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Viagra. Viagra pill.

There is much about Viagra as a men’s issue. But it is more than that. Viagra is about couples. It is about family relationships. It is about maintaining those all important relationships between man and wife.

Viagra is prescribed in cases of male erectile dysfunction. That is fine as long as people are willing to acknowledge that they have a problem. And it is also fine if you live in a place where you can buy Viagra without someone blabbing about what you are doing.

You really have to think long and hard whether you want to let people know about your intimate life. You know that eviI-wishers are always around to spread rumors. And these two facts stop many men from even getting an examination in order to get a prescription for Viagra to see if they can use Viagra to get the family sex life back on track.

In other cases, many people have found that Viagra and Cialis improve an already good sex life. They use the Viagra and Cialis as performance enhancers. They like the benefits that result.

In any case, using Viagra starts with a physical. And you should have one before you use Viagra, Cialis or Levitra. So get a physical if one of you are contemplating using one of these drugs.

What Happens When a Man First Takes a Viagra Pill?

Viagra PillAbsolutely 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 enzyme called 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.

Do the New Erectile Dysfunction Drugs Work as Well as Viagra?

Two new drugs, Levitra, from Bayer AG and GlaxoSmithKline PLC, and Cialis, from Eli Lilly & Co. They work the same way as Viagra, blocking the same enzyme. Though it's unlikely any one works better than Viagra overall, slight chemical differences mean that if one brand doesn't work for a patient, another one might.

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