Nearly 5 million men in South Africa suffers from erectile dysfunction, which is the difficulty in getting an erection or keeping an erection long enough to engage in sexual activity. This occurs when not enough blood is traveling to the penis. Erectile dysfunction can be caused from a physical condition such as, a disease or injury. Thoughts that lead to depression, anxiety, or worry can also cause erectile dysfunction. Some lifestyle and psychological factors can also cause erectile dysfunction. These factors include smoking, drinking, and stress, which can affect blood flow. There are some things you can do to help improve your chances of suffering from erectile dysfunction. These activities, or goals, include staying active, eat healthier, drink less alcohol, quit smoking, and find ways to reduce the unneeded stress in your life. Viagra is a drug based on sildenafil and it is used to help increase the blood flow to the penis. Viagra has been proven to work with men who suffer with erectile dysfunction. It usually takes around 30 – 60 minutes for Viagra to take effect and Viagra is usually only taken as needed. However, Viagra only works if you are sexually aroused. Viagra can be taken up to four hours before engaging in sexual activity. If an erection lasts longer than 4 hours after sex, seek emergency medical help immediately, as this can cause permanent injury. It is important to not take Viagra if you are currently under the influence of nitrates or street drugs, also known as poppers.
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If you are currently taking guanylate cyclase stimulators, ask your doctor before using to make sure Viagra is safe for you. If you are allergic to sildenafil, do not take Viagra, as sildenafil is the active main ingredient of Viagra. Ask your doctor to help you to find an alternative for erectile dysfunction. Taking Viagra can also cause some serious side effects. These side effects include erections that do not go away after 4 hours, sudden vision loss, and sudden hearing loss. If you take Viagra and engage in sexual activity and get chest pain, nausea, or dizziness during sexual activity, stop immediately and seek emergency medical help. Before taking Viagra, tell a doctor if you: have heart problems, has had heart surgery, have pulmonary hypertension, has had a stroke, have uncontrollable low or high blood pressure, have a deformity, has had an erection last longer than 4 hours, have problems with your blood cells, have any eye disease, has ever had severe vision loss, have bleeding problems, has had stomach ulcers, have liver problems, have kidney problems, or any other medical conditions. Tell your doctor about any medication that you are currently on, since some medicines can affect the way Viagra works. Using Viagra does not protect you against any sexually transmitted diseases.
Side effects
The most common side effects of Viagra include: headache, flushing, upset stomach, abnormal vision, stuffy or runny nose, back pain, muscle pain, nausea, dizziness, or rash. Users should always make sure to get the okay from their Doctor before taking Viagra.

Medical Practitioner (General Practice) with postgraduate diplomas in Cape Town. My special interest is erectile dysfunction.