What should you do when Viagra doesn’t work?

If sildenafil (Viagra) is not effective for erectile dysfunction (ED), the cause may be dosing, timing, underlying medical conditions, or psychological factors. In this episode, we explain why PDE5 inhibitors sometimes fail and how ED is assessed in Europe.

In this episode, we cover:

• How Viagra works (PDE5 inhibition increasing penile blood flow)

• Correct timing and dosing considerations

• The impact of heavy meals and alcohol

• Performance anxiety and psychological factors

• When testosterone deficiency may contribute

• Cardiovascular disease and diabetes as underlying causes

• Alternative medications (tadalafil, vardenafil, avanafil)

• When combination or specialist therapy may be considered

• Situations where prescription requests may be declined

Doctors assess cardiovascular risk, blood pressure, diabetes status, testosterone levels (if indicated), medication interactions (e.g., nitrates), mental health factors, and lifestyle contributors before adjusting treatment. Erectile dysfunction can be an early sign of vascular disease. Chest pain, severe hypotension, or prolonged erection (priapism) require urgent medical evaluation.

This episode reflects how men’s sexual health is reviewed within structured medical assessment in European telemedicine at Mobi Doctor.

Read the full medical guide here:

https://www.mobidoctor.eu/blog/what-to-do-when-viagra-doesnt-work