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Get generic for Viagra shipped right to your door
Many men wrongly believe that erectile dysfunction medications like Viagra®, Cialis®, or Levitra® can cause erections without sexual stimulation. And some men even mistakenly think that these drugs can make your penis bigger.
But does Viagra keep you hard after coming, or is that a myth, too?
Believing drugs like Viagra can keep you hard after ejaculation isn’t an unfair assumption, especially when the U.S. Food and Drug Administration (FDA) warns of four-hour erections. Between the urban legends and the horror stories, it’s no wonder that a guy who’s not already taking “the little blue pill” might misunderstand what it does and doesn’t do.
Let’s clear up a few of these misconceptions. Below, we’ll explain why Viagra is an effective treatment for ED, why it’s difficult to get hard again after coming, and whether a dose of Viagra can speed up the process.
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Viagra (the brand-name version of sildenafil citrate) and other oral ED treatment medications are called phosphodiesterase type 5 (PDE5) inhibitors. They are designed to treat erectile dysfunction by keeping you harder for longer, and they’re effective at doing so.
Viagra and other PDE5 inhibitors work by blocking an enzyme called PDE5 that’s produced in your tissues. This blockage allows your blood vessels to relax and widen, which increases blood flow to your penis.
In fact, Viagra was first created as a treatment for chest pain and hypertension, but researchers soon found that the active ingredient in this blood pressure medication increases blood flow to the penis, too.
By continuing to increase blood flow to the penis, Viagra gives you a window of several hours in which you can get hard with sexual stimulation.
But let’s not forget: it’s not a cure-all for good sex. It can’t cure performance anxiety (though it can help), and it can’t increase your sex drive.
Before we answer your pressing question, though, we need to explain just one more thing.
All good things must come to an end.
Every male orgasm is immediately followed by something called the refractory period — a sort of reset/reboot phase after sexual intercourse. During the refractory period, your penis could still be harder than usual but — generally — you are not responsive to sexual stimuli, and it is impossible to orgasm again.
Some guys get minutes (which can feel like hours), and some get hours — which can feel like days. Every guy is different, and honestly, experts don’t really understand the specific functions of the refractory period.
What we do know is that this period may get longer as you age. The nearly nonexistent teen refractory phase becomes longer sometime in your 20s, and your reboot gets longer as time passes.
Okay, we’re ready to answer the big question on your mind: does Viagra work to help you skip the refractory period entirely? No, it doesn’t. Can it shorten the refractory period? Maybe.
If you were thinking about using your Viagra (or even someone else’s prescription medication or a non-prescription “sexual enhancement” supplement) to go all night, we’ve got some advice for you: reconsider.
First of all, it’s not safe to take a drug that isn’t prescribed to you, and those over-the-counter enhancement supplements may do more harm than good.
Second, although experts have conflicting ideas about what the refractory period is, why it exists, and how long it lasts, most agree it doesn’t go away entirely.
That said, some evidence suggests sildenafil may reduce the refractory period.
An eight-week study of men between the ages of 18 and 65 who had premature ejaculation (PE) found that those who took sildenafil saw a decrease in their refractory time.
An older study of 20 men also found that sildenafil reduced the refractory period in all subjects. Men who took sildenafil had a refractory period that lasted just 2.6 ± 0.7 minutes compared to men who took the placebo (10.8 ± 0.9 minutes).
And yet another study found that while sildenafil may prolong sexual activity — which could be helpful for men with premature ejaculation — it doesn’t appear to shorten the refractory period after ejaculation.
The bottom line? Your refractory period isn’t going anywhere — but it could potentially be shortened.
If you decide to try to shorten your refractory period with Viagra, there is a serious side effect you want to look out for — an erection that lasts too long. Erections lasting longer than four hours could be a medical condition known as priapism, which can do permanent, irreversible damage to your penis.
Also, the drug’s purpose isn’t to kill your refractory period, and using it just for this reason could increase the risk of side effects like chest pain, blurred vision, and dangerously low blood pressure.
We talked a lot about Viagra, but what about other similar ED drugs? For instance, does Cialis keep you hard after coming? What about Levitra?
Studies on using tadalafil (Cialis) for premature ejaculation have found that the drug may also reduce refractory time after orgasm, but more research is needed to confirm.
Another study on vardenafil (Levitra) also found that the drug reduced refractory time while extending the length of sex and improving sexual satisfaction and confidence.
Again, none of these studies found that PDE5 inhibitors stopped the refractory period entirely. But they do appear to have the potential to shorten it for some men.
If there’s one takeaway we can leave you with, it’s to keep your safety in mind. While using the active ingredient sildenafil for the treatment of erectile dysfunction is safe, doing so for recreational reasons is dangerous.
We say this mostly as a disclaimer: when people search for “Does Viagra keep you hard after coming?”, they should actually be seeking medical advice for ED — a widespread problem that affects millions of men worldwide — or premature ejaculation, not a stamina power-up.
Erectile dysfunction medication is designed to treat erectile dysfunction, not enhance sexual performance. Remember:
If you’re struggling to get hard, stay hard, and finish hard, you should talk to a healthcare provider about ED medication or other treatment options. You can solve many problems with erectile function with the support of a medical professional. Be sure to tell them about health conditions like heart disease or mental health issues that may be affecting your sexual satisfaction — and be honest.
Viagra and similar drugs may shorten your refractory period, but it won’t go away completely. Some studies show that Viagra may speed up your refractory period, especially in those with premature ejaculation.
Overdoing it with Viagra to try to skip your refractory period is dangerous. Too much Viagra can lead to a higher risk of side effects or drug interactions. This drug also shouldn’t be taken with certain medications, like nitrates or alpha-blockers, which increase the risk of side effects. You can read more in our guide to the side effects of Viagra.
And if you don’t want to look a healthcare professional in the eye to talk about any sexual dysfunction, consider having the conversation remotely by scheduling a sexual health consultation.
Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. We rely on peer-reviewed studies, academic research institutions, and medical associations. We strive to use primary sources and refrain from using tertiary references. See a mistake? Let us know at [email protected]!
This article is for informational purposes only and does not constitute medical advice. The information contained herein is not a substitute for and should never be relied upon for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment. Learn more about our editorial standards here.
Dr. Kelly Brown is a board certified Urologist and fellowship trained in Andrology. She is an accomplished men’s health expert with a robust background in healthcare innovation, clinical medicine, and academic research. Dr. Brown was previously Medical Director of a male fertility startup where she lead strategy and design of their digital health platform, an innovative education and telehealth model for delivering expert male fertility care.
She completed her undergraduate studies at University of North Carolina at Chapel Hill (go Heels!) with a Bachelor of Science in Radiologic Science and a Minor in Chemistry. She took a position at University of California Los Angeles as a radiologic technologist in the department of Interventional Cardiology, further solidifying her passion for medicine. She also pursued the unique opportunity to lead departmental design and operational development at the Ronald Reagan UCLA Medical Center, sparking her passion for the business of healthcare.
Dr. Brown then went on to obtain her doctorate in medicine from the prestigious Northwestern University - Feinberg School of Medicine and Masters in Business Administration from Northwestern University - Kellogg School of Management, with a concentration in Healthcare Management. During her surgical residency in Urology at University of California San Francisco, she utilized her research year to focus on innovations in telemedicine and then served as chief resident with significant contributions to clinical quality improvement. Dr. Brown then completed her Andrology Fellowship at Medical College of Wisconsin, furthering her expertise in male fertility, microsurgery, and sexual function.
Her dedication to caring for patients with compassion, understanding, as well as a unique ability to make guys instantly comfortable discussing anything from sex to sperm makes her a renowned clinician. In addition, her passion for innovation in healthcare combined with her business acumen makes her a formidable leader in the field of men’s health.
Dr. Brown is an avid adventurer; summiting Mount Kilimanjaro in Tanzania (twice!) and hiking the incredible Torres del Paine Trek in Patagonia, Chile. She deeply appreciates new challenges and diverse cultures on her travels. She lives in Denver with her husband, two children, and beloved Bernese Mountain Dog. You can find Dr. Brown on LinkedIn for more information.
Education & Training
Andrology Fellowship, Medical College of Wisconsin
Urology Residency, University of California San Francisco
M.D. Northwestern University Feinberg School of MedicineB.S. in Radiologic Science, Chemistry Minor, University of North Carolina at Chapel Hill
Published as Kelly Walker
Cowan, B, Walker, K., Rodgers, K., Agyemang, J. (2023). Hormonal Management Improves Semen Analysis Parameters in Men with Abnormal Concentration, Motility, and/or Morphology. Fertility and Sterility, Volume 118, Issue 5, e4. https://www.sciencedirect.com/journal/fertility-and-sterility/vol/120/issue/1/suppl/S
Walker, K., Gogoj, A., Honig, S., Sandlow, J. (2021). What’s New in Male Contraception? AUA Update Series, Volume 40. https://auau.auanet.org/content/update-series-2021-lesson-27-what%E2%80%99s-new-male-contraception
Walker, K., Shindel, A. (2019). AUA Erectile Dysfunction Guideline. AUA Update Series, Volume 38. https://auau.auanet.org/content/course-307
Walker, K., Ramstein, J., & Smith, J. (2019). Regret Regarding Fertility Preservation Decisions Among Male Cancer Patients. The Journal of Urology, 201(Supplement 4), e680-e681. https://www.auajournals.org/doi/10.1097/01.JU.0000556300.18991.8e
Walker, K., & Smith, J. (2019). Feasibility Study of Video Telehealth Clinic Visits in Urology. The Journal of Urology, 201(Supplement 4), e545-e545. https://www.auajournals.org/doi/10.1097/01.JU.0000556071.60611.37