ED medication and sexual performance


When taking medication for erectile dysfunction (ED), it’s worth knowing what it will actually help with and what it won’t. Sildenafil is proven to be highly effective in helping you achieve an erection when you’re sexually stimulated and keep it while you have sex.

This begs a question or two, will it help me become more of a stud? Will I be able to have sex over and over again? Because of this and all of the other questions you may have, we wanted to provide some of the answers.

Can ED medication help me last longer?

The simple and easy answer is no. Sildenafil isn’t designed to help you last longer in bed; it’s made to increase the blood flow to the penis resulting in an erection that lasts. The only real way ED medication will help you last longer is if your problem is losing your erection too quickly.

It’s worth noting that Sildenafil cannot help with a number of problems such as – coming too early (premature ejaculation), low libido (sex drive) or getting tired during sex. If you’re suffering from any of the above, it would be worth looking into the appropriate medication for the issue, making sure to keep a good diet and fitness routine and consider any lifestyle changes such as smoking or drinking.

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Will Sildenafil allow me to have sex multiple times?

Sorry chaps, but unlike our female counterparts who can achieve multiple orgasms, men are limited to just one. When this happens, it will be a timeout for the downstairs area as no amount of stimulation will help. The penis is completely flaccid and not likely to become erect for around 30minutes.

ED – It’s all down to science you see…

When toying with the idea as to whether ED medication can be used as a way to reduce post-sex downtime, we must have a small biology lesson of the male body. When we have an erection, it’s all thanks to a chemical called cGMP. Simply put, this is responsible for dilating your penile blood vessels, increasing the blood flow to your penis and marking it hard. Once ejaculation has occurred, most (if not all) cGMP is broken down. When an ED medication (Sildenafil) is in your body it acts as a PDE5 inhibitor. PDE5 is the enzyme responsible for breaking down the cGMP. So, while the body is usually drained of cGMP after orgasm, if Sildenafil has been taken, there will still be cGMP leftover. Potentially enough to stimulate blood vessel relaxation and allow for a second erection and orgasm much sooner.

And age we’re afraid:

Of course, this varies from one man to the next. However, age is a crucial factor for ED. Young men in their 20’s can wait a few minutes before they can be aroused again. Whereas a 30-year-old will likely have to wait up to half an hour. Anybody in the 50+ age bracket may only be able to orgasm once a day.

Many studies have been carried out to put Sildenafil to the test and see if it does help with your post-sex downtime, however, up until now – most have been inconclusive and don’t point towards any real increase in performance.



Scott McDougall (MPharm) is a clinical pharmacist and in addition to being Cornerstone’s senior in-house pharmacist, is the co-founder of The Independent Pharmacy, one of the UK’s leading independent online pharmacies.

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