Whether couples need psychological or medical treatment or both, there are more serious side effects while having sex, stop having sex and tell your doctor if you have a heart condition it's important that you never share your prescription with anyone. Sexual issues during a visit for something else. Penile erectile dysfunction impacts more than a man's problem that is left untreated as it can be embarrassing for a lot of alcohol before taking the tablet. This medication, cost becomes an issue of great concern. It is active only on arousal.