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Be careful what you wish for, I think as my husband reaches again for his new toy. I married an older man, and lucky for us both, the only part on him that’s given out is his knees. But since I was writing about erectile dysfunction ED drugs, I wanted him to help me out. Would he try one? The little blue pill enables older men to sexually respond like year-olds. The 10 secrets of a lasting longterm relationship.

I pointed out that the label of a leading brand, Viagra, does not list physical dependence as a side effect although it does mention headaches and an upset stomach. True to promise, when John used Viagra, everything was perfectly fine. But to my chagrin, it was perfectly fine a lot. Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an viagra 50 percent in recent years, experts say.

But many doctors are puzzled because the operation doesn’t carry a percent guarantee, it’s major surgery — and women have other options, viagra a once-a-day pill to careful monitoring. And therein lies a problem I wonder whether the makers of Viagra and its pharmaceutical cousins Levitra and Cialis foresaw.

While men of a certain age are undoubtedly thrilled to have their sexual potency restored, maybe their wives’ enthusiasm is a bit more subdued?

What at first glance seems an obvious win-win situation for both husbands and wives can have a raft of unintended consequences.

Don’t get me wrong: Viagra is a wonder drug. Since the early ’90s, when researchers testing a new heart medication called Sildenafil discovered that it had a startling side effect in men, erectile dysfunction drugs have become more than a billion-dollar industry. And since, according to the National Institutes of Health, approximately 5 percent of year-old men and from viagra to 25 percent of year-old men experience ED viagra reasons ranging from narrowing of the blood vessels with age to high blood pressure, diabetes, obesity, and neurological problemsthese drugs have been a godsend to millions.

Risque drugs can also, indirectly, be lifesavers. Thirty-four to 70 percent of all men who take antidepressants experience sexual dysfunction as a side effect, and of those who have this problem, almost 90 percent stop taking the antidepressants so their sex lives can go back to normal. But ED drugs are so readily available, so much a jokey part of the cultural landscape, that few of us really know how they work risque what the potential dangers are. This leads to misuse — not so much life-threatening as knuckleheaded.

Essentially, ED drugs work like this: What gives a man an erection is blood flow to the penis. The vessels dilate, and blood flows in. There is an enzyme viagra counteracts the dilation. ED drugs inhibit that enzyme, allowing dilation to occur more easily and last longer. They can also diminish viagra man’s refractory time, meaning that after orgasm risque can more viagra get an erection again. The one thing most people know about Viagra and its cohorts is that they are viagra supposed to be used by men who take nitroglycerin, a common medication for heart patients that also dilates the blood vessels.

That little piece of knowledge has translated into “Viagra is bad if you have a heart condition. Not viagra, says Arthur S. Agatston, MD, a cardiologist and associate professor of medicine at the University of Miami Miller School of Risque and Prevention editorial advisory board member. Agatston says, because Viagra viagra the blood vessels from becoming “sticky” and helps blood flow through them smoothly, not viagra in the penis but throughout the body, in the future, many of us—women included—may end up taking some small amount of Viagra daily, the way we take baby aspirin, which viagra the same nonsticking effect on blood itself.

So when a man takes Viagra, he has to avoid anything that dilates the blood vessels, not just nitroglycerides. Drinking, lying in the sun — both are problematic. Viagra won’t give him a heart attack, but, taken with too much alcohol, it risque make him pass out, Dr.

Perhaps more damaging than ignorance of the viagra ramifications of ED drugs is ignorance of their potential interpersonal blowback. When not discussed frankly, Viagra can cause a lot of misunderstanding and hurt between couples. But there are some who may have adjusted to life without sex. Perhaps the woman viagra really want it anymore, for one reason or another.

And for those couples, the introduction of an ED drug can throw them seriously out of risque. That leads to what is perhaps the biggest complicating factor: As women age, their hormonal balances change. Reduced estrogen levels often mean less sexual desire but also decreased vaginal elasticity and lubrication, and thus more potential for sex to be painful.

The problem can be especially daunting for older women who are widowed risque divorced or just beginning to date after years of being alone or with one man. Certainly this was the case for Marjorie P. They can be thirty again, while I have to deal with the sexual issues of being my age. It’s put the world on risque. There is also fallout from the erroneous belief that Viagra causes not just greater blood flow but also greater desire. The risque testosterone risque the driving force behind libido; a man with little or no testosterone will not have any desire to have sex, Viagra or no.

Moreover, even with normal amounts of testosterone, “Viagra risque not just instantly give a man an erection,” says Abraham Morgentaler, MD, associate clinical professor of urology at Harvard Medical School and author of The Viagra Myth.

Morgentaler tells the story of a patient who was very upset because Viagra didn’t risque the trick for him. I took the pill an hour in advance. Then I watched a baseball game on TV and waited. The misunderstandings cut all ways: Some women think ED drugs make men amorous and viagra their presence isn’t required. In my practice, I spend a lot of time reassuring them that this isn’t the case — and I tell men they must reassure the women too.

Another big issue for many women: ED drugs drastically shorten the interval between climaxing and achieving another erection. Men look at this differently than women do. For them, it’s not a bug, it’s a feature. And for the woman? Conquer these 5 common sexual stumbling blocks. It can lead to vaginal abrasions and even tearing and can expose a woman viagra risk of getting yeast infections and — particularly for a woman who is dating or divorced — to sexually transmitted diseases.

There are, too, single women who worry that men with new-and-improved sexual abilities will be less likely to commit to marriage, and wives who worry that their husbands will be more apt to look outside the marriage for sex.

Which is not to say that Viagra hasn’t ever led risque straying—but not for the reasons women think. So if the man is unable to viagra erections on his risque, and the woman shoots down the idea of a pill, then the guy is really stuck. The relationship can get into trouble, because one person wants sex and the other doesn’t or only wants it on her terms.

So how can you make sure, if ED drugs come into your marriage, that they help rather than hamper your relationship? Stop Selfishness from Ruining Your Relationship. Adds Andrea, whose own Viagra dating experiences and the experiences of similarly aged friends have ranged from excellent to Emergency Care Needed:. Because even risque someone you really, really adore Moreover, women need to stop lying about what they like and don’t like to protect the male ego, because that’s a recipe for sexual dissatisfaction.

If you need to buy lubricant to make sex more comfortable, viagra it; if you need to tell him you’re perfectly happy having intercourse for a few minutes, do that too. After my husband’s little panic about never being able to function without the wonders of pharmaceuticals again, well, it took only a week before he was back to his old self. But here’s the interesting thing. He told me at the time that he threw out the Viagra. Last night, I noticed it was still in his drawer.

I guess it’s nice to have an insurance policy. No reproduction, transmission or display is permitted without the written permissions of Rodale Inc. Risque health on NBCNews. How Viagra can mess up your marriage Sure, men are thrilled risque have a two-hour erection, but By Judith Newman, Prevention. Don’t miss these Health stories. Adds Andrea, whose own Viagra risque experiences and the experiences of similarly aged friends have ranged from excellent to Emergency Care Needed: Most active discussions votes comments.

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