08 Mar Impotence: when Viagra does not work
Impotence: when Viagra does not work
(See the video) The marketing of Viagra (IPDE-5) in 1998, then other type 5 phosphodiesterase inhibitors (Levitra, Cialis) revolutionized the management of erectile dysfunction. In 20 years, 65 million Viagra prescriptions have been prescribed worldwide. Thirty-seven million men benefited from this medical advance between 1998 and 2013. 2013 being the year of the first generics. This new treatment has transformed the lives of many couples. However, 30% of patients with erectile dysfunction do not respond to first-line treatment with IPDE-5. It is important to understand why. Indeed, in case of impotence when Viagra does not work it can be the manifestation of an underlying health problem. In this sense, erectile dysfunction is a “sentinel symptom”. It warns before any other symptom, for example of a possible cardiovascular problem.
Why is Viagra no longer or is not working anymore for me?
You must first know that in the absence of desire IPDE-5 (Viagra, Levitra, Cialis) are not effective. There are drugs by intracavernous injections (Edex) which cause a mechanical erection, not requiring excitation. This is not the case with IPDE-5. So when there is desire, the ineffectiveness of Viagra may be due to an underlying, sometimes serious, health problem. It can be a cardiovascular, neurological or hormonal disease. This is why it is important to react. Speak to the practitioner who prescribed the medication for you. In case of impotence if Viagra does not work or no longer works, action must be taken.
What to do when Viagra does not work ?
The general practitioner is often the first point of contact. If Viagra does not work or no longer works, he will refer you to a specialist or prescribe additional examinations. A Doppler ultrasound of the penis, a caverno-scanner, an electro-myogram or a blood test will identify the cause. If there is a disease causing Viagra’s ineffectiveness, it will be identified and treatment will be put in place to treat it. There is a solution for every man. Professor Eric Allaire‘s article published in “Le généraliste” is intended to help general practitioners in this often complex treatment.