Matthew Torp MD: An Expert Interview on Sildenafil in Canada

Gathering information from dozens of places in the web is one thing, after all, to make fair conclusions you have to perceive information critically. But things are quite different when it comes to expert opinions, especially when it is all about such delicate topic as erectile dysfunction. We have invited Matthew Torp, an andrologist practicing at Hospital of St. Helena in Los Angeles, to share his expertise on ED and assist our readers with the most acute issues (to maintain confidentiality we do not reveal the actual names). The program is sponsored by Canadian Health&Care Mall, Canadian Pharmacy – one of the most prominent online drug stores and Canadian Online Pharmacy website accumulating tons of ED-focused content.

Q: My wife died three years ago from cancer, which was a five-year battle. Now I’m mentally ready for a close relationship with another woman. But I haven’t had sex for so long, so I’m quite worried about possible failure, and because of this I always hesitate when it comes to even dating women. Is it a good idea to buy Viagra to be sure I will guaranteedly succeed in bed?

A: It is quite clear that you are not going to return to an active sex life, not before making sure that all the doubts about the erection groundless. For a man in your position, in my opinion, it is quite possible to use Viagra as an addition to masturbation, to make sure in your ability to get an erection. Viagra is the right direction in your case, although psychological therapy may work better.

Q: My troubles with erection have started five years ago, when I began to undergo regular hypertension treatment. Can I use Viagra to get back to normal life?

A: Drugs treatment affects erection, which is no longer an exclusive fact. However, the real cause of connection between hypertension and erectile dysfunction is narrowed arteries of the penis and decreased elasticity of their walls, however, antihypertensive drugs and of themselves adversely affect the erection. I personally prescribe Viagra so many patients who suffer from ED because of antihypertensive medications. An overwhelming majority is pleased with the results.

However, before taking Viagra, consult with your doctor about substituting antihypertensive drug. Perhaps, another solution will not affect your sex life to that extent. Thus, for example antihypertensive drugs – ACE inhibitors and calcium channel blockers – affect potency less than the others.

Q: As far as I understand, the maximum daily dose of Viagra is 100 mg. Does this mean that I can extend the action of the drug, if I take, let’s say two 50 mg doses or four 25 mg doses at regular intervals in the same day?

A: Basically, it is recommend that patients receive the lowest effective dose at a time once in twenty-four hours. If you will take a lower dose – 50mg, let’s say, the in morning and 50mg in the evening, the efficacy may be reduced. Moreover, when the drug is in the blood for a longer time (although in a lesser concentration) the risk of undesirable side-effects increases – as compared with short-time exposure to higher body dose.

Q: My case is bad, but not completely, because when masturbating I can achieve erection and ejaculation. But my religion considers masturbation to be a sin. Unfortunately, a sexual intercourse with a woman don’t bring much pleasure, and as for masturbation… I can not afford it. Can Viagra online help me?

Answer: Yes, but not necessarily. You are the one of those men who suffer from a so-called situational ED. Thousands of males can have normal erection and ejaculation in some situations, and fail in others. This is poisoning the lives of these people, as they cannot get full satisfaction from masturbation or oral sex with a partner, and sometimes – because of the awareness of the sinfulness of their desires – are not able to reach full erection even in the relationship that are not tabooed. I would have certainly recommended Viagra, I’m quite sure it will help.

Q: I would like to try Viagra, and I hope I’m lucky, so this medicine will bring the desired effect. But if it happens, can I hope that each time taking Viagra, I’ll get an excellent erection?

Answer: Not necessarily. However, if you try taking ED Canadian Viagra, your chances for success will immeasurably increase. The fact is that even with the support of the Viagra success of sexual intercourse depends on many factors – the relationship of partners atmosphere at the meeting, prelude to sex, the mood of both partners and their physical conditions, the degree of fatigue and dozens of other factors.

Q: I am now being treated with injections, but because of that I can enter into relations only twice a week. Wouldn’t it be harmful to take Viagra on other days to get laid more often?

A: Unfortunately, Viagra went on sale not so long time ago, and the possibility of undesirable complications in its interaction with other vasodilators is not yet sufficiently understood. And while this combination of techniques has not been studied, I advise my patients who take Viagra, refrain from injections over the next two days after taking the pill. The fact that the residual blood concentration caused by Viagra in conjunction with injectables increases the risk of priapism.