Dear Dr. Roach: Timing and food can be important in effectiveness of Viagra – Herald & Review

Still, oftentimes the problem with Viagra working intermittently is that it is affected by food, which many men don't appreciate fully. Food slows down absorption of the medication, making the optimal time of administration more difficult to determine. I have often repeated the advice I heard from a urologist: "Take Viagra at 6, have dinner at 7, and you are good until midnight." Viagra does become progressively less effective in some men, requiring higher doses to have the same results. Or, your husband could switch to one of the other Viagra-like drugs, which have greater flexibility with timing and food. They work better for some men.

Dear Dr. Roach: I am a 69-year-old male in good health except for a low testosterone count of 109 on a recent test. I am wondering about the benefits and risks of therapy. I have read that injection can lead to very high and then very low counts, but the patch can be potentially dangerous to my spouse. Can you clarify these issues for me?

A: Testosterone is an important hormone for men and women, although men have much higher levels. It has many critical functions. This includes promoting bone and muscle strength, and generally favorable effects on blood cholesterol types and levels. Plus, it is necessary for healthy sexual function.

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Dear Dr. Roach: Timing and food can be important in effectiveness of Viagra - Herald & Review