an erection. For those experiencing erectile difficulties, an enzyme called PDE5 breaks down cGMP, reducing blood flow and causing the erection to diminish.
Erectile dysfunction affects as many as 30 million men in the United States. Premature ejaculation (PE) is a sexual dysfunction characterized by a short ejaculatory latency, a perceived lack of control about the timing of ejaculation, and distress and interpersonal difficulty related to ejaculating too quickly. Low testosterone or testosterone deficiency, also known as hypogonadism, is a condition in which patients develop symptoms such as low sex drive, erectile dysfunction (ED), and fatigue because the body doesn’t produce enough testosterone. Though many men don’t like to talk about it, ejaculation problems are very common. Some of the most common issues include premature, delayed, or retrograde ejaculation. ED treatments work by inhibiting PDE5, allowing increased blood circulation to the penis. This leads to a firmer, longer-lasting erection, helping to support a more satisfying sexual experience. Both Sildenafil and Viagra contain the same active ingredient, sildenafil citrate.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Viagra Original | 100mg | 22 + 2 Pills | 120.71€ 114.96€ | |
| Viagra Super Active | 100mg | 90 + 10 Pills | 165.61€ 157.72€ | |
| Viagra Generic | 100mg | 180 + 8 Pills | 199.37€ 189.88€ | |
| Viagra Generic | 50mg | 30 + 4 Pills | 54.26€ 51.68€ | |
| Viagra Super Active | 100mg | 120 + 16 Pills | 198.37€ 188.92€ | |
| Viagra Generic | 150mg | 10 Pills | 36.73€ 34.98€ | |
| Viagra Original | 100mg | 92 + 4 Pills | 362.88€ 345.60€ | |
| Viagra Generic | 200mg | 10 Pills | 40.96€ 39.01€ | |
| Viagra Professional | 100mg | 60 + 2 Pills | 146.74€ 139.75€ | |
| Viagra Soft Tabs | 100mg | 60 + 6 Pills | 152.94€ 145.66€ | |
| Viagra Oral Jelly | 100mg | 90 + 8 Sachets | 258.02€ 245.73€ | |
| Viagra Generic | 150mg | 60 + 4 Pills | 111.25€ 105.95€ | |
| Viagra Super Active | 100mg | 270 + 30 Pills | 390.61€ 372.01€ |
Sildenafil can be used to treat erectile dysfunction (where you can’t get or keep erections).
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology.
She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care. She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry. She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. Sildenafil is also sometimes used by specialists to treat high blood pressure in the lungs, as well as certain types of peptic ulcers. Sildenafil usually comes as a tablet, although it is available as an oral suspension or gel. In the UK Sildenafil is only available in tablet form for treating erectile dysfunction. Sildenafil belongs to a group of popular erectile dysfunction treatments called phosphodiesterase type-5 (PDE-5) inhibitors.
Your pelvic floor is a lot like plumbing in your home: you never really think about it unless something goes wrong. When you think of male sexual dysfunction, concerns like erectile dysfunction (ED) or premature ejaculation (PE) probably come to mind first. But there’s another sex-related issue that’s more common in men than you might expect: difficulty orgasming. Sildenafil is a clinically proven ED treatment that provides powerful results in as little as 30 minutes. With effects lasting up to 6 hours, it enhances blood flow and performance for when it matters most. These medications work by increasing blood flow to certain parts of the body, including the penis. This means that they make getting and keeping an erection easier once you’re aroused. Specifically, PDE-5 inhibitors work by blocking the action of PDE-5 which reduces blood flow to areas like the penis. Sildenafil usually lasts for around 4-6 hours, but it might last for a shorter or longer time for you. This means that if you are sexually aroused during this time, Sildenafil will be able to help you get and maintain an erection more easily. This does not mean that you should expect erections to last 4-6 hours when taking Sildenafil. The only way to find out exactly how long Sildenafil will work for you is to try it and see how long it lasts for yourself.
Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. Feasibility Study of Video Telehealth buy generic viagra online Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. Erectile dysfunction is a condition in which you have trouble getting or keeping an erection firm enough for satisfying sex. It usually takes 30-60 minutes for Sildenafil to work and we recommend you try to take it 1 hour before you want to try and have sex. Since it does last up to 6 hours, you can take it earlier but the effect will be strongest around the 1-hour mark. Sildenafil may take longer to work if you take it right after eating, since food will slow down how fast your body absorbs the medication. Studies show that Sildenafil is effective at treating erectile dysfunction for most people who try it. An average of viagra gel 69% of men with erectile dysfunction are able to have successful sexual intercourse with sildenafil, compared to only 35.5% with a placebo (a tablet without any medication in). Sildenafil could help you get and keep erections but it doesn’t work for everyone.
She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare. Dr. Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement. Dr.
Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function. Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health. Dr. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. The only way to know for sure is to give it a go yourself.
| Medication / Product | Legal Status | Prescription Required | Notes |
|---|---|---|---|
| Sildenafil (Brand) | Prescription-only | Yes | As per NHS guidelines |
| Generic Sildenafil | Prescription-only | Yes | Available in pharmacies |
| Online Supplements | Varies (some unregulated) | No | Risk of counterfeit products |
| Herbal Supplements | Over-the-counter or herbal shops | No | Efficacy varies |
If you find after 8 attempts Sildenafil doesn’t work for you, you should think about trying an alternative treatment. You should take each tablet whole, with a drink of water or juice. Do not take Sildenafil with grapefruit juice as this affects how the tablets work. Sildenafil works best if you take it on an empty stomach, although it can be taken safely with food, but it may get to work more slowly.
With Hims, you can connect with a medical provider online and, if prescribed, get prescription drugs like Viagra shipped to your door. We also have treatment options for premature ejaculation (PE). Erectile dysfunction: treatments, advances and new therapeutic strategies. The use of vacuum erection devices in erectile dysfunction after radical prostatectomy. Vacuum devices in erectile dysfunction: indications and efficacy.
The potential role of arginine supplements on erectile dysfunction: a systemic review and meta-analysis. Efficacy and safety of common ingredients in aphrodisiacs used for erectile dysfunction: a review. U.S. Food and Drug Administration (FDA). Public Notification: Herb Viagra contains hidden drug ingredient. You should take sildenafil around 1 hour before you want to have sex.Advice on taking sildenafil should be included in the patient information leaflet that comes with the medication.Sildenafil dosageSildenafil tablets come in 3 different doses, 25mg, 50mg and 100mg.
You should only take the dose that is prescribed to you by a doctor or pharmacist.
She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog. You can find Dr. Brown on LinkedIn for more information. Urology Residency, University of California San Francisco Urology Residency, University of California San Francisco Northwestern University Feinberg School of MedicineB.S.
in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill Cowan, B, Walker, K., Rodgers, K., Agyemang, J. Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4. Cowan, B, Walker, K., Rodgers, K., Agyemang, J. The usual dose is 50mg which is taken no more than once per day, when you need it. This dose can be increased to 100mg or decreased to 25mg, depending on how sildenafil affects you: If you find that cheap viagra online 50mg doesn’t work as well as you’d like, and you don’t have problems with side effects, you could try 100mg. If you find 50mg works well for you but comes with side effects that bother you, you could drop down to 25mg, which may still improve your erections but come with less intense side effects. When to take SildenafilYou should take sildenafil around 1 hour before you want to have sex. Sildenafil takes at least 30 minutes to work, so take it at least 30 minutes before you want to have sex.
Sildenafil takes longer to work if you eat before you take it so take that into consideration when timing your dose.How often to take SildenafilYou should only take Sildenafil when you need it – when you’re planning to attempt sex.