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Can aneurysm patients take Viagra for erectile dysfunction?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 54-year-old male with complex medical histories, including a current splenic artery aneurysm, an occluded right vertebral artery, historical major spinal cord trauma from intradural schwannomas (removed twice), and multiple liver hemangiomas. I have had occasional erectile dysfunction. My testosterone level is low, and I am on TRT. Is it safe for me to use Viagra or similar drugs for ED? Please help.

Thank you.

Answered by Dr. Nidhi Jain

Hi,

Welcome to icliniq.com.

According to me, it is better to avoid Viagra as it is a vasodilator. But the final decision should be made after consulting your cardiologist. First, rule out the psychogenic causes of erectile dysfunction. Because there is no need to take Viagra (Sildenafil) if it is a psychosexual disorder. Viagra is needed only when the problem is organic.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Definitely, an element of psychogenic anxiety exists, but it is a very random occurrence. It indicates a mix of physical and psychological triggers, so I am hoping to remove some of the doubt to boost confidence. I am well aware of the processes involved and have also followed the recommended practices for anxiety reduction.

But the issue can still occur when feeling quite at ease. I am only getting a partial response, which is not sufficient. I am just worried about the vascular effects of Viagra on the aneurysm, and it was recommended by my endocrinologist. Do I need to consult a vascular surgeon?

Thank you.

Answered by Dr. Nidhi Jain

Hi,

Welcome back to icliniq.com.

  • For your psychological factor of ED (erectile dysfunction), I suggest tablet Clonazepam 0.5 mg one tablet half an hour before sexual intercourse.
  • It will keep you relaxed, and the chances of a better erection are higher. Consult your specialist doctor, discuss with him or her, and take the medicine with consent.
  • Viagra is a good drug, but it has lots of side effects, mainly vascular side effects. You are already having vascular problems. So, take it only after consulting your vascular surgeon.

I hope this helps.

Kindly revert in case of further queries.

Thank you.

Answered byDr. Nidhi Jain

Medically reviewed byiCliniq medical review team

Published At July 17, 2016
Reviewed AtDecember 2, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nidhi Jain
Dr. Nidhi Jain

Psychiatry

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