When it comes to erectile dysfunction (ED), misinformation runs rampant—especially about medications like Viagra. Many believe Viagra is a stimulant or that it instantly causes a sustained erection. These myths not only lead to misunderstandings but can also encourage unsafe practices. Let’s unpack the science behind Viagra, debunk common misconceptions, and explore safe, effective solutions for ED.

Looking for an in-depth Q&A on erectile dysfunction medications? Listen to Beyond the Bedroom Episode #46: Are ED med commercials killing your boners?

Are ED Medications Stimulants?

Contrary to popular belief, Viagra is not a stimulant. It won’t immediately cause an erection on its own—it requires arousal to work. Viagra (sildenafil) is a PDE-5 inhibitor, which slows down the enzyme phosphodiesterase type-5. This allows another compound to relax muscles and widen blood vessels, improving blood flow to the penis.

However, factors like fatigue, alcohol, or drug use can affect its efficacy. Mixing Viagra or other ED medications with recreational drugs or alcohol not only reduces its effectiveness but can also worsen side effects and even lead to dangerous health risks like dangerously low blood pressure.

Recreational Drugs Are Not a Substitute

While some believe recreational drugs can replace ED medications, many drugs, such as cocaine and amphetamines, are vasoconstrictors—they restrict blood flow rather than increase it. This has the opposite effect of what Viagra aims to achieve.

Additionally, certain medications, including antivirals, can interact negatively with Viagra, potentially leading to toxicity. Always consult a healthcare provider before combining medications.

Does erectile dysfunction only happen to older men?

Another pervasive misconception is that erectile dysfunction is a condition exclusive to older men. In reality, ED can affect individuals of any age, often due to factors like:

• Depression or anxiety
• Pelvic tightness or injury
• Overactive enzymes
• Side effects from other medications

If you’re experiencing ED, a healthcare provider can assess whether a PDE-5 inhibitor is right for you. They’ll consider your medical history and circumstances for a tailored treatment plan.

Is it safe to take Viagra that wasn’t prescribed to me?

Purchasing Viagra or other ED medications without a prescription may seem convenient, but it’s risky. ED drugs are among the most counterfeited medications in the world. Fake pills may contain harmful substances like amphetamines, antibiotics, or recreational drugs, which can worsen your condition or cause serious health complications. Embarrassed to ask your doctor about ED medication? Consider this: a counterfeit pill might land you in the emergency room, which is far more distressing than a quick doctor’s visit.

Will Viagra turn me on?

One major misunderstanding is that Viagra causes a sustained erection for hours on end. In reality, erections will only occur with arousal. In other words, you’re unlikely to get an erection unless you’re in the mood for sex. Viagra and other erectile dysfunction medications do not treat relationship stress, sexual shame, or non-ED-related performance anxiety. As discussed in Episode 46, some people are more likely to feel sexual desire when treating their erectile dysfunction, as it is a major source of performance anxiety. However, if you do take ED medications and experience an erection lasting more than four hours (priapism), seek medical attention immediately—it can cause long-term damage if left untreated. If PDE-5 inhibitors aren’t effective, the erectile dysfunction may be psychological or another organic cause. Consider these additional approaches:

Sex therapy: Anxiety, depression, or unresolved emotional concerns can significantly impact sexual performance.

Pelvic floor therapy: Tight pelvic muscles or injury can decrease blood flow to the penis. Physical therapy or targeted massage can help. Talk to your healthcare provider about combining these therapies with medication for a more comprehensive solution.

The Bottom Line

Erectile dysfunction is more common than many realize, and it doesn’t have to be a source of shame. Understanding how ED medications like Viagra work—and the importance of consulting a healthcare professional—can help you find safe and effective solutions. When in doubt, reach out to a doctor or therapist to address underlying causes. Your sexual health is worth the conversation. Have more questions about erectile dysfunction medications? Check out Episode #46: Are ED med commercials killing your boners?