Your Good Health: Anorgasmia cannot be resolved by Viagra

I don’t want him to feel insecure if I were to ask him questions, so could you explain his problem to me?The “blue pill,” Viagra , is a treatment for erectile dysfunction, and it works by increasing blood flow. It is not more effective than a placebo pill to treat low libido in either men or women, and is also not effective in anorgasmia, the inability to orgasm. There are many misconceptions about this class of medication.

Anorgasmia is not uncommon in men and has many possible causes. In my experience, the most common causes are medications and mental-health disorders . In addition, several medical conditions and surgeries may also cause this problem. Low testosterone is a common and treatable condition. The older a man is, the more likely he is to have this problem.

I appreciate your consideration for his feelings, but talking about it is more likely to lead to a better outcome than not talking about it. His primary care provider is a good place to start, but they might refer him to an expert, such as a urologist. Dear Dr. Roach: My ENT prescribed fluticasone nasal spray to unblock my ears. I am an 83-year-old female in good health. I take medication to treat high blood pressure and atrial fibrillation. Will using this nasal spray adversely affect my blood pressure or my AFib?It’s wise to be concerned. Some nasal sprays contain medications that can affect the blood pressure. Phenylephrine is absorbed enough that even at recommended doses, it can affect the blood pressure and pulse.

Fluticasone is a different type of medication entirely. It’s a steroid, and it is poorly absorbed into the system, so it does not significantly affect blood pressure or pulse. Unlike the medicines I mentioned above, which start working within seconds to a minute or two, steroids take at least two weeks to reach full effectiveness, so you need to be patient with these medications. But they are much safer and, for most people, more effective if given enough time to work.

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