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If you have just had a baby and are not breastfeeding, you can start the pill on day 21 after the birth. If you run out of pills and cannot see a doctor or nurse for a new script, speak to a pharmacist. But keep in mind that this trick is only suitable for small areas. Good sexual history, education and counselling is all what is needed for men with psychological issues. Take sildenafil tablets about 1 hour before sexual activity.