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“A lot of patients think that pills will give them complete restoration,” says Ajay Nehra, M.D., a urology professor at the Mayo Clinic College of Medicine in Rochester, Minn.They must then place an elastic band around the base of the penis to keep the blood there and maintain the erection.“Obviously this isn’t the most spontaneous thing,” says Tobias Kohler, M.All costs stated below will vary, depending on your insurance plan.Before pursuing ED treatments, though, bear in mind that improving heart healthby losing weight, eating a healthier diet, exercising more and quitting smokingtypically enhances erectile performance as well as one’s overall health.But many patients instead find that even if they take the pills, they are “not the same” sexually as they were before the onset of their ED, he says.
“And that improves dramatically over time as men get used to the injection,” he adds .
Some injectable formulations need to be refrigerated — yet another reason many men steer away from the needle option.
Among ED treatments, injections are also the most common cause of extended erections — rigidity lasting more than four hours, also called priapism — which afflict about 3 to 7 percent of users, Kohler says.
The out-of-pocket cost is around to per suppository.
For men who don’t mind needles, injections come in various formulations: alprostadil alone; a two-drug combo called bi-mix, which can either be alprostadil mixed with phentolamine or phentolamine mixed with papaverine; and tri-mix, a three-drug mixture of phentolamine, papaverine and a low dose of alprostadil.
“In my practice, most men who try it will say, ‘Not for me,’ ” he adds.