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Most experts will tell you that every man will deal with some level of erectile dysfunction (ED) at some point in his life. Many men, especially as they get older, will have it seriously enough that they'll consider seeking some help. The upside is that the how to use viagra for first time vast majority of ED cases can how to use viagra for first time be treated with great effectiveness. For many, it's a simple as taking a pill. Here's how to use viagra for first time what you need to know before you. How to Talk to Your Doctor. Given that ED is such a common problem, don't be too daunted about talking to your doctor about. However, don't expect them to throw you a bunch of free samples right away. First, they are going to want to make sure your erectile issues require medication. They will likely ask about your diet, weight, stress-levels, and sleep. "Making sure the dysfunction is from a medical problem and not necessarily related to anxiety or a psychogenic cause is also important to tease out before to running to give them medicine says. Benjamin Breyer, Chief of Urology at San Francisco General Hospital. Medical history can also be an important factor, especially for men who have had surgery or radiation that could affect functioning. Age and baseline erectile functioning are also important determinants of how various ED treatments will work. Related: 12 Things Every Man Should Know About His Penis. How the Pills Work, you probably already know the names how to use viagra for first time of the most popular pills Viagra, Levitra, Cialis but how do they work? First of all, all increase the effects of nitrous oxide in the body, which relaxes muscles around your penis and allows for increased blood flow. Although they are referred to interchangeably in the common lexicon, there are some differences between these pills. The biggest is how long they last. Cialis is the standout here, as a man can take it well before he thinks he will need it and, if he takes it daily, there is no time delay in terms of when it will work. Viagra and Levitra, on the other how to use viagra for first time hand, have to be taken at least 30 to 60 minutes prior to sex and can last four to five hours. A new pill, Avanafil (Stendra has cut this time down to 15 to 30 minutes and lasts six to 12 hours. Cialis is also the only ED pill that is also FDA-approved to treat benign prostatic hyperplasia (BPH an enlarged prostate condition which can affect urination. So, some men may take Cialis for this reason as well. Overall, these pills are quite safe for most men. Common side effects that exist are pretty mild and Breyer says they often improve over time. "By and large, they are safe. There are common side effects, like headaches, dizziness, flushing, back pain, some guys get runny noses, feeling congested says Breyer. This is particularly good to know, considering men using these treatments will likely use them for the rest of their lives. Erectile dysfunction medications may be ineffective or dangerous for men who take nitrates or blood thinners, and those who have had heart problems, stroke, or issues with their blood pressure. Non-Oral Medications, oral medications work for most men with ED but some may require more potent options. The first of these is a suppository pellet, Alprostadil (Muse which is inserted directly into the urethra (the tube that carries urine and semen out of the penis). In order to use this, a man urinates to lubricate the urethra and then inserts the pellet. This a strong medication and the delivery is much more direct than in oral pills. It is still fairly safe. "Guys tend to tolerate it well, but some men will complain of penile pain or burning afterwards when they urinate says Breyer. Related: 37 Sex Stats You Need to Know. The other non-pill medication treatment for ED is direct injection.