It has a decrease in blood flow to the pelvic region. In the case of the male, it's not enough blood to the penis, and in the case of the female, it's not enough blood to the clitoris or vagina. So, all the drugs we are using for male dysfunction can be used for female sexual problems, especially if the problems are related to lubrication difficulties or arousal problems. But most of these drugs are not good for women who have orgasmic problems or desire problems, like most of you working women. One, there is more to impotence, or sexual dysfunction, than just treatment.
Impotence is a symptom of another problem.
Most people who have a physical cause for their impotence have a disease entity that is causing the impotence, so you have patients out there with undiagnosed diabetes, vascular problems and heart disease whose first sign of a problem is impotence. In fact, one-third of all patients who present as impotence as their primary symptom of a blood vessel problem will end up with a serious complication within three years, either a heart attack or a stroke. Two, even though we all recognize that Viagra is an extremely safe drug, contrary to what the media says, when given to patients on nitroglycerin or nitrates the combination can cause sudden death. There are approximately 125 drugs that contain nitrate, and many times patients don't even realize they are on a nitrate-containing drug. It takes a qualified physician to recognize this fact and ensure that his patient does not take the Viagra along with his nitrate-containing drug.