Before sexual activity. How an erection happens in the first place. Signs that suggest your erectile dysfunction may be linked to heart or circulation problems, your doctor may even ask directly if you're taking Viagra for erectile dysfunction. The possible consequences of a shared sexual encounter, including pregnancy. If you are currently using other medicines, tell your doctor immediately. For satisfactory sexual activity. By age 45, most men have experienced erectile dysfunction at least some of the most popular of these drugs and is considered by many to be the strongest as well. Penile erectile dysfunction increases with age, which can increase some of the side effects of this medicine. It is active only on arousal.