Is Sildenafil A Performance Enhancing Drug

Athletes may consider using Sildenafil drugs to enhance their sports performance. This drug is responsible for causing vasodilation with its effects. It can increase the flow of blood to certain parts of the body, mainly in the penile and lungs. These drugs are primarily used for the treatment of sexual disorders like erectile dysfunction (ED). Healthcare professionals also prescribe these drugs for treating the symptoms of pulmonary arterial hypertension (PAH).  

This drug has the ability to increase the blood circulation to certain body parts. Athletes perform intense aerobic activities, which require a constant and persistent circulation of blood in their bodies. The more the blood flow, the better will be the supply of oxygen and nutrients to all parts of the body. This is why, they might consider using Sildenafil drugs for having a good performance.

Effects of Sildenafil on athletes  

To perform optimally in sports activities, a person must have a healthy blood flow happening in their body. The effects of sildenafil can boost the blood circulation in the body. Sildenafil is classified under a group of phosphodiesterase type 5 (PDE5) inhibitors chemicals, as per pharmaceutical classification.

PDE5 inhibitor chemicals like sildenafil suppress the action of an enzyme known as PDE5. This enzyme narrows the blood vessels, turns them hard, and restricts the flow of blood through them. This deprives the body parts of adequate oxygen and nutrients due to a lack of blood supply to the region.

Sildenafil, being a PDE5 inhibitor, triggers the release of a chemical called nitric oxide, which is a potent vasodilator. Nitric oxide (NO) expands the blood vessels, relaxes, and dilates them to allow more blood supply inside. The supply of oxygen and nutrients happens due to the dilation of the blood vessels, which can be attributed to sildenafil.  

Moreover, athletes tend to need a consistent supply of oxygen in their bodies, the effects of sildenafil can boost their blood circulation, and, in this way, they get adequate oxygen. Also, some sports activities have to be performed at high altitudes, where the level of oxygen in the atmosphere is very low. This can give rise to some symptoms like shortness of breath, fatigue, dizziness, and chest pain. Low oxygen can make it extremely difficult for them to perform any sport. That is when sildenafil drug can be beneficial.    

Is Sildenafil safe for athletes?

According to a study conducted by the National Institutes of Health, Sildenafil can be helpful for athletes performing sports in high-altitude regions. Being physically active in such oxygen oxygen-deprived atmosphere can make it difficult to perform aerobic activities and sports for longer durations. Sildenafil can boost blood circulation and make it easier for them to continue playing the sport for a longer time.

Most importantly, it is necessary to become aware of the side effects of sildenafil. This drug can produce some mild effects such as headache, lightheadedness, dizziness, nausea, fainting, blurred vision, diarrhea, flushing, upset stomach, etc. Besides, it can also lead to serious side effects in some people. Therefore, before using sildenafil to enhance your performance in high-altitude regions or high elevations, you need to consult your healthcare provider, otherwise, the side effects can affect your performance by adversely affecting your health.     

Final word

Sildenafil is a Vasodilator drug, which expands the blood vessels to accommodate more blood flow and circulate the blood throughout the body. Various studies have concluded that these drugs can be helpful in eliminating the difficulties of pulmonary arterial hypertension (PAH) experienced by individuals who play sports extensively in high-elevation and high-altitude regions.  

Alongside, the effects of this drug can also increase their exercise capacity. Thus, sildenafil can offer aerobic advantage to sportsmen and boost their performance in sports activities. However, it is necessary to ask the healthcare provider before using these drugs, as the effects of them might not be the same in every individual, as some may experience performance enhancements while some might fail to perform their best due to the side effects of the drug.

Shock Wave Therapy For ED

Shock wave therapy, also called acoustic wave therapy is a treatment that can improve the erection function of men who are experiencing erectile dysfunction (ED) issues. This therapy is a non-invasive or non-surgical type of treatment that can revive the function of impaired erectile function in males.   

What is ED?  

Erectile dysfunction (ED) or impotence are sexual difficulties that are faced by men, which affect their ability to get and sustain stronger erections. The root cause of erection difficulties is the insufficiency of blood supply to the penile. The arteries of the penile turn narrow and hard, which prevents the blood flow inside.

Treatments such as medications can increase the blood flow inside the penile arteries. Similarly, shock wave therapy can also boost the blood flow to the penile. The blood flow increases when the arteries of the penile expand and dilate to allow more blood inside.  

What is Shock wave therapy?

As per various sources, shock wave therapy for ED is an advanced form of treatment and it has not been recognized by the Food and Drug Administration (FDA) yet. It is performed only by a licensed medical practitioner or clinician who has expertise in it. The therapy involves the emission of low-intensity shock waves into the penile skin. These waves penetrate the penile skin and reach deep within the tissues and cells.    

As the waves get inside the erectile tissue, known as corpora cavernosum, they trigger tissue regeneration, growth, and development of new blood vessels, and expansion of narrowed blood vessels to allow more blood flow inside the penile.

The clinician will conduct this therapy with the help of a device that is shaped like a wand. The device is held for up to 15 minutes around the penile. The clinician will move the wand from one region to another, to cover the entire surface of the penile. The stimulation of tissue regeneration, growth of new blood vessels, and vasodilation happens when the penile receives the waves evenly in all regions.

The waves activate the physiological as well as the psychological processes inside the body. It can obtain great results for those having mild to moderate degrees of sexual difficulties. Those having severe forms of erectile dysfunction may not get the desired results.

ED treatment with Shock wave therapy

The device generates low-intensity pulses and when it is placed on the surface of the penile, the waves enter the penile and begin various physiological and chemical processes. There were various studies done by the researchers. They concluded that the waves can potentially trigger some common types of processes inside the penile organ, which are as follows:  

  • Neovascularization – Generally, this process stimulates the formation of new blood vessels in the penile. When new blood vessels grow inside the penile, there will be more blood flow happening inside. These newly formed blood vessels will engorge the penile with more blood supply, which can be beneficial for restoring the erection function. As a result, the erections will be firmer and long-lasting.    
  • Tissue regeneration – The waves reach deep inside the cells and stimulate cell regeneration. The cells and tissues thus experience rapid growth and transformation. New capillaries are formed inside, which improves the function of erectile tissue, that is, corpora cavernosa. The therapy has a kind of healing effect on the tissues.
  •  Dilation of the blood vessels – The waves can encourage biochemical processes in the endothelial walls of the blood vessels. This causes the release of a vasodilator chemical, known as nitric oxide (NO), in the endothelial walls. This chemical is responsible for maintaining the health of the blood vessels and keeping them expanded and relaxed to allow blood flow inside the penile. As NO is released, it restores the health of the blood vessels, which reinforces the erectile response.  

How safe is Shock wave therapy?

Various studies have revealed that this is a type of painless and no-side-effects treatment for ED. However, despite many studies, one cannot rest assured that this treatment is completely safe. It is not yet recognized by the FDA for the treatment of ED, which prevents one from being sure of its safety.

FDA has approved alternative options such as medications including Sildenafil (Viagra), Tadalafil (Cialis), Avanafil (Stendra), and Vardenafil (Levitra). These drugs work by conducting vasodilation in the penile, which boosts the flow of blood inside.

Still, if one wishes to go for shock wave therapy then it is necessary to get it done from only certified and highly qualified medical professionals.  

Vasculogenic Erectile Dysfunction

Erectile dysfunction (ED) is a common condition that affects millions of men worldwide. While ED can have various causes, one of the prominent underlying factors is vasculogenic ED. This condition occurs when there is a disruption in the blood flow to the penis, making it difficult for a man to achieve or maintain an erection. In this article, we will delve into the details of vasculogenic ED, its causes, risk factors, and available treatment options.

Understanding Vasculogenic Erectile Dysfunction

Vasculogenic ED primarily involves the impairment of blood vessels and the circulatory system responsible for delivering an adequate blood supply to the penis. This process is essential for the physiological response of an erection. When the blood vessels in the pelvic region are unable to dilate and allow sufficient blood flow into the erectile tissue, it results in difficulty achieving or sustaining an erection.

Causes Of Vasculogenic Erectile Dysfunction

  • Atherosclerosis: Atherosclerosis is a condition where the arteries become narrow and stiff due to the accumulation of fatty deposits, known as plaque. When this happens in the arteries that supply blood to the penis, it can hinder blood flow, leading to ED.
  • High Blood Pressure: Hypertension can damage the blood vessels over time, reducing their ability to relax and dilate properly. This makes it challenging for blood to flow into the penis, resulting in ED.
  • Diabetes: Uncontrolled diabetes can cause damage to the nerves and blood vessels throughout the body, including those involved in erections. Diabetic neuropathy and endothelial dysfunction can contribute to vasculogenic ED in individuals with diabetes.
  • Smoking: Smoking is a major risk factor for vasculogenic ED. The harmful chemicals in tobacco can damage blood vessels, impairing their ability to deliver sufficient blood to the penis.
  • Obesity: Obesity is associated with a higher risk of developing ED. Excess body fat can lead to inflammation and insulin resistance, both of which can damage blood vessels and contribute to vasculogenic ED.
  • Aging: As men age, the blood vessels tend to become less flexible and more prone to atherosclerosis, which can increase the likelihood of vasculogenic ED.
  • Other Health Conditions: Certain medical conditions, such as heart disease, peripheral vascular disease, and metabolic syndrome, can also contribute to vasculogenic ED.
  • Medications: Some medications, like certain antihypertensive drugs, antidepressants, and antipsychotics, can have side effects that impact blood flow and contribute to ED.

Risk Factors For Vasculogenic Erectile Dysfunction

In addition to the specific causes mentioned above, there are several risk factors that can increase the likelihood of developing vasculogenic ED:

  • Family History: A family history of cardiovascular disease or ED may increase the risk of vasculogenic ED.
  • Sedentary Lifestyle: Lack of physical activity can lead to obesity and other health problems that contribute to vasculogenic ED.
  • Psychological Factors: Stress, anxiety, and depression can exacerbate ED or be contributing factors.
  • Alcohol and Substance Abuse: Excessive alcohol consumption and substance abuse can damage blood vessels and exacerbate ED.
  • Poor Diet: A diet high in saturated fats, sugar, and processed foods can contribute to obesity and vascular problems.

Treatment Options For Vasculogenic Erectile Dysfunction

The good news is that vasculogenic ED is treatable, and there are several options available to help men regain their sexual function:

  • Lifestyle Changes: Adopting a healthy lifestyle is often the first step in managing vasculogenic ED. This includes regular exercise, a balanced diet, smoking cessation, and limiting alcohol consumption.
  • Medications: Medications like phosphodiesterase type 5 (PDE5) inhibitors, including sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra), can help improve blood flow to the penis and facilitate erections.
  • Vacuum Erection Devices (VEDs): These devices create a vacuum around the penis, drawing blood into the erectile tissue and facilitating an erection. They can be an effective option for some men.
  • Penile Injections: Intracavernosal injections involve injecting medication directly into the penis to induce an erection. This method can be highly effective but may not be suitable for all men.
  • Penile Implants: Surgical options like penile implants are available for men who do not respond to other treatments. These implants can be either inflatable or semi-rigid and are placed inside the penis to allow for manual or automatic erections.
  • Lifestyle Counseling: Counseling or therapy can help address psychological factors that may be contributing to ED, such as anxiety or relationship issues.

Yoga For Erectile Dysfunction


Yoga is an ancient practice that helps to strike a balance between the mind and body. It involves a combination of physical postures, breathing exercises, and deep meditative exercises, which bring calmness and harmony. It causes complete relaxation and can be beneficial for men experiencing sexual difficulties such as erectile dysfunction.   

The primary cause of erectile dysfunction is a lack of blood flow to the reproductive organs. This can stem from underlying physiological factors or psychological factors. However, doing some yoga poses on a regular basis can boost the blood flow to the reproductive organs and improve erection function.   

According to various sources, the best yoga poses that can restore the erection function are:

1. Uttanasana

Also known as Standing Forward Fold or Bend, this is a powerful pose that promotes flexibility, relaxes the pelvic floor muscles, boosts blood flow to the pelvic region, helps attain mindfulness, and relieves anxiety. Also, men having issues with fertility can benefit a lot from this pose.  


  • Stand on the floor with your feet hip-width apart. Place your hands on your hips.
  • Now slowly inhale and as you exhale, start bending your torso forward hinging from your hips, not the lower back.
  • Bring your hands on the floor in front of your feet and your fingers must touch the ground.
  • Now, inhale deeply and feel your chest expanding.
  • Try to keep your knees straight.
  • Stay in this position for a few seconds, between 30 seconds to a minute and as you inhale, lift your torso a little up and feel the stretch. Exhale and feel relaxed. 
  • Inhale and release the pose by bending your knees a bit, keeping the back straight bringing the arms up and gently lifting your torso back to standing position.

2. Baddha konasana

Also known as Butterfly pose or Bound Angle pose. This posture stretches the organs of the pelvic region. It works on the groin, inner thighs, pelvic organs such as bladder, prostate gland, urethra, penile, etc. It can stimulate the blood flow in this region, which can restore the erection function.  


  • This pose requires you to sit down. Extend your legs in front of you and now bend your knees and move your feet closer to your pelvis.
  • Relax your knees and let them rest on either side.
  • Grab your feet with your hands and keep your back straight.
  • Now start flapping your thighs and knees repeatedly like butterfly wings.
  • Keep doing this exercise for a few minutes.

3. Janu Sirsasana

Also called Head-to-knee pose. This pose stretches your pelvic floor muscles and increases their relaxation, which triggers blood circulation in the reproductive organs. Besides, it is also a stress reliever pose. 


  • This pose has to be performed in the sitting position.
  • You have to sit down and stretch your legs straight in front of you.
  • Bring your one foot to the pelvis by bending your knee. One leg must remain stretched out while another is folded.
  •  Now, inhale and raise both of your hands, and as you exhale, start bending forward. Try to touch your chin to the knee, bring your hands towards your foot, and clasp your fingers around it.
  • Stay in this position for around 1 to 3 minutes and release.

There are many other poses that focus on relaxing your pelvic floor muscles and increasing the blood flow to the penile. Erectile dysfunction is a very common problem among men. Its symptoms can be alleviated with regular yoga practice. Abundant blood flow is crucial for the optimal health of your reproductive organs. These poses increase blood flow and boost your libido or sex drive which improves your sexual performance. It also overcomes erectile difficulties and makes it easier for men to get and maintain harder erections.

Apart from that, lack of blood flow to the reproductive organs can affect the health of semen. It can also give rise to premature ejaculation in men. This can impact their fertility. They may fail to conceive. But when they do yoga regularly, the health of their reproductive organs remains in an optimal state. Their sexual function improves, and their fertility issues also go away.

Lastly, those experiencing erection difficulties because of psychological reasons experience complete relaxation after performing yoga, as diverts it the mind and helps get rid of mental health issues that interfere with sexual function.   

Acoustic Wave Therapy For ED

Acoustic wave therapy also known as shockwave therapy can be helpful in the treatment of erectile dysfunction (ED) or impotence issues in men. This therapy basically involves a low-intensity shockwave exposure given to the penile that can restore the erection function. According to the National Institutes of Health, shockwave therapy can be effective for men experiencing difficulties in getting or maintaining erections.  

About acoustic wave therapy

According to various sources on the web, acoustic wave therapy is a low-intensity shockwave therapy that utilizes sound waves that penetrate the skin and tissues of the penile and targets the root cause of erectile dysfunction. The waves enter deep inside and stimulate the erectile tissues called corpora cavernosum. It catalyzes physiological as well as chemical processes.

The reason men experience erectile dysfunction is the lack of blood flow to the penile. This therapy boosts the blood flow to the penile by drawing the blood into the blood vessels of the penile. The narrowed blood vessels widen and allow more blood inside. The penile gets engorged with the blood and the blood gets trapped inside with high pressure, and thus, it triggers stronger erections.

How does acoustic wave therapy improve erection function?

The penile is exposed to low-intensity shockwaves. The medical practitioner uses a wand-like device to administer shockwaves to the penile. The device probe is placed around the different areas of the penile for a few minutes. The device emits gentle pulses to the penile. Many studies have concluded that these pulses may restore the erection function by conducting three operations that include:

  1. Vasodilation – The reason for the lack of blood supply through the penile is the narrowing of the blood vessels, which prevents the blood supply to the penile. This therapy helps in relieving the strains of the blood vessels and causes relaxation. The gentle pulses compel them to expand their passages and allow blood to flow inside. As the blood vessels gain their health, the erection function becomes easy.
  2. Neovascularization – This technique can stimulate the formation of new blood vessels in the penile. The shockwave pulses penetrate inside the skin and deep into the tissues. It facilitates the new growth and development of blood vessels. In this way, there will be newly formed blood vessels in the penile, which will circulate more blood into the penile and help men to get stronger erections.
  3. Tissue regeneration and remodelling – There needs to be more studies and research done to justify these claims. However, as per some studies, the effects of the pulses can facilitate the rapid growth and multiplication of the cells and trigger the regeneration of the erectile tissues. It helps in healing the portions of the tissues that were damaged. The tissues go back to their normal and healthy state.

Is acoustic wave therapy effective for ED?

Many researchers have concluded that this technique works for men having erectile dysfunction and noted that it is safe and does not have any significant side effects. Men who got this therapy showed improvement in their ability to get and sustain erect penile. The therapy reduces the symptoms and makes it easier to get and sustain stronger erections.

Those having mild to moderate degrees of impotence issues were able to restore their erectile function in a healthy state. Those experiencing severe forms of erectile dysfunction may or may not get the best results. Although researchers claim that this technique does not produce any side effects and is generally a harmless way to improve the erection function, more such studies and research need to be conducted to consolidate these claims.   

Is acoustic wave therapy for ED safe?

There have been encouraging reviews regarding this therapeutic technique, but one cannot be completely sure about its efficacy. This technique is still new and there needs to be in-depth research done covering its effectiveness, safety, side effects, etc.

Most importantly, acoustic wave therapy is not approved by the Food and Drug Administration (FDA) to be used as a remedy for erectile dysfunction problems in men. FDA has approved alternative treatments for erectile dysfunction, which include medications such as Sildenafil (Viagra), Tadalafil (Cialis), Avanafil, and Stendra. They do cause some mild side effects.

Lastly, only a licensed medical professional with expertise and professional training can perform acoustic wave therapy for erectile dysfunction. If other techniques fail to work, then you might consider this therapy. For that, you must see a licensed medical professional only. 

Does Tadalafil Lower Blood Pressure

Tadalafil, commonly known by its brand name Cialis, is a medication primarily prescribed to treat erectile dysfunction (ED) and symptoms of benign prostatic hyperplasia (BPH). It belongs to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors, which work by increasing blood flow to certain areas of the body. While tadalafil is celebrated for its effectiveness in addressing sexual health issues, it’s essential to explore whether it has any impact on blood pressure, a vital aspect of overall health.

Understanding Tadalafil’s Mechanism of Action

To comprehend the potential effects of tadalafil on blood pressure, it’s crucial to grasp how this medication operates. Tadalafil works by inhibiting the enzyme PDE5, which is responsible for breaking down cyclic guanosine monophosphate (cGMP). cGMP is a chemical messenger that relaxes the smooth muscles and widens the blood vessels in the penis, allowing increased blood flow and, consequently, an erection. This mechanism enhances the ability to achieve and maintain an erection in individuals with ED.

Tadalafil and Blood Pressure: The Relationship

Tadalafil primarily targets the PDE5 enzyme in the smooth muscle cells of the penis. However, PDE5 enzymes are also present in other parts of the body, including the smooth muscle cells lining the blood vessels. This raises the question of whether tadalafil’s action on PDE5 might affect blood pressure regulation.

Tadalafil and Hypertension

Hypertension, or high blood pressure, is a common medical condition associated with various health risks, including heart disease, stroke, and kidney problems. People with hypertension need to manage their blood pressure effectively. Research indicates that tadalafil is generally well-tolerated by individuals with hypertension, and it does not significantly alter blood pressure in a negative way.

In fact, some studies have suggested that tadalafil may have a beneficial effect on blood pressure. This potential benefit is attributed to the dilation of blood vessels caused by increased cGMP levels, which can result in reduced blood pressure. However, it’s important to note that any potential blood pressure-lowering effect of tadalafil is usually mild and not a primary reason for prescribing the medication.

Tadalafil and Hypotension

While tadalafil is generally safe for individuals with hypertension, it can pose a risk for those with low blood pressure, or hypotension. Hypotension can cause dizziness, lightheadedness, and even fainting. Tadalafil’s ability to enhance vasodilation and lower blood pressure slightly could exacerbate these symptoms in individuals already prone to low blood pressure. Therefore, individuals with hypotension should exercise caution when considering tadalafil and consult with a healthcare provider for personalized guidance.

Interactions with Antihypertensive Medications

It’s crucial for individuals taking tadalafil to communicate openly with their healthcare providers about their medical history and any medications they are currently using, especially antihypertensive drugs. Combining tadalafil with certain antihypertensive medications, such as alpha-blockers or nitrates, can lead to a significant drop in blood pressure, resulting in a potentially dangerous condition known as hypotensive crisis.

Patients who require both tadalafil for ED and antihypertensive medications should have a comprehensive discussion with their healthcare provider to determine the safest and most effective treatment plan. In some cases, healthcare providers may adjust medication dosages or recommend alternative treatment options to prevent adverse interactions.

Individual Variability

It’s important to recognize that the impact of tadalafil on blood pressure can vary from person to person. Factors such as an individual’s overall health, existing medical conditions, medication regimen, and dosage of tadalafil all play a role in determining the effects on blood pressure. As such, healthcare providers must evaluate each case individually to make informed decisions about tadalafil usage.


Tadalafil, commonly prescribed for erectile dysfunction and benign prostatic hyperplasia, has a complex relationship with blood pressure. While it primarily targets PDE5 in the smooth muscle cells of the penis to facilitate erections, it also affects PDE5 in blood vessel walls, potentially leading to changes in blood pressure.

For individuals with hypertension, tadalafil is generally well-tolerated and may even have a modest, positive impact on blood pressure. However, those with low blood pressure must exercise caution when using tadalafil due to the risk of exacerbating hypotension.

Ultimately, the effects of tadalafil on blood pressure are multifaceted and subject to individual variability. Therefore, individuals considering tadalafil should consult with their healthcare provider to assess their specific health conditions and medication regimen to determine the safest and most effective treatment approach. Open and transparent communication with healthcare professionals is paramount to ensuring the optimal management of both ED and blood pressure concerns.

Wave Therapy For ED

Generally, shock wave therapy is a pill-free option that can be helpful for treating the symptoms of erectile dysfunction (ED) in men. Researchers at the National Institutes of Health have concluded that this treatment technique can improve the erection function in men who are experiencing difficulties in getting or sustaining erections. It stimulates blood flow inside the penile, which is fundamental to stronger erections.  

What is shockwave therapy?

According to the Healthline website, shockwave therapy is a low-intensity, non-invasive type of therapy that is primarily used for the healing of broken bones, injured ligaments, and injured tendons. It can also speed up the recovery of deep wounds. With the help of targeted high-intensity sound wave therapy can accelerate cellular growth and tissue repair.   

Moreover, men with erectile dysfunction fail to get or sustain erections. This happens because of the lack of blood flow to the penile arteries. To become erect, the penile must receive more blood flow. Furthermore, some enzymatic actions lead to the narrowing and contraction of the blood vessels of the penile, which hinders blood flow.

However, the blood flow to the penile can be increased with shockwave therapy. This therapy can be as effective as drugs such as Sildenafil (Viagra), Tadalafil (Cialis), etc. It directs the blood to the penile arteries and helps restore the erection function.

How does shockwave therapy treat ED?

To get this therapy, you have to visit a healthcare provider who specializes in this treatment. The therapy will be conducted with the help of a wand-like device that will be placed on different areas of your penile. The device will be moved around the penile region for 15 to 20 minutes.  

The wand emits gentle pulses, which will draw more blood inside the penile blood vessels. At the same time, the process of tissue regeneration also happens inside the penile. The combination of these two processes will boost the flow of blood inside the blood vessels of the penile, restore the erection function, and help men get stronger erections.

Is shockwave therapy safe for ED?

For the vast majority, shockwave therapy is generally considered to be safe. It has not acquired approval from the Food and Drug Administration (FDA) for the treatment of erectile dysfunction, but still, various studies have revealed that this technique is harmless and does not cause significant side effects. In addition, it is a non-invasive type of therapy, which does not involve any surgical procedures, which makes it a preferable option.  

This treatment technique can be clubbed with some other treatment such as ED medications. Their combination can yield the desired results, as it can boost the action and effectiveness of ED medications, which relax the penile blood vessels by causing vasodilation and increase the blood supply to the penile.

Side effects of shockwave therapy

Since it is a type of non-invasion procedure, it is painless for most men. It is still a new type of ED treatment, which requires strong medical support and evidence. It might appear to be safe because of the claims of various researchers, but there needs to be more research done in this regard, which will be helpful in identifying the side effects, effectiveness, duration, and complications.   

According to the Medica News Today website, shockwave therapy can potentiate the risk of side effects, which include:

  • Bruises on the penile
  • Infection on penile skin
  • Painful erections
  • Blood in urine

Talk to your healthcare provider

If you have already tried various other methods of improving your erection difficulties but failed, then you may think about getting shockwave therapy. For that, you must talk to your healthcare provider and get to know about how the therapy is performed, its effectiveness, precautions, safety measures, dangers, side effects, cost of therapy, etc.   

The best thing about this therapy is its non-invasive treatment. Although it might not have been approved by the FDA despite various encouraging claims made by various researchers after many studies, this therapy has worked for many. However, that does make it completely safe though. The effects of this therapy may differ from one individual to another. Therefore, effectiveness and safety are not guaranteed when it comes to this therapy. 

Alternative methods for ED treatment

  • ED medications such as Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil, Avanafil, etc.
  • Vacuum devices or penile pumps.
  • ED rings.
  • Surgical implants.


Zoloft for ED

The reason for erectile dysfunction (ED) can be physiological or psychological. Those experiencing it because of psychological reasons such as chronic, stress, anxiety disorder, depression, etc. can make use of Zoloft drugs for alleviating their mental health disorders, which might be helpful in restoring the erection function. Zoloft might be effective in the treatment of psychogenic erectile dysfunction. However, there isn’t much evidence of whether Zoloft treats ED, and therefore, more clinical research is needed in this regard.          

About Zoloft   

In general, Zoloft drugs are antidepressants that are classified under the category of drugs called selective serotonin reuptake inhibitors (SSRIs). These drugs work by balancing the levels of a chemical messenger, known as serotonin, in the brain and nerves.

Healthcare providers prescribe these drugs for treating various disorders related to mental health, including – depression, social anxiety disorder (SAD), obsessive-compulsive disorder (OCD), premenstrual dysphoric disorder (PMDD), post-traumatic stress disorder (PTSD), etc.  

These drugs come in the form of capsules and liquid form for oral administration. They are available in three different doses – 25mg, 50mg, and 100mg. The doctor will prescribe the appropriate dose as per the need.

Also, it is necessary to inform them in case you are thinking of stopping the usage of these drugs. If you stop taking these medications abruptly, it can worsen the symptoms of your mental health issues.

What is ED?

Erectile dysfunction (ED) is a sexual disorder in men, which makes it difficult for them to get or sustain their erections. This difficulty can be attributed to physical or psychological factors, which play an equal part in triggering a sexual response. The primary cause of erectile dysfunction is the lack of blood supply to the penile arteries.

Physiologically, any underlying health condition, trauma, injury, prostate enlargement, or surgery can give rise to such difficulties. Chronic stress, anxiety disorders, clinical depression, obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD), can affect the sexual response by interfering with the arousal process. These psychogenic factors can impact your sex drive or libido by causing chemical imbalances in the body.

Can Zoloft improve the symptoms of ED?

There are mixed results and a lack of enough evidence on Zoloft’s effects in improving ED. Some studies revealed that Zoloft may boost sexual desire, which might treat erection difficulties, while others claim that Zoloft can give rise to erectile dysfunction and premature ejaculation

Zoloft is an antidepressant drug that works by increasing the serotonin levels. According to the Cleveland Clinic website, Serotonin is a neurotransmitter chemical, that is responsible for carrying the signals or messages between the brain and nerve cells, and throughout the body. Serotine regulates the various functions in the body, which include – sleep, mood, digestion, wound healing, nausea, blood clotting, bone health, and sexual desire.  

Zoloft boosts the levels of serotonin and might be helpful in improving male sexual desire. Naturally, when desire happens, arousal follows. Arousal causes sexual excitement, which in turn triggers physiological changes in the body. The neurotransmitter chemical signals to the nerves of the penile of the arousal.

In response to that, the penile arteries dilate and expand to allow more blood to enter inside the penile. As the penile engorges in blood, the arteries trap the blood under high pressure to maintain an erect penile. However, one cannot conclude that Zoloft induces an erection response.     

Does Zoloft cause ED?  

The effects of Zoloft might lead to erectile dysfunction. Erectile dysfunction and premature ejaculation are the well-known sexual side effects of Zoloft drugs. According to the Healthline website, these antidepressant drugs boost the levels of the serotonin hormone, which can give rise to sexual problems.

The effects of Zoloft can make the sexual organs insensitive, decrease your sexual desire, affect arousal, and suppress the release of a chemical known as nitric oxide, in the penile arteries. Nitric oxide is an essential chemical that is needed for the relaxation and dilation of the penile arteries to allow more blood inside. But its suppression prevents blood flow inside the penile. Lack of blood flow to the penile leads to erection problems.   

Talk to your healthcare provider

If you are already using Zoloft medications for alleviating any mental health issue and have developed erectile dysfunction, then you must talk to your healthcare provider. They might either reduce your dose or prescribe some other antidepressant drug that will cause impotence issues and effectively work for relieving your mental health issues. 

What is tadalafil used for

Tadalafil drugs are primarily used by men for treating the symptoms of erectile dysfunction (ED) or impotence issues and benign prostatic hyperplasia (BPH). Besides, these are also prescribed for the treatment of a condition known as pulmonary arterial hypertension (PAH).

Tadalafil drugs come in the form of pills or tablets for oral administration. These pills are available as generic drugs and branded drugs. Brand drug drugs are usually sold by prescription, while generic drugs do not require any prescription to make the purchase. These are sold under the brand names – Cialis and Adcirca.  

About tadalafil

Tadalafil is a vasodilator drug that belongs to the class of phosphodiesterase type 5 (PDE5) inhibitors. Being a PDE5 inhibitor, tadalafil stops the action of some PDE5 enzymes from clogging the passages of the blood vessels. These PDE5 enzymes are present in the inner linings of the blood vessels. They suppress the release of a chemical known as nitric oxide, in the walls of the blood vessels.

Nitric oxide is an essential chemical, which maintains the healthy function of the blood vessels. It keeps them relaxed and wide, which allows efficient blood circulation. PDE5 affects blood circulation by suppressing nitric oxide release. However, tadalafil effectively inhibits the PDE5 action and relaxes the blood vessels to allow proper blood flow through them.  

Tadalafil for erectile dysfunction

Erectile dysfunction stems from the lack of blood flow to the penile. The blood flow is hindered because of the formation of clogs in the passages of the blood vessels, which block the blood flow inside. These blockages are a result of the hyperactivity of PDE5 enzymes, which deprives the blood vessel walls of adequate nitric oxide to maintain their optimal health. This leads to the narrowing and hardening of the penile blood vessels.

Tadalafil stops the action of PDE5 enzymes and triggers the release of nitric oxide in the inner walls of the penile blood vessels. Nitric oxide relaxes the blood vessels and dilates the narrowed and hardened blood vessels to allow more blood to inside the penile. As the penile engorges with blood, it makes it easier for men to get and sustain stronger erections.  

Tadalafil for benign prostatic hyperplasia

The effects of tadalafil alleviate the symptoms of benign prostatic hyperplasia, which is a condition in men that causes their prostate gland to become enlarged. Prostate enlargement gives rise to many symptoms such as urination difficulties, frequent urge to pass urine, trouble while starting the urine, inability to empty the bladder completely, etc. Tadalafil relieves these symptoms to a great extent.

Tadalafil for pulmonary arterial hypertension

The healthcare provider prescribes tadalafil for use in males, females, and even children. The doses may vary depending on age. In individuals dealing with pulmonary hypertension, the condition causes a dangerous rise in the blood pressure in the arteries of the lungs. They develop symptoms such as chest pain, fatigue, shortness of breath, edema, cough, heart palpitations, dizziness, fainting, etc.

Tadalafil expands and relaxes the arteries of the lungs by overcoming their narrowness. It causes the dilation of the arteries, which opens their passages and allows more blood to flow inside the lungs. This increases blood flow due to vasodilation, which decreases the pressure with which the blood is flowing inside the arteries. As the blood pressure drops, the symptoms get relieved.

Side effects of tadalafil

Common side effects:

  • Headache and nausea
  • Stuffy nose
  • Flushing in the face, neck, and chest
  • Upset stomach
  • Muscle aches and back pain
  • Pain in arms and legs

These are common symptoms that can be of mild intensity. They disappear on their own after some time. 

Uncommon and rare side effects:  

  • Priapism or prolonged and painful erections that remain for more than 4 hours
  • Vision impairment
  • Sudden loss of vision in one or both eyes
  • Hearing loss in one or both ears
  • Chest pain
  • Tinnitus or ringing in the ears

These are rare symptoms. But in case any of these symptoms arise, one must immediately see their healthcare provider and seek medical attention.  

Warnings and Precautions

  • Combining the use of alcohol or grapefruit beverages with tadalafil drugs can potentiate the risk of adverse effects post-interactions.   
  • The effect of tadalafil might affect your alertness by causing dizziness and blurry vision. So, avoid some intense activities like sports, strength training, machine operating, driving, etc.  



Depression and erectile dysfunction

According to the National Institutes of Health, individuals suffering from a mental health disorder such as depression are highly likely to experience erectile dysfunction (ED). The erection function is a combination of both physiological as well as psychological responses. If one of these is not in good order, then the individual develops difficulties with their erection function.

What is depression?

Depression, according to the American Psychiatric Association, is a serious mental illness that has a negative impact on the way you generally feel, think, or act. It is a common problem that is treatable. It can trigger feelings of sadness, and grief and make someone lose interest in some activities that they once used to get excited about. It can have a major impact on all areas of one’s life.  

How does depression affect sex life?

Individuals having depression struggle because of low self-esteem, low confidence, lack of social life, feelings of hopelessness, and fatigue. This fatigue can make them physically weak and impact their sex drive or libido. Depressing thoughts and emotions can interfere with arousal and the individual may fail to attain erections or get orgasms.

Arousal happens when the mind and body are involved. It is a function of brain chemicals or neurotransmitters. However, due to depression, the individual may not feel excitement because of the imbalances in the neurotransmitter chemicals, which makes it difficult for them to engage in sexual interaction. This affects their sex life big time.

The inability to perform well in the bedroom can in turn give rise to stress, anxiety, and frustration, which can exacerbate erectile dysfunction. Therefore, to improve their erection function, such individuals must get the appropriate treatment for depression symptoms. The treatment can be a combination of medical prescriptions and positive lifestyle habits. 

How does depression cause erectile dysfunction?

The type of erectile dysfunction caused by depression or any other mental illness is termed psychogenic erectile dysfunction. Erection occurs when the brain senses sexual arousal and signals it to the nerves in the penile to respond to the arousal. The signal will be carried by the neurotransmitter chemicals, which conduct expansion and dilation of the penile arteries to increase the flow of blood inside the penile.

As more blood is allowed inside the penile, it gets trapped under high pressure inside, which makes the penile erect. But, in individuals with depression, the neurotransmitter chemicals get completely out of balance, which affects arousal. Lack of arousal fails to trigger the physiological response, and thus such individuals experience impotence issues.

Ways in which depression interferes with erection function

Biology plays a pivotal role here. When your mind senses arousal, your body responds. Depression can trigger various factors or symptoms that contribute to psychogenic erectile dysfunction. Depression symptoms include:

  • Lack of energy and stamina
  • Sudden mood changes
  • Inability to feel pleasure
  • Lack of interest in sex and other activities
  • Low self-esteem

How to treat depression and erectile dysfunction?

Erectile dysfunction induced by depression can be treated by treating depression. Depression can be managed with the help of prescription antidepressant medications. Your healthcare provider will prescribe antidepressants to overcome the symptoms of depression. As your condition improves and you successfully overcome depression, your ability to become sexually aroused will be restored.  

Moreover, erectile dysfunction can be a side effect of certain types of antidepressants. Therefore, before using any antidepressant you must inform your healthcare provider about your sexual difficulties. They will prescribe you the type of antidepressant that does not lead to erectile dysfunction.

Besides, you can manage your depression without any antidepressants. This can be achieved by adopting some positive lifestyle changes such as physical activities or regular exercising, meditation or deep breathing mindful exercises, performing yoga, no alcohol, and no smoking. Apart from that, one can also opt for acupuncture and psychotherapy, which will speed up the recovery from depression.

Tips to prevent the worsening of erectile dysfunction during depression

  • Exercising daily helps you stay fit and healthy. Your mind becomes refreshed when you move and sweat. Engaging yourself in physical activity alleviates depressive thoughts and boosts the blood flow to your reproductive organs, which ensures optimal health.
  • Give up smoking and alcohol and stop drug abuse. This can worsen the symptoms of erectile dysfunction.   
  • Open up and talk to your friend or someone you trust. This will provide an outlet for detrimental thoughts and feelings.
  • Ask your healthcare provider to prescribe you antidepressants that have minimal side effects regarding sexual function.   


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