Extra Super Zhewitra is a medication that combines two active ingredients: vardenafil and dapoxetine. Vardenafil is used to treat erectile dysfunction (ED), while dapoxetine is used to treat premature ejaculation (PE). Neither of these medications is typically associated with a direct impact on fertility when used as prescribed and for their intended purposes.
Here's some information about each component:
Vardenafil (for ED): Vardenafil, like other phosphodiesterase type 5 (PDE5) inhibitors, works by increasing blood flow to the penis, helping men with ED achieve and maintain an erection. Its primary purpose is to address issues related to erectile function, and it does not have a direct impact on fertility.
Dapoxetine (for PE): Dapoxetine is a selective serotonin reuptake inhibitor (SSRI) used to treat premature ejaculation. Its mechanism of action involves modulating serotonin levels in the brain to delay ejaculation. Dapoxetine is primarily intended to address issues related to premature ejaculation and does not have a direct effect on fertility.
Extra Super Zhewitra combines these two medications to address both ED and PE in one medication. While both vardenafil and dapoxetine have specific indications, their combination for this purpose may be considered "off-label" use, meaning it's not specifically approved for this combination by regulatory agencies in many countries. As such, the long-term safety and effects of this combination may not be as well-documented as for individual medications. If fertility is a significant concern, and you are using Extra Super Zhewitra for ED or PE, it might be worth discussing alternative medications or treatment options with your healthcare provider. They can help you explore options that align better with your fertility goals.