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Asked for Male | 55 Years

Is It Advisable Take Viagra (Sildenafil) at 55 With Mild CAD and Ongoing Heart & Diabetes Medications?

Patient's Query

My age is 55 years Gender - Male Since last 1 year i am taking following medicine - (1) Korandil 10 mg (Nicorandil)*: for angina or chest pain - 1 tablet after breakfast and 1 tablet after dinner - (2) Rosycap (Rosuvastatin) 20/75 - to lower cholesterol - 1 tablet after dinner - (3) Gluconorm SR 50 (Metformin)*:for type 2 diabetes - tablet after breakfast and 1 tablet after dinner - (4) Embeta xr 25 mg (Metoprolol) - 1 tablet after break fast 6 March 24 - angiography Mine CAG report says Mild CAD with slow flow in LAD and RCA I had episode of vasovagal during post procedure of angiography - please advise Can I take - *Vigra 50 mg (Sildenafil)*: for erectile dysfunction With above mentioned medicine

Answered by Dr. Madhu Sudan

Since you have mild coronary artery disease (CAD) and are on nicorandil and beta-blocker (Metoprolol), you should not take Viagra (Sildenafil) without consulting your cardiologist.

Sildenafil can lower blood pressure and may interact with nicorandil, potentially causing dangerous drops in BP. Also, considering your vasovagal episode post-angiography, extra caution is needed.

✔️ Please consult your cardiologist before using Sildenafil
✔️ A supervised cardiac stress test may be advised to assess fitness for sexual activity
✔️ Alternatives or safer options may be recommended depending on your heart status

Do not self-medicate in this case.

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Questions & Answers on "Sexology Treatment" (986)

i used of butt plug( for instance pen in my anus)before now i have itching problem in my anus im afraid of hpv virus i must to say i only used it myself

Male | 18

If you've ever experienced an itchy anus after using a rectal plug, you may have concerns about HPV. In the anal region, this virus is able to cause warts but itching is not exclusively limited to it. Also, itching can result from irritation and infections as well. To ensure everything is okay, make sure you see a doctor for check-up. 

Answered on 1st Dec '24

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Sexual problems hhdhdjsnns

Male | 20

Sexual dysfunction exists for many reasons. Some of the symptoms include problems with erection, low libido, or pain during sex. Physical causes like diabetes or heart disease and psychological causes such as stressor or anxiety, might be the reason. A good way to deal with these issues is to communicate openly with one's partner, and if needed, to seek counseling from a medical professional for the necessary guidance.

Answered on 25th Nov '24

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Was diagonised with having low sperm count and was told to rake proviron by my doctor for 3 months.However am I allowed to have sex once in a while during this period?

Male | 25

Yes.. you can.. 

It is easily treatable through the Ayurveda medicines.
There are so many causes for low sperm count like varicocele, hyseocele… Some infections, sexually transmitted infections, including gonorrhoea... Ejaculation issues, undescended testicles, Hormone imbalances.
Problems with sexual intercourse like erectile dysfunction, premature ejaculation, painful intercourse.
Exposure to radiation, X rays, overheating the testicles.
Elevated temperatures impairs sperm production and function… Like sitting for long periods, wearing tight clothing or working on a laptop computer for long stretches of time also may increase the temperature in your scrotum and may slightly reduce sperm production.
So better to avoid all these.
Alcohol & Tobacco use, smoking, Emotional stress, Depression and overweight also causes low Sperm count n low motility.
Take food items rich with vitamin C. vitamin D and zinc.
Start taking hot milk twice a day also two to three dates in the morning and in the night with milk.
Avoid junk food, oily and more spicy food, alcohol, tobacco, tension and anxiety.
Start doing brisk walk or running or cardio exercises for at least 1 hour a day.
I am suggesting u some ayurvedic medicines.
Take dhatu paushtika churan one teaspoon in the morning & in the night.
Take tablet shukar matrika bati one in the morning and one in the night.
Take tablet Brihat Bangeshwar ras one in the morning one and one in the night after food.
All three preferably with milk or with water.
Do all the above suggested treatment for 4 months and see the results.
If you don't get satisfactory results then please go to your family doctor or a good sexologist or urologist.
You can also contact me on my private chat or directly on my clinic numbers.
We can send you the medicines by courier.
My website: www.kavakalpinternational.com

Answered on 20th Nov '24

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I’m 23 years and I masturbate for five years and if I’m ejaculatin the sperm that comes out is small. What does it mean and would it affect me

Male | 22

This could be a sign of low semen volume. Dehydration, stress, or some medication may lead to this condition. If you want to increase your ejaculate then drink lots of water and do exercises that help in reducing stress levels. Also, seek medical attention if the problem persists because it might be an indicator for an underlying issue. 

Answered on 29th May '24

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I'm 23 years old , yesterday 01/04/2024 me and my girlfriend were together. I felt horny and I rubbed my pennis in her vagina but not pulled it in , I didn't cum but the liquid may be pre cum it's called was there when I saw my pennis, I don't know the liquid fell in there or not so I'm worried now , my partner can get pregnant or not , we are not married and also we never had sex just yesterday we did that just rub.

Female | 23

The fluid you talke­d about, called pre-cum, can sometime­s have tiny sperm that might make a baby. Eve­n without full entry, there is a small chance­. Look out for missed monthly times or odd blee­ding. To feel bette­r, going to a clinic for emergency contrceptive pills may be­ a good idea.

Answered on 23rd May '24

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I am 37 years old married woman . These days i hardly feel sexually aroused . What to do ? , please help

Female | 37

There can be many possibilities for the problem.. get yourself evaluated for best advice.. 

You can also contact me on my private chat or directly in my clinic. We can send you the medicines by courier.
My website: www.kayakalpinternational.com

Answered on 19th Nov '24

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after quitting masturbation If it has been more than a year since you quit masturbating So the body starts repairing and the hormones get corrected. And there is no need to take any medicine and there is no effect in marriage.??? If masturbation is done only on the upper lips of vagina not vagina in past.2) And after leaving it, there are lazmi night falls twice a month, is this also dangerous or not?

Female | 22

When you stop, your body can heal itself, and the hormones can come back to balance on their own. Masturbating on the upper lips of the vagina is okay. Night falls twice a month are normal and not dangerous. It's your body's way of getting rid of excess fluid. 

Answered on 27th Aug '24

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Hi I had sex with a women in last 24 with protection but we had oral sex without protection but now I have a fear that I will get a infection or HIV I gone to a doctor and asked about it he looked on my penis and he said it's looks fine but we will take test and I asked by taking this test will I get to know whether I am affected or not he said we can't find that but we can find wheather any other is there but I didn't take the test so please tell me whether I can find the hiv by taking test now

Male | 28

Certain testing methods can identify HIV infection. Symptoms may not manifest instantly but could include fever, weakness, and swollen lymph nodes. The exact way to tell your status and remove the worries is by doing the correct tests. It becomes important to care for your health as a priority and get the required medical advice.

Answered on 7th Dec '24

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Please give answer to following doubt. can make pregnancy through frenulum peni ? is surgery compulsory or is there any success alternative? suppose if nerve cut in frenulum cut surgery, will it affect erection or sexual life? i am sorry if i ditrubed you.

Male | 27

consult for best advice

Answered on 23rd May '24

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I need a way to enlarge my penis

Male | 24

The genetic factor is the leading cause of this, and maybe a hormone imbalance can also be the problem. The products and services that promise penis enlargement are not scientifically proven but they may still cause you many problems; almost always there are several health risks as well. The methods that are risk-free like the aforementioned counseling or therapy could serve as a solution. How to find Often, support and advice from qualified healthcare professionals may be the best time for you to come up with the best treatment plan for your case. 

Answered on 17th Dec '24

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I am 45 year old and facing premature ejeculation within 1 or 2 minutes

Male | 45

You have been going through premature ejaculation issues, which signifies that you ejaculate before you control it, generally within 1 or 2 minutes. The situation may arise due to stress, anxiety, or relationship conflicts. One thing to try is to incorporate different methods such as the start-stop method or the squeeze technique during intimacy. Furthermore, mental treatment has proven to be one of the effective techniques for dealing with stressors.

Answered on 20th Aug '24

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I am having erectile dysfunction, not able to do sex with this problem. Even libido is also decreased in the last few months due to the above issue.

Male | 32

your problem of erectile dysfunction most commonly occur in ages of men: fortunately it has high recovery rate of 90% through ayurvedic medications.

I am explaining briefly about erectile dysfunction so that it takes fear out of you.

In erectile dysfunction, men are not able to get or keep an erection that is sufficient to have penetrative sex. This may be due to so many factors like High cholesterol, High blood pressure, Diabetes, excessive masturbation, excessive Porn watching, nerves weakness, Obesity, thyroid, heart problem, alcohol, Tobacco use, Sleep disorders. Low testosterone, tension, stress etc.,

This problem of erectile dysfunction is very much treatable.

I am suggesting you some ayurvedic medicines,
Take Aswagandhadi churan half teaspoon in the morning & in the night.

Take Capsule SHILAJIT One in the morning and one in the night.

Take tablet Brihat Bangeshwar ras one in the morning one and one in the night after food.

All three preferably with hot milk or with water

Also apply and message Shri Gopal tail on your penis three times a week for 2 to 4 minutes.

Avoid junk food, oily and more spicy food, alcohol, tobacco, tension and anxiety.

Start doing brisk walk or running or cardio exercises for at least 1 hour a day.

Start taking hot milk twice a day also two to three dates in the morning and in the night with milk.

Do all the above suggested treatment for 3 months and see the results.

If you don't get satisfactory results then please go to your family doctor or a good sexologist.

You can also contact me on my private chat or directly in my clinic. We can send you the medicines by courier.

My website: www.kayakalpinternational.com

Answered on 2nd Dec '24

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