Why England players were allowed to use Viagra before the World Cup match in Mexico

England’s Harry Kane celebrates (Photo AP) England’s preparations for their FIFA World Cup Round of 16 meeting with Mexico have taken an unusual medical turn, with reports suggesting the players have been given the option to use Viagra to combat the effects of playing at high altitude.The knockout match will take place at the iconic Estadio Azteca in Mexico City, which stands some 7,350 feet (2,240 meters) above sea level. At this altitude, the thinner air contains less oxygen, making it more difficult for players to sustain high-intensity efforts, recover between sprints, and maintain peak physical performance.According to reports, England’s medical team have explored several methods to help the players adapt to the demanding conditions, with Viagra emerging as one of the approved options.Although this drug is best known for treating erectile dysfunction, it also works by dilating blood vessels, which can improve circulation. Medical experts have long investigated whether this effect can help athletes cope with the reduced oxygen levels encountered in high-altitude sports.The drug is not banned by the World Anti-Doping Agency (WADA), which means that athletes can use it both in and out of competition.WADA has investigated Viagra’s potential impact on athletic performance over the years due to its effect on blood flow. However, studies have not produced conclusive evidence that it offers a significant benefit to enhancing performance at or near sea level.Its possible advantage is thought to lie specifically in high-altitude environments, where improved circulation can help reduce some of the physiological problems caused by lower oxygen availability.In England, therefore, any use of medication would be aimed at helping players adapt to Mexico City conditions rather than gaining an unfair sporting advantage.The challenge that awaits the Three Lions is considerable. Mexico have built a formidable reputation at the Estadio Azteca, losing just two of their 89 matches at the famous ground. Their last defeat there came in 2013 and they have carried that dominance into this World Cup, winning all four of their matches so far.England, on the other hand, had to contend with difficult moments during the tournament. Their round of 32 clash against DR Congo required a dramatic comeback as captain Harry Kane scored twice late on to seal a 2-1 victory and book a place in the last 16.Mexico secured their knockout spot with a convincing 2-0 win over Ecuador, setting up a fascinating round of 16 match at one of the most demanding venues in world football, where England’s preparations included every possible measure to cope with the unique challenges presented by the altitude.