I am a 39-year old male. I am in good health and have been married for 11 years. When I have sex with my wife, there are times when I am unable to maintain an erection. Am I too young for Viagra?

You say that you are able to get an erection but at times are not able to maintain it. That is actually a sign that your sexual apparatus is working normally but that anxiety or fatigue is getting in the way. You are not too young for Viagra but it would be helpful to discuss this with your physician to see if you suffer from clinical depression, which kills sex drive and can cause erectile difficulty. Depression can exist in a person who feels and exudes health. You say you are in good health. I trust that your diagnosis is based on medical evidence and not on your own self-assessment. The first thing to do is to rule out any physiological roots to your problem, such as depression, low testosterone or diabetes by seeing your medical doctor. If you check out fine, then make an appointment to visit a sex friendly counselor or sexologist to get some practical help on learning to relax or on possibly going deeper into your personal life to see where the problem lies. You are not alone in your difficulty with losing erections. Think positively. Often times it is simply a matter of re-programming the mind. - Answer provided by David McKenzie, Ph.D., mckenziedr@telus.net, www.goodsexforlife.com.

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