Men suffering with erectile dysfunction may discover that it comes with a host of other problems which Viagra can’t cure.

While medications may help some men maintain an erection, “our research suggests there are other common sexual issues that remain largely unaddressed,” said Dr. Darius Paduch, a urologist at New York-Presbyterian Hospital.

“We must expand the definition of quality of life when it comes to sexual performance,” Paduch said. “For the last few decades, we have focused on penile rigidity, with erection as a synonym of normal sexual function. However, many patients say that problems with ejaculation — like decreased force or volume or decreased sensation of orgasm — are just as critical.”

A healthy lifestyle including exercise and abstinence for drugs and alcohol will help where pharmaceuticals fail.