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"A partner's Viagra use is now another reason some women give when I ask why they've come to see me," says Miami plastic surgeon Lee Gibstein, MD, who has performed breast implants, face-lifts, and even vaginal rejuvenation on women concerned about turning back the clock. Which is not to say that Viagra hasn't ever led to strayingâbut not for the reasons women think.

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Viagra is rapidly absorbed after oral administration, with a mean absolute bioavailability of 41 (range 25ndash;63). The pharmacokinetics of sildenafil are dose-proportional over the recommended dose range. It is eliminated predominantly by hepatic metabolism (mainly CYP3A4) and is converted to an active metabolite with properties similar to the parent, sildenafil.]