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Sexual health is an important part of overall health. It means the absence of disease and infections but also covers well-being, the ability to control fertility and to have children and the ability to enjoy fulfilling relationships free from discrimination.

The ability of men and women to achieve sexual health and well-being depends on their:

• access to comprehensive, good-quality information about sex and sexuality;
• knowledge about the risks they may face and their vulnerability to adverse consequences of unprotected sexual activity;
• ability to access sexual health care;
• living in an environment that affirms and promotes sexual health i.e. practicing safe sex with use of condoms for men and for women, contraception.

Sexual health-related issues are wide-ranging, and encompass sexual orientation and gender identity, sexual expression, relationships, and pleasure. They also include negative consequences or conditions such as:

• infections with human immunodeficiency virus (HIV), sexually transmitted infections (STIs) and reproductive tract infections (RTIs) and their adverse outcomes (such as cancer and infertility);
• unintended pregnancy and abortion;
• sexual dysfunction;
• sexual violence; and
• harmful practices (such as female genital mutilation, FGM).

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• have a medical history of heart problems, such as a high blood pressure, heart failure, hasgotten a new blood cell count, had a personal or relationship history of depression, had a mental health history, depressive disorder, low self-esteem, other mental health problems, low testosterone, or a history of cancer or neurological disease;
• have a history of liver or kidney problems;
• have a history of prostate problems or other urinary problems;
• have a history of stomach problems;
• have a history of bleeding disorders;
• have a history of stroke or heart attack;
• have a history of cancer;
• have a history of cancer of the breast or penis;
• have a history of ovarian cancer;
• have a history of bleeding or blood clots;
• have a history of breast cancer;
• have a history of seizures;
• have a history of cancer of the urinary system;
• have a history of diabetes or a family history of cancer;
• have a history of cancers of the skin or skin rashes; or
• is pregnant or may become pregnant or may become pregnant or may become pregnant.

Patients with demonstratedlibido or those with a marked low libido are recommended to consult with healthcare professionals before taking any selective serotonin re-uptake inhibitors (SSRIs) or other medications.

The decision to initiate treatment in the patient requires consideration of the patient’s personal and family history, including of:

• living in a treatment based patient’s home;
• attempts to become a male or a female;
• allergies to past or present HIV or other HIV protease inhibitors;
• allergic reactions to other HIV or other HIV protease inhibitors;
• preparations for HIV or other HIV protease inhibitors;
• preparations for sexual intercourse;
• whether the patientversive events are likely to be of serious or possible of a nature different from those that are expected for the patient;
• current worsening ofinflammation of the prostate or (benign) benign prostatic enlargement (BPH); and
• if the patient-doctor relationship is in a family.

Important Safety Information:

• Patients prescribed selective serotonin re-uptake inhibitors (SSRIs) should not have their penis filled with urine.
• Antidepressants can affect blood flow to the penis, resulting in temporary decreases in blood flow and increased risk of blood clots. Patients should also be warned that SSRIs may not be suitable for all patients.

Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

• Headache
• Heartburn
• Congestion
• Nasal bleeding (bloody nose)
• Nausea
• Diarrhea
• Muscle aches or pains
• Flushing
• Facial pain or tenderness
• Vision changes
• Light sensitivity

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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Viagra has been shown to cause some mild side effects. Talk to your health care provider if these do not go away within a few days. If you begin to experience more serious reactions, seek medical attention immediately.

Common side effects reported from Viagra use include:

• Headache
• Heartburn
• Congestion
• Nasal bleeding (bloody nose)
• Nausea
• Diarrhea
• Muscle aches or pains
• Flushing
• Facial pain or tenderness
• Vision changes
• Light sensitivity

More severe side effects include:

• Painful erections or erections that last longer than 4 hours
• Sudden loss of vision
• Sudden loss of hearing
• Ringing in the ears
• Chest pain
• Shortness of breath
• Painful urination
• Increased urination frequency
• Fainting
• Dizziness
• Skin rash
• Hives
• Facial swelling

If you experience any of these side effects, seek medical attention immediately. These are symptoms of a severe adverse reaction to this medication that require immediate treatment.

As with all prescription medications, inform your doctor of any medical conditions you currently manage. Tell them about any and all medications, prescription drugs, and supplements you are taking before starting treatment with Viagra. Viagra can interact with bodily substances, causing potentially serious adverse reactions.

Specifically, you should inform your health care provider of any nitrate medication you are taking. Remember to mention any herbal products you use, especially St. John’s wort.

In addition, let your doctor know if you have recently had heart surgery or experience chest pain during sex. If you experience any changes in your heartbeat or chest pain during sex, contact your health care provider immediately.

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NOTE: This sheet is a summary. It may not include all of the information contained in the table. If you have trouble reading, compare, orodecotide, please contact your pharmacist or health care provider.

No Warning Signs/ Symptoms Signs/ SymptomschaSigns/ Symptoms

• Have problems using ornexpreparations?
• Have dizziness?
• Have experienced chest pain?
• Have had sudden decrease or loss of vision?
• Have severe headache?
• Have heart problems?
• Have narrowing of the aorta?
• Have irregular heartbeat?
• Have severe stomach pain?
• Have a heart attack?

• Holding a/c chest trouble
• Holding a/c trouble breathing
• Holding a/c cough
• Holding a/c shortness of breath
• Holding a/c sick sinus
• Holding a/c lightheadedness

• Stomach pain
• Swollen stomach
• Weakness

• Swelling of the ankles or feet

• Difficulty in breathing

• Seizures

• Yellowing of the skin or eyes
• Unusual tired feeling?

This may, in rare cases, be a complication of diabetes, caused by cardiovascular conditions that affect the blood vessels in the body, or other conditions that affect the heart, such as a heart attack.

It’s important to have a physician or healthcare provider call you about these reactions as soon as possible. If you aren’t sure, contact your health care provider or pharmacist for a risk assessment.

In addition, if you experience blurred vision, changes in color vision, or have a vision problem, your health care provider may call you to discuss alternative treatment options.

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