My penis after erection is 4.2 and girth is 3.8 I always

Your measurements are within the medically recognised normal range for adult male penile size, as there is wide natural variation among individuals. Sexual satisfaction and relationship quality depend far more on emotional connection, communication and technique than on physical size alone. If feelings of inadequacy are affecting your confidence or relationships, speaking with a healthcare professional or counsellor may be helpful.

My penis size is 2.8 inches when flaccid and 4.8 inches when erect. My wife is not satisfied. Is it possible to increase the size, and what solutions are available?

An erect size of around 4.8 inches is within the normal range, and in most cases, size alone is not the main reason for dissatisfaction. There is no safe or proven medicine that can permanently increase penis size; many products advertised for this are ineffective or harmful. Instead, focusing on better communication with your partner, improving foreplay, and trying different positions can greatly improve satisfaction. If there are concerns about erection quality or performance, a doctor can guide appropriate treatment, but for size itself, counselling and sexual health guidance are usually more helpful than medication.

I have been taking Viagra for the past 2 years (around 100 tablets total). Is this harmful? I still have difficulty achieving and maintaining a full erection; what should I do?

Taking Viagra (a medicine used for erectile dysfunction) about 100 times over 2 years is generally not harmful if it was used in the correct dose and you do not have heart conditions or take contraindicated medicines, but needing it frequently and still having difficulty maintaining an erection suggests an underlying issue such as stress, anxiety, diabetes, high blood pressure, hormonal imbalance, or poor lifestyle habits. It is important not to increase the dose on your own; instead, consult a doctor for proper evaluation, which may include checking blood sugar, testosterone levels, and cardiovascular health. Improving sleep, reducing stress, exercising regularly, avoiding smoking and excess alcohol, and maintaining a healthy weight can significantly help. Your doctor may adjust the dose, switch medication, or suggest counseling or other treatments depending on the cause.

Please explain when and how Viagra should be used safely.

Viagra is used to treat erectile dysfunction and should be taken only when needed, about 30-60 minutes before sexual activity. It works best on an empty stomach and only with sexual stimulation. Use it once every 24 hours only, and follow the dose prescribed by your doctor. Avoid alcohol or heavy meals, as they can reduce its effect.

I underwent CABG double bypass surgery four years ago. Can I use a generic form of Viagra if my blood pressure is usually low? Also, what is the recommended frequency?

Sildenafil (generic Viagra) should only be used with a cardiologist's approval following CABG surgery if your blood pressure is typically low. This is especially important if you take nitrates or have dizziness, as sildenafil can further drop blood pressure. The precise dosage and safety depend on your cardiac medications and blood pressure profile. If permitted, it is usually taken at the lowest dose and no more than once every 24 hours.

Prescription is needed

Viagra (sildenafil 50 mg) is classified as a Schedule H drug in India, so it can only be purchased and used with a doctor’s prescription under proper medical supervision.

I feel interested in sex, but I panic and ejaculate or lose control very quickly. Please suggest a solution to my problem.

You may be experiencing premature ejaculation due to performance anxiety, which is a common and treatable condition. Practising relaxation techniques, focusing on longer foreplay, and trying behavioural methods such as the start-stop or squeeze technique, as well as pelvic floor exercises, may help improve control. If the problem continues, please consult your doctor for proper evaluation and treatment.