Q: I am a 48 years old man who had used spray like Climax, Onlyme 10-15 minutes before intercourse, on the top of my penis for preventing pre-mature ejaculation and twist a normal rubber band 2-3 times over the base of my penis for getting harder erection. My wife seems to be satisfied with this method and when I do intercourse without spray and rubber band she doesn't feel satisfied. Please let me know whether this method is safe or not? If I do not use spray then I am unable to have intercourse and ejaculate very early. For the last six months, I am not able to get easy erection even after adopting the above method, so I recently started taking local version of oral viagra tablets. Are these tablets safe for longer period?

A:Local sprays usually contain local anesthetics that reduce hypersensitivity. They also exert a strong placebo (psychological) effect. However, you must use approved brands made by reputed companies with the ingredients list printed on the canister, or these can be dangerous. The rubber band method is crude and can cause complications. It is better to use FDA-approved type penile tension rings. Generic brands of Viagra made by reputed pharmaceutical companies ought to be quite safe. If none of these works, you will finally at least acquiesce to an andrology consultation, I expect!