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The Risks of Taking Viagra Without Erectile Dysfunction

Kelly Brown MD, MBA

Reviewed by Kelly Brown MD, MBA

Written by Geoffrey C. Whittaker

Published 03/12/2018

Updated 07/17/2024

If you struggle with erectile dysfunction (ED), drugs like Viagra®, sildenafil, tadalafil, and other FDA-approved medications could help with your sexual performance. But if you’re not prescribed one of these meds, taking them could cause serious health problems. 

Recreational Viagra use does happen, and while some men see harmless benefits from the active ingredient in the famous “little blue pill,” they’re still taking a significant risk every time they take it without medical advice from a urologist, urology expert, or other healthcare professional.

Below, we’ve explained how and why Viagra could become a serious men’s health issue — beyond your erectile function.

Viagra is an effective ED treatment that can improve sexual performance, make erections firmer, and improve your sex life. Since those benefits are attractive whether you have ED or not, some men without erectile dysfunction may take Viagra off-label to try to up their sexual game – despite the serious side effects.

Some younger men take Viagra in hope of enhanced performance in bed.

Young men are more likely to take Viagra without actually needing it, given they’re less likely to struggle with ED. Performance anxiety, inexperience, and feelings of inadequacy may play a motivational role as well. Research involving more than 1,900 college-age men found that four percent of otherwise healthy undergraduates reported recreationally using ED drugs like Viagra.

More than 70 percent of these guys were “just curious” about ED medications, while others said they used it to counteract other drugs that were affecting their sexual health. Some reported using it to impress a partner or enhance their self-esteem. 

Other men may take Viagra because they’re mistaken about the benefits.

There are a lot of misperceptions about how ED drugs work, and these mistaken ideas make it more likely that someone will take Viagra in a risky way. For instance, many men believe that Viagra might reduce their refractory period — the period of time after ejaculation when it’s difficult to get another erection. 

Some men need medication for ED, but don’t want to ask for a prescription.

Some men take Viagra off-label because they lack confidence or want to avoid professional treatment. Research shows that men who use ED medications recreationally typically report lower erectile confidence and reduced sexual satisfaction compared to peers. 

Some don’t take Viagra for sexual reasons at all, using it instead to boost their athletic performance.

Since it was originally used as a treatment for pulmonary hypertension (a form of high blood pressure in the lungs) and functions as a vasodilator that increases blood flow to the lungs, “Vitamin V” could have some mildly positive effects on a few types of exercise.

In fact, a 2004 study showed that sildenafil increased the maximum exercise capacity of mountaineers and trekkers at both sea level and at altitude. 

If all this blue pill talk has you wondering how exactly Viagra works, learn about the mechanism of action of this type of medication with our full guide to PDE5 inhibitors.  

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There’s not much research about the long-term dangers of taking ED meds recreationally, but there's more than enough information available about the general risk factors of taking this medication and the health conditions it can cause or exacerbate.

Common side effects of Viagra include:

  • Headache

  • Facial flushing

  • Dyspepsia (indigestion)

  • Nasal congestion

  • Myalgia (muscle pain)

  • Abnormal vision

  • Back pain

  • Nausea

  • Dizziness

  • Rash

Viagra could lead to more serious side effects, such as:

You could also face serious risks from drug interactions.

Taking this medication with other medications and products can be dangerous, particularly when using:

  • Nitrates

  • Alpha blockers

  • Grapefruit juice

  • Recreational drugs like cocaine

  • Supplements for premature ejaculation

  • Alcohol

  • Certain medications for heart disease

Our guide to Viagra side effects goes into more detail about these side effects, the frequency at which they occur, and the steps you can take to limit their severity.

If you experience severe side effects after using Viagra or other ED medication, it’s important to seek medical advice and assistance as soon as possible.

ED treatment personalized

What happens if you take Viagra and don't have sex or erectile dysfunction? There may be no serious side effects, or you may be at risk of damaging the blood vessels in your penis, creating dependency, or causing yourself heart problems.

Using medications when anxious can lead to psychological dependency — a crutch in place of working on the most important problems (sexual self-confidence, physical health, etc.). 

Then there’s the behavioral risk. Recreational use of ED meds is associated with risky sexual behavior, according to a review of 14 studies, 11 of which focused on Viagra use among gay men. 

In many of these studies, the researchers found more than 10 percent of men having sex with men used sildenafil citrate — and that its use is associated with higher risks of unprotected sex with HIV-positive partners.

According to the review, men who use erectile dysfunction drugs like Viagra recreationally are likely to display one or more of the following behaviors:

  • Frequent one-night stands

  • Multiple sexual partners

  • Sex with other men

  • Illegal drug use

  • Unprotected sex

Last but not least, using Viagra when you don’t have ED brings the risk of poisoning.

Some of the pills out there could be counterfeits or may be manufactured in unsafe environments. They could also be made using potentially harmful ingredients — and those won’t be listed on the labels.

ED Treatment

Enjoy sex like you used to

Erectile dysfunction medications aren’t magic, and a healthcare professional will explain that phosphodiesterase type 5 inhibitors aren’t penis growth hormones, nor do they treat premature ejaculation or psychological ED.

Here’s what you need to know about taking Viagra without erectile dysfunction:

  • You shouldn’t take Viagra for fun. Brand-name ED drugs like Cialis® (tadalafil), Levitra®(vardenafil), Stendra®, and others that are FDA-approved to treat ED are also not safe to use without medical advice.

  • If a healthcare provider hasn’t prescribed these medications to you for any reason, don’t use them. There is no safe way to use these medications if you don’t need to. 

  • If you want to deal with your ED, work with a healthcare professional to get the right support and erectile dysfunction treatment(s).

We can provide medication after a consultation with a healthcare provider, as well as help with psychological ED, anxiety, depression, and sexual performance anxiety.

Reach out today.

5 Sources

  1. Ghofrani HA, et al. (2004). Sildenafil increased exercise capacity during hypoxia at low altitudes and at Mount Everest base camp: a randomized, double-blind, placebo-controlled crossover trial. https://pubmed.ncbi.nlm.nih.gov/15289213/
  2. Harte CB, et al. (2012). Recreational use of erectile dysfunction medications and its adverse effects on erectile function in young healthy men: the mediating role of confidence in erectile ability. https://pubmed.ncbi.nlm.nih.gov/22568639/
  3. Jackson G, et al. (2010). Counterfeit phosphodiesterase type 5 inhibitors pose significant safety risks. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3069491/
  4. Swearingen SG, et al. (2005). Sildenafil use, sexual risk behavior, and risk for sexually transmitted diseases, including HIV infection. https://www.amjmed.com/article/S0002-9343(05)00086-0/fulltext
  5. VIAGRA® (sildenafil citrate) tablets, for oral use . (2014). https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/20895s039s042lbl.pdf.
Editorial Standards

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.

Kelly Brown MD, MBA
Kelly Brown MD, MBA

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.

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