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The usual dose of Viagra is 50 mg but your doctor might decide to change it depending on your needs. You said that you have no other diseases; therefore, it is crucial to start with a minimal dose to see how your system handles it. The most common side effects of Viagra are headaches, flushing, and upset stomach. If you have any more serious side effects, stop taking them and contact your doctor. Remember to obey your doctor and don't exceed the recommended dose. Always stay safe and careful with medications especially when you decide to try them for the first time.

It is crucial to realize that gaining an excessive amount of pornography and cyberspace ultimately results in being desensitized, and it has a negative impact on sexual encounters with real living partners and relationships.

The "flat line" effect, that you brought up, is also a commonly displayed problem where former porn addicts may experience a drop in their sex drive and arousal. But for now, the findings are not substantial, more studies are required to distinguish porn effect on sexual function from its own.

With regard to facilitation, many people have found it immensely helpful to consult a professional mental health care provider, such as a therapist or a counselor, and avail their expert help in dealing with this problem and addressing any underlying psychological factors. A sex therapist may possess skills in counseling individuals with sexual dysfunction or enhancing sexual functions.

Your well-being is of top concern and seeking the help of a mental and sexual health specialist can provide you with the needed information when making a decision about your next step. In this connection, I suggest you talk to a psychologist or sex therapist, whose main professional concern is the issues you are experiencing, for more help and support.

Best regards,
Dr. Madhu Sudan
 

This trouble can occur in diabetic males. This is due to damage to blood vessels and nerves. The prescribed treatment will depend on how severe and resistant your condition is. Besides Viagra, your doctor will inform you of other remedies that you may want to use together with Viagra to see whether there is any improvement. They can also advise you to try counseling or other psychological treatments that can be helpful for you and your partner.

You face a challe­nge with erection difficultie­s due to diabetes. High blood sugar le­vels harm blood vessels and ne­rves. This reduces blood flow to the­ penis, making erections difficult to achie­ve and maintain. Proper diabete­s management is crucial. Lifestyle­ adjustments such as a nutritious diet and regular e­xercise can significantly improve the­ situation. Medication or therapies may also be­ viable solutions.