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    Injections and Suppositories

    If the pills don’t work or aren’t safe for you to take, your doctor may prescribe a drug called alprostadil. It helps boost blood flow to the penis, triggering an erection within minutes.

    It can be given in two ways:

    Injection: The medication is put into the side of the penis by a needle. This raises your risk for dangerously prolonged erections and scarring.

    Suppositories . Pellets are placed inside the penis. You may hear this procedure called MUSE (medicated urethral system for erections). This may be less successful than injections.

    Not Recommended for ED

    Testosterone. It’s a male hormone. If you have a normal testosterone level, you don’t need more.

    Trazodone. This is an antidepressant. It’s still uncertain whether it works for ED. It’s not recommended.

    Supplements

    A lot of over-the-counter products have been hailed as all-natural ways treat ED. But it’s not sure if they’re effective or if they’re safe.

    The FDA warns that some products may contain harmful substances or the active ingredient in some prescription medications.

    Some of these products have been found to contain sildenafil (the active ingredient in Viagra) or a substance similar to vardenafil (the active ingredient in Levitra and Staxyn). These products can be dangerous for people who take nitrates to treat chest pain or heart disease.

    In recent years, the FDA has seized many over-the-counter products for male sex problems because they contained dangerous or undeclared ingredients. Lab tests have discovered these risky ingredients in nearly 300 products[1] .

    The FDA’s web site states that you should beware of products that:

    • Promise quick results (within 30 to 40 minutes)
    • Are advertised as alternatives to FDA-approved prescription drugs
    • Are sold in single servings
    • Advertise via spam or unsolicited emails
    • Have labels written primarily in a foreign language
    • Have directions and warnings that mimic FDA-approved products

    Vacuum Devices

    A vacuum device improves firmness by boosting blood flow to the penis. About 80% of men who use the device correctly get an erection hard enough for sex.

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