Sildenafil (generic Viagra) should only be used with a cardiologist's approval following CABG surgery if your blood pressure is typically low. This is especially important if you take nitrates or have dizziness, as sildenafil can further drop blood pressure. The precise dosage and safety depend on your cardiac medications and blood pressure profile. If permitted, it is usually taken at the lowest dose and no more than once every 24 hours.

An erect size of around 4.8 inches is within the normal range, and in most cases, size alone is not the main reason for dissatisfaction. There is no safe or proven medicine that can permanently increase penis size; many products advertised for this are ineffective or harmful. Instead, focusing on better communication with your partner, improving foreplay, and trying different positions can greatly improve satisfaction. If there are concerns about erection quality or performance, a doctor can guide appropriate treatment, but for size itself, counselling and sexual health guidance are usually more helpful than medication.

Feeling shy with low energy and occasional erections can be due to stress, anxiety, hormonal changes, or lack of confidence. Persistent or frequent erections without sexual stimulation are uncommon, so if this is happening regularly or is uncomfortable, it is best to consult a doctor. Medicines like Viagra are meant for erectile dysfunction and do not increase sexual desire or mood, so they should not be used in this situation. Focusing on good sleep, regular exercise, stress management, and a healthy lifestyle can help improve energy and overall well-being. If symptoms persist, a doctor can evaluate for hormonal or psychological causes and guide proper treatment.

You may be experiencing premature ejaculation due to performance anxiety, which is a common and treatable condition. Practising relaxation techniques, focusing on longer foreplay, and trying behavioural methods such as the start-stop or squeeze technique, as well as pelvic floor exercises, may help improve control. If the problem continues, please consult your doctor for proper evaluation and treatment.

It is completely normal to feel concerned or anxious about your size before your first sexual experience. Penis size varies widely, and what matters most is confidence, comfort, communication, and mutual understanding with your partner. Please consult your doctor or urologist before starting Viagra. The doctor will determine the appropriate dose based on your condition.

Yes, many people with high blood pressure can take Viagra safely, but there are a few things to keep in mind. It's usually OK if your blood pressure is well controlled (with or without medication), you are not taking nitrate medications (like nitroglycerin) for chest pain, or you are not on alpha-blockers unless closely monitored, as this combination can lower BP too much. Be careful if your blood pressure is very high or not well managed, if you are taking nitrates, or if you have had a heart attack, stroke, or serious heart condition recently.