May 15,2018
Sildenafil Self‑Check Questionnaire: When to Seek Medical Advice
Sildenafil
Important disclaimer: This self‑check questionnaire is for educational purposes only. It does not diagnose any condition or replace professional medical advice. If you are unsure about your symptoms, medications, or safety, please consult a qualified healthcare professional.
Questionnaire
Use the checklist below to reflect on your symptoms, duration, possible triggers, and safety considerations related to sildenafil use. Answer honestly and note anything that stands out.
- Have you experienced difficulty achieving or maintaining an erection for several weeks or longer?
- Do erection difficulties occur consistently, or only in specific situations (e.g., stress, fatigue)?
- Have you noticed reduced sexual desire or arousal alongside erection problems?
- Did symptoms begin gradually, or did they start suddenly?
- Are you currently taking any medications for heart conditions, blood pressure, or chest pain?
- Have you ever been advised to avoid physical exertion during sexual activity?
- Do you experience chest pain, dizziness, or shortness of breath with mild exertion?
- Have you been diagnosed with diabetes, high blood pressure, or high cholesterol?
- Do you smoke, vape, or use nicotine products regularly?
- How often do you consume alcohol, and in what amounts?
- Have you noticed headaches, flushing, nasal congestion, or visual changes after using medications for erections?
- Have you ever had a prolonged erection lasting more than 4 hours?
- Do you have a history of eye conditions affecting vision or sudden vision loss?
- Have you had recent surgery or trauma involving the pelvis or spine?
- Do stress, anxiety, or relationship concerns seem to worsen symptoms?
- Have lifestyle changes (sleep, exercise, weight) affected your symptoms?
How to interpret answers
Your answers can help you decide how urgently to seek professional guidance. They do not confirm any diagnosis.
- Low reason to seek help: Occasional symptoms tied to temporary factors (stress, fatigue), no safety red flags, and symptoms improve with rest or lifestyle changes.
- Medium reason to seek help: Symptoms persist for weeks, affect quality of life, or you have chronic conditions (e.g., diabetes, hypertension) that may influence sexual health.
- High reason to seek help: Red flags such as chest pain with exertion, use of nitrates, severe side effects, vision changes, or prolonged erections. Seek medical advice promptly.
Next steps: what to do
- Track symptoms: Note frequency, severity, and any triggers in a journal.
- List medications: Include prescriptions, over‑the‑counter drugs, and supplements.
- Review lifestyle factors: Sleep, stress, alcohol, exercise, and smoking habits.
- Choose the right specialist: Start with a primary care clinician; they may refer you to a urologist or cardiologist if needed.
- Prepare questions: Ask about safety, interactions, dosing ranges, and alternatives.
- Follow guidance: Use medications only as prescribed; avoid sharing or mixing without advice.
- Reassess regularly: Revisit symptoms and side effects after any change.
| Situation | Urgency | Action |
|---|---|---|
| Occasional erection difficulty with stress | Low | Monitor, address lifestyle factors |
| Persistent symptoms for >4–6 weeks | Medium | Schedule a routine medical visit |
| Use of nitrates or chest pain with exertion | High | Seek medical advice before any use |
| Severe side effects or vision changes | High | Stop use and seek urgent care |
FAQ
- What is sildenafil generally used for? It is commonly prescribed to help improve blood flow related to erectile difficulties and is also used for specific cardiovascular indications under medical supervision.
- How quickly does it work? Onset varies; many people notice effects within an hour, but timing differs individually.
- Can food or alcohol affect it? Heavy meals and alcohol may delay or reduce effectiveness.
- Is it safe with heart conditions? Safety depends on the condition and medications; medical advice is essential.
- What side effects should I watch for? Headache, flushing, nasal congestion, and visual changes are reported; severe effects need prompt care.
- Can I take it daily? Dosing schedules vary; follow a clinician’s guidance.
- Are there alternatives? Lifestyle changes, counseling, and other therapies may be considered based on individual needs.
- Does it cure the underlying problem? It helps manage symptoms but does not address all underlying causes.
Explore related health guides on our site:
Sources
- U.S. Food & Drug Administration (FDA): Drug Safety Communications
- European Medicines Agency (EMA): Sildenafil product information
- Mayo Clinic: Erectile dysfunction overview
- National Health Service (NHS): Sildenafil guidance

