What Should I Do If I Forget A Dose
If you are taking sildenafil for erectile dysfunction, you are unlikely to miss a dose since this medication is taken as needed, not on a regular dosing schedule.
If you are taking sildenafil for PAH, take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
Worried About Your Medication Dont Hesitate To Ask
If you and your partner are thinking about becoming parents or your partner is already pregnant, let your health care provider know so you can discuss potential fertility obstacles related to your condition or medication and how to mitigate them whether that means putting a medication on hold, changing to a new one, or undergoing fertility preservation procedures.
As with anything related to your health, you should always feel comfortable to ask questions about any prescribed or over-the-counter medication. We want to do everything we can to keep you healthy while also helping you achieve your family goals.
To talk with a doctor about how medications may affect a current or future pregnancy, call orrequest an appointment online.
Continue Learning About Erectile Dysfunction
Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.
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How Should This Medicine Be Used
Sildenafil comes as a tablet and suspension to take by mouth.
If you are taking sildenafil to treat erectile dysfunction, follow your doctor’s directions and the guidelines in this paragraph. Take sildenafil as needed before sexual activity. The best time to take sildenafil is about 1 hour before sexual activity, but you can take the medication any time from 4 hours to 30 minutes before sexual activity. Sildenafil usually should not be taken more than once every 24 hours. If you have certain health conditions or are taking certain medications, your doctor may tell you to take sildenafil less often. You can take sildenafil with or without food. However, if you take sildenafil with a high-fat meal, it will take longer for the medication to start to work.
If you are taking sildenafil to treat PAH, follow your doctor’s directions and the guidelines in this paragraph. You will probably take sildenafil three times a day with or without food. Take sildenafil at around the same times every day, and space your doses about 4 to 6 hours apart.
Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take sildenafil exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Ask your pharmacist or doctor for a copy of the manufacturer’s information for the patient.
What Should I Know About Storage And Disposal Of This Medication
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store the tablets at room temperature and away from excess heat and moisture . Store the suspension at room temperature or in a refrigerator, but do not freeze it. Dispose of any unused suspension after 60 days.
It is important to keep all medication out of sight and reach of children as many containers are not child-resistant and young children can open them easily. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location â one that is up and away and out of their sight and reach.
Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. However, you should not flush this medication down the toilet. Instead, the best way to dispose of your medication is through a medicine take-back program. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. See the FDA’s Safe Disposal of Medicines website for more information if you do not have access to a take-back program.
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Does Trt Make You Infertile
Testosterone replacement therapy is often used in males who experience low testosterone . To know for sure that you have low T, you would need to be evaluated by a doctor and get your blood testosterone levels tested. Still, people with low T may have some typical symptoms, such as :
- Erectile dysfunction
- Low mood or depression
When it comes to testosterone treatment, there are a few choices available, including testosterone injections, patches, gels, and implants. Healthcare providers prescribe these treatments often, and the number of men using testosterone therapy has increased significantly in the past few years. Yet sometimes, men are not aware of how testosterone affects fertility.
The truth is that TRT can impact sperm production and decrease sperm count. In fact, testosterone supplementation can have such profound effects on male fertility that it has been considered a form of birth control . This is because synthetic testosterone can decrease a hormone called follicle stimulating hormone , which is responsible for orchestrating sperm production in the body .
Its common to be confused about how TRT affects fertility. Many people think adding more testosterone to the body will increase sperm production. After all, testosterone is the primary male hormone, and supplementing with testosterone can boost sex drive and enhance erectile functioning. But this isnt accurate.
Can I Get My Partner Pregnant If I Have Erectile Dysfunction
Most of the time, men with erectile dysfunction aren’t able to have sex and therefore cannot get their partners pregnant. However, if you’re able to maintain an erection long enough to have sexual intercourse, you may still be able to get your partner pregnant. Erectile dysfunction isn’t necessarily related to problems with your reproductive system. That means that if you’re able to have sex even once, you may still get a woman pregnant.
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I am going to send you my support pack Solving Erection Problems, which has some useful tips for your husband.
Sometimes, if a couple avoids sex for a while, this sort of problem resolves itself.
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Drugs That Could Reduce Male Fertility
Very few drugs are known to affect male fertility permanently. The most common are cytotoxic drugs, which are used in chemotherapy and to treat certain rheumatoid disorders, such as lupus, vasculitis, and severe rheumatoid arthritis.
Before you start taking cytotoxic medication, discuss with your doctor fertility preservation options such as sperm banking.
There are some medications that can cause low sperm counts or reduce sperm motility. Some of the more common of these include:
- 5-alpha-reductase inhibitors such as Propecia and Avodart to treat prostate enlargement and hair loss
- Alpha blockers used to treat urinary symptoms caused by an enlarged prostate
- Antidepressants, specifically selective serotonin reuptake inhibitors
- Anti-epilepsy drugs
- Antiretrovirals
Fertility problems associated with these drugs often go away after you stop taking them, although it can take several months to a year for sperm production to return to normal.
If youre having trouble conceiving while taking a medication with a known negative effect on fertility, talk with your doctor about whether its safe to stop taking it for several months. Then get a sperm analysis to determine whether the issue is the drug or a pre-existing fertility factor.
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What Other Information Should I Know
Keep all appointments with your doctor.
Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription.
It is important for you to keep a written list of all of the prescription and nonprescription medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.
What Does Erectile Dysfunction Look Like
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How To Increase Testosterone Without Affecting Fertility
If your partner has low testosterone, but you want to start a family, there are many options available to you. How you tackle this issue will depend on your partners health status, so its best to consult with a healthcare provider to address this issue.
Men currently using TRT to increase testosterone will likely need to stop taking testosterone to restore their fertility. Your healthcare provider will guide you on the best way to wean off it. Studies have found that most men who stop taking TRT will have normal sperm analyses within 69 months of stopping TRT treatment. In rare cases, it may take up to two years for sperm counts to get back to baseline levels .
How A Fathers Medication May Impact A Developing Baby
Even if your medication does not affect your fertility, you may still be concerned it could harm your baby before or after conception. The good news is that outcome is quite rare.
A 2013 study of 340,000 pregnancies found no increase in adverse pregnancy outcomes among fathers who were prescribed a medication known to be harmful to babies when taken by a pregnant woman. In the late 1950s and early 1960s, thalidomide was prescribed to pregnant women to relieve nausea. Tragically, it resulted in severe birth defects in thousands of children.
Some cytotoxic drugs also can damage DNA in sperm cells, which can result in pregnancy loss, preterm birth, or an increased risk of birth defects. Again, in these cases your doctor may recommend you avoid the drug for three months before trying to conceive.
Why three months? Because sperm formation takes about 74 days and another 12 to 21 days to make it to the ejaculatory ducts.
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Subjects And Study Design
Healthy male volunteers were eligible for entry into this study if they were between the ages of 18 and 45 years, weighed between 60 and 100 kg, and had a body mass index of 1825 kg m2. Exclusion criteria were as follows: azoospermia or extreme oligospermia, asthenospermia, or teratospermia or any combination of these at baseline clinically significant disease allergy abnormality in prestudy laboratory data and physical examination use of any medication except paracetamol in the 3 weeks before the study use of any experimental drug in the 4 months before the study alcohol consumption of more than 28 units per week drug abuse and use of more than 10 cigarettes per day. Written informed consent was obtained from each subject before study entry, and the study protocol was reviewed and approved by the Regional Committee for Medical Research Ethics, Oslo, Norway.
This double-blind, randomized, four-period, two-way crossover study compared 100-mg doses of sildenafil with placebo, each administered as single oral doses for two periods separated by a washout period of at least 57 days. The repeat administration of both sildenafil and placebo was performed to correct for the inherent intrasubject variability in sperm motility and morphology measures.
Does Testosterone Increase Sex Drive The Relationship Explained
Although some men will be comfortable staying off of their testosterone therapy until their partner is pregnant, others will want alternative options for increasing testosterone levels in the meantime.
Thankfully, there are some alternatives to TRT therapy for people with low testosterone that dont impact sperm count. These include :
- Enclomiphene citrate
Therapies like enclomiphene citrate dont have FDA approval for use in increasing testosterone, so your healthcare provider may have to prescribe it off-label . HCG therapy is another way to support testosterone production without affecting sperm count side effects. Its an appropriate therapy for people specifically experiencing secondary hypogonadism .
If stopping TRT or trying an alternative doesnt feel viable, you might want to talk to your healthcare provider about changing dosages or methods of delivery. According to ASRM, testosterone injections and implants might be more likely to impact fertility than testosterone gel .
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Sildenafil May Cause Side Effects Tell Your Doctor If Any Of These Symptoms Are Severe Or Do Not Go Away:
- erection that is painful or lasts longer than 4 hours
- itching or burning during urination
Some patients experienced a sudden loss of some or all of their vision after they took sildenafil or other medications that are similar to sildenafil. The vision loss was permanent in some cases. It is not known if the vision loss was caused by the medication. If you experience a sudden loss of vision while you are taking sildenafil, call your doctor immediately. Do not take any more doses of sildenafil or similar medications such as tadalafil or vardenafil until you talk to your doctor.
There have been reports of heart attack, stroke, irregular heartbeat, bleeding in the brain or lungs, high blood pressure, and sudden death in men who took sildenafil for erectile dysfunction. Most, but not all, of these people had heart problems before taking sildenafil. It is not known whether these events were caused by sildenafil, sexual activity, heart disease, or a combination of these and other causes.Talk to your doctor about the risks of taking sildenafil.
Sildenafil may cause other side effects. Call your doctor if you have any unusual problems while you are taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .
How Can I Get Pregnant In 2 Days
If you had sex on Monday and ovulate on Thursday, conception could still occur days after you had sexual intercourse. While youre more likely to get pregnant if you have sex two to three days before ovulation, you can get pregnant from sex that occurs up to six days before an egg is released from the ovary.
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Changes In Urinary Frequency Or Volume
You may notice use of the bathroom more frequently. The urine stream may be less powerful, and it may take longer than usual to empty the bladder. Looking for a restroom very often during a two-hour trip? This may be a sign of an enlarging prostate treatable with medication.
All of these observations can be important warning signs of prostate issues, which may become more common with increasing age. Prostate enlargement is observed in many men over time and can be effectively treated by a variety of approaches, says Michael Leapman, MD, a Yale Medicine urologist who practices at Yale Cancer Center at Smilow Cancer Hospital.
There are two kinds of prostate issues that can occur and should be checked for:
Enlarged prostate: An enlarged or swollen prostate, also called benign prostatic hyperplasia , is a very common condition. It affects half of men by age 50 and 90 percent by age 80. The prostate is involved in both urinary and sexual function, and while not life-threatening, BPH can significantly impact quality of life. In addition to causing both sexual and bathroom issues, the problem can occasionally be uncomfortable for those who have it, especially when seated because of the prostates location .
Other BPH treatments your doctor may consider include:
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Im 29 and my partner is 38. Weve been together for five years and trying for a baby for around eight months.
After six months of no success, we both had some tests done and thankfully everything seemed fine. So we carried on trying.
But now my husband has started to have some trouble getting an erection.
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