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· Viagra is one of the best known medications for erectile dysfunction. You need to be sexually stimulated for viagra to be effective. Viagra works within an hour and usually lasts for three to four hours.

 

· Transurethral therapy (Muse). A small pellet of a medication is put directly into the urethra. The urethra is the tube that runs through the penis and carries urine from the bladder and out through the tips of the penis. The drug is absorbed into the erectile tissue of the penis. It gives an erection within five to ten minutes.

 

· Cialis. Cialis is taken 30 minutes before sexual activity. Cialis is effective only with sexual stimulation. Cialis is not an aphrodisiac and does not increase sexual desire.

 

· Levitra. Taken 10 minutes to one hour prior to sexual activity, Levitra can be effective for up to 12 hours. Levitra is not an aphrodisiac. It does not increase sexual desire.

 

· Uprima. This medication is a pill taken under the tongue. Uprima dissolves within about 15 minutes and is effective for up to two hours. Uprima will not work without sexual stimulation.


Injection Treatments for Impotence A drug is injected directly into the shaft of the penis when you want to have sex. Although it sounds a bit worrying it is easy to learn. The medication usually works within about 15 minutes.


Hormone Treatments for Impotence Hormonal problems are rarely the cause of impotence. The most common hormone abnormality is reduced levels of the male sex hormone testosterone. Testosterone can be restored to a therapeutic level with hormone replacement therapy.


Oral testosterone can reduce impotence in some men with low levels of natural testosterone. Patients also have claimed effectiveness of other oral drugs--including yohimbine hydrochloride, dopamine and serotonin agonists, and trazodone--but no scientific studies have proved the effectiveness of these drugs in relieving impotence. Some observed improvements following their use may be examples of the placebo effect, that is, a change that results simply from the patient's believing that an improvement will occur.


Many men gain potency by injecting drugs into the penis, causing it to become engorged with blood. Drugs such as papaverine hydrochloride, phentolamine, and alprostadil (marked as Caverject) widen blood vessels. These drugs may create unwanted side effects, however, including persistent erection (known as priapism) and scarring. Nitroglycerin, a muscle relaxant, sometimes can enhance erection when rubbed on the surface of the penis.


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