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Author Viagra effects. What Happens When a Man First Takes a Viagra Pill?
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2007-01-10, 5:10 pm

Viagra effects. What Happens When a Man First Takes a Viagra Pill?
Absolutely nothing. Pfizer Inc., the maker of Viagra, long has said the
drug isn't an aphrodisiac, but many men who take it still expect to
feel something.

They don't. Among several men interviewed who have used the drug, not
one of them experienced any feeling or sensation after taking the pill.
The nothingness is so intense that the most common reaction is a slight
panic that the drug isn't going to work.

"That was my worst fear, that it wasn't going to do anything," says
Steve Brykman of Los Angeles, who tried Viagra once nine months ago,
when he believed job and financial stresses were interfering with his
sex life. After taking the pill, "there was nothing at all," says Mr.
Brykman, 33 years old. "I just felt completely normal."

Though you may not feel anything, things are happening in the body. As
the pill moves into the bloodstream, it starts to block an enzymecalled
PDE-5. Blocking the enzyme eventually increases blood flow to areas
where PDE-5 is most heavily concentrated -- the penis, nose and skin.
Diminished blood flow to the penis is the cause of most
erectile-dysfunction problems.

So How Do You Get It to Start Working?

Viagra gets the blood flowing, but your brain has to be in the mood as
well. "The biggest misperception is that it changes your psychology and
makes you want sex," claims to document the experiences of real people
who take Viagra. "But if you're sitting talking to Grandma and you pop
a Viagra, unless you have issues, nothing's going to happen."

Viagra takes about 30 minutes to kick in. Men who don't normally have
problems, or who have only mild dysfunction, say it takes only a minor
stimulus -- such as the brush of a hand that wouldn't cause arousal
under normal circumstances -- to trigger an erection.

For men who have serious erectile dysfunction, getting things going may
still require extra effort, partly because of nervousness or
embarrassment about unsuccessful past attempts at intercourse.

Because Viagra doesn't increase desire, it's not prescribed for men
with desire disorders, such as a low sex drive. However, if the man has
lost interest in sex because he has had problems with erections in the
past, Viagra may help.

Does Taking Viagra Make a Man More Virile?

It might. A surprising new area of research is whether taking a small
dose of Viagra every night works as a preventative to stave off
impotence, just as people can take an aspirin a day to prevent heart
attack.

Though you wouldn't think you'd get much out of Viagra while you're
sleeping, it turns out that nighttime erections -- most men get three
or four every night -- are crucial to maintaining potency. Because most
men don't have several erections during the day, the nocturnal
erection, which allows blood and oxygen to flow to the genitals, is
nature's way of keeping the penis in working order. The theory is that
anything that increases the intensity and duration of nighttime
erections is good for long-term potency.

But don't you need a sexual stimulus for Viagra to work? You do, and
the likely trigger for nighttime erections, rapid-eye-movement sleep,
is said to be the strongest sexual stimulus a man can experience. The
brain shuts down all other activity to the penis and the level of
adrenaline, which interferes with erections, plummets.

An Italian study of 44 men gave half the men 50 milligrams of Viagra
before they went to sleep. The men averaged 39 years of age and didn't
have erectile dysfunction. Those who took Viagra had significantly
longer and more rigid nighttime erections than the men taking a
placebo.

Irwin Goldstein, a noted Boston urologist, says about 400 of his
patients are using 25 mg of Viagra each night as a preventative
measure. "Men say, 'I'm potent. I don't want to become impotent. Is
there something I can do?' " says Dr. Goldstein. "It's a very simple
strategy for preserving sexual health."

But while it makes sense in theory, whether nighttime Viagra use can
prevent impotence is far from proven. Pfizer says it's studying whether
nighttime Viagra use can help improve sexual function in patients who
have had prostate surgery but it won't present the results until early
next year.

Meanwhile, it's worth noting that the best way to prevent impotence is
to keep your veins from clogging up in the first place. Don't smoke,
eat healthy foods, lose weight and lower your cholesterol.

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