Do not use intraurethral gel for sexual intercourse with a woman who is pregnant or may become pregnant unless using a condom barrier to prevent exposure to the medication. Always store your intraurethral gel in the refrigerator.
Although not as effective as the injection therapy form of these same ingredients, Intraurethral Gel tends to be a stronger therapy than oral medications. According to one study conducted over a 6-month period, 37 patients unsatisfied with other treatments opted to proceed with intraurethral gel therapy as their main treatment modality for the management of their ED. Patients responded favorably on their SHIM Score (+9.51 SHIM Score), and all positively responded regarding the medication’s success.1 Do not exceed the prescribed dose of medication. Do not use more than once in a 24-hour period unless otherwise directed by your physician. Overuse may cause a prolonged erection known as priapism. Do not use medication after it has expired. Rigidity Scale Use this tool to rate your erection. For intercourse, the goal range is 7-9 with 6 being firm enough for penetration. Log Your Progress Use the chart below to record your progress. This chart comes in handy when discussing your treatment success with your provider or with a menMD Personal Health Assistant. Learn more or download the Injection Therapy Guide, which includes these tools, in the resource center. If you already have a prescription, login or sign up to get started.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Gold | 100 mg | 60 + 4 Pills | 201.34€ 191.75€ | |
| Cialis Generic | 40mg | 120 + 8 Pills | 206.98€ 197.12€ | |
| Apcalis SX Oral Jelly | 20mg | 70 + 7 Sachets | 184.98€ 176.17€ | |
| Kamagra Polo | 100mg | 32 Pills | 125.88€ 119.89€ | |
| Kamagra Oral Jelly | 100mg | 90 + 8 Sachets | 303.56€ 289.10€ | |
| Cialis Generic | 10mg | 180 + 8 Pills | 236.88€ 225.60€ | |
| Cialis Generic | 20mg | 270 + 10 Pills | 335.21€ 319.25€ | |
| Viagra Soft Tabs | 100mg | 20 Pills | 62.99€ 59.99€ | |
| Apcalis SX Oral Jelly | 20mg | 10 Sachets | 58.75€ 55.95€ | |
| Apcalis SX Oral Jelly | 20mg | 17 + 4 Sachets | 95.52€ 90.97€ |
Other treatment options and devices for erectile dysfunction.
| Test Name | Purpose | Procedure | Typical Duration | Invasiveness |
|---|---|---|---|---|
| Blood tests | Hormone levels, health markers | Blood draw | 1 day | Minimal |
| Penile Doppler ultrasound | Blood flow assessment for vascular issues | Ultrasound imaging | 30 mins | Non-invasive |
| Nocturnal penile tumescence test | Detects normal erections during sleep | Worn device overnight | Overnight | Minimal |
| Psychological assessment | Identifies underlying mental factors | Interview, questionnaires | 1 hour | Non-invasive |
Tadalafil is a common first line ED medication that should be taken 1 hour prior to sex & effective for up to 36 hours.
The medication works by relaxing the smooth muscle in the penis allowing increased blood flow to the cavernosal chambers. Intraurethral Gels are formulated with one or two FDA approved ingredients: Alprostadil and Phentolamine. Physical stimulation will help, but is not required to achieve an erection. The resulting erection should last through the entirety of sex, but less than an hour. Gel therapy may be an effective choice for patients averse to penile injection therapy as well as those who are unable or unwilling to take oral medications. Comes in 5, 10, & 20 mg tablets and 5 or 20mg lozenges, prescription required. Injection therapy, the most effective treatment for ED, is injected into the shaft of the penis 5-15 minutes prior to intercourse.
2 drug mixture available in 4 formulations, prescription required.
“I think most patients in my practice want to see a doctor first to identify if there’s a cause of the problem. Because one of the key things about erectile dysfunction is you really want to get down to the root of the problem and not just kind of put a Band-Aid on it with the medicine.” Pearlman said that pill-based options for treating erectile dysfunction via a prescription may create a barrier for some. “Do we say that every person who experiences heartburn needs to see a gastroenterologist? So, I think [OTC Eroxon] allows more accessibility. And as long as it’s a safe option, and people understand how to use it and who’s a good candidate, I think it’s great.” Erectile dysfunction is currently treated with prescription medications like Cialis or Viagra, or injection or surgical methods.
Pearlman said a suppository like MUSE can offer a pathway to treatment that patients might consider, given the prevalence of the condition. Shusterman said he sees a benefit of Eroxon for those who don’t like to take treatments like pills orally, but that there are drawbacks to topical options that patients and practitioners should be aware of. “Part of the problem is, when people are taking it on their skin, the absorption takes longer, and it may not absorb all the way, and their effects may not be as good… and it’s hard to control the dosage,” Shusterman said. “There’s a lot of different variables that I think [mean that] although it’s a positive thing, I think it leads to a better overall discussion about, ‘Why are these meds under prescription, anyway?’” Shusterman said that while he understands that efforts are underway to reduce barriers to therapies for erectile dysfunction, part of the reason a doctor’s visit can be valuable is to identify other health risks. “I think that it does relate to identification of, say, low testosterone levels, identification of pre-diabetic condition, and other things that we can figure out about a patient when they start developing erectile dysfunction.” Although the Eroxon gel is not yet available in the U.S., Pearlman agrees that those with erectile dysfunction should be aware of how ED can point to other conditions. 3 drug mixture available in 11 formulations, prescription required. The VED is a plastic tube that fits over the penis and is pressed against the base of the penis and pubis. It uses suction to pull blood into the penis to create an erection.
Continued to improve gradually for the next year and then kind of leveled off. Everyone heals at different rates so there is no time table but three months out to me is just starting the healing process. Keep trying to get blood flow to that area and let nature heal ya, hopefully you will notice improvements over the next several months. I think you need to give your body more time to heal. 1.2K Gynecological Cancers (other than ovarian and uterine) 5.1K Lymphoma (Hodgkin and Non-Hodgkin) Inject into urethra of penis with needleless syringe 5 to 15 minutes prior to intercourse Intraurethral gel works to relax sex tablet 100mg smooth muscle in the penis and increase blood flow to the cavernosal chambers to achieve an erection strong enough for sexual intercourse or for penile rehabilitation.
Intraurethral Gel is a one or two drug formulation consisting of Alprostadil and/or Phentolamine. Intraurethral Gel should be used 5-15 minutes prior to sexual activity. Prescription Required menMD does not compound or dispense prescription products. Prescriptions are filled through our US-licensed pharmacy partners. Intraurethral gel is inserted into the urethra of the penis using a preloaded needleless syringe just before intercourse. Manage appointments, prescriptions, and health support in one secure place.
Trustindex verifies that the original source of the review is Google.
“It’s important that people know that heart disease is the number one risk factor for erectile dysfunction,” Pearlman said. So it’s good for people to know: where does their blood pressure run? Do they have signs and symptoms of sleep apnea? And really getting at the underlying causes that might cause their ED and that should prompt them to see a health care provider.” Introducing Eroxon - the first and only FDA-cleared ED treatment available over-the-counter, clinically proven to work within 10 minutes*. Eroxon fast acting gel offers men and their partners results without the need for a prescription.
Individual results may vary 4 Single Use Tubes of Eroxon Erectile Dysfunction Treatment Gel, Clinically Proven Topical Treatment for Adult Men Fast-Acting: Clinically proven to work within 10 minutes, While it may not work for everyone, studies showed success in over 60% of men FDA-cleared: The first and only FDA-cleared ED treatment available without prescription made in the US Safety: Safe for you and your partner How To Use: Apply full tube of gel on the head of the penis and massage for 15 seconds Keep at it: Try on 3 or 4 separate occasions, as it may take a few uses before achieving the desired effect Direct Application: Topical gel that helps you get and maintain an erection without going through your bloodstream Introducing Eroxon - the first and only FDA-cleared ED treatment available over-the-counter, clinically proven to work within 10 minutes*. 4 Single Use Tubes of Eroxon Erectile Dysfunction Treatment Gel, Clinically Proven Topical Treatment for Adult Men Fast-Acting: Clinically proven to work within 10 minutes, While it may not work for everyone, studies showed success in over 60% of men FDA-cleared: The first and only FDA-cleared ED treatment available without prescription made in the US Safety: Safe for you and your partner How To Use: Apply full tube of gel on the head of the penis and massage for 15 seconds Keep at it: Try on 3 or 4 separate occasions, as it may take a few uses before achieving the desired effect Direct Application: Topical gel that helps you get and maintain an erection without going through your bloodstream I'm now nearly 3 months post RP. Began 5 mg. Cialis two weeks before surgery but no response by two months after, so we moved to injections. Alprostadil/caverject produced some enlargement/elongation, but no hardness at all, and the pain was pretty unbearable. Tonya is extremely easy to work with and makes ordering from MenMD a breeze. Karen Bono has been such a great help with the clinic that I manage.
| Supplement | Potential Benefit | Common Dosage | Evidence Level | Notes |
|---|---|---|---|---|
| L-arginine | Increases nitric oxide production | 3-5 grams daily | Moderate | Often combined with other treatments |
| Zinc | Supports testosterone synthesis | 15-30 mg daily | Moderate | Deficiency linked to ED |
| Panax ginseng | Enhances stamina and erectile function | 600-1000 mg daily | Preliminary | Consult doctor before use |
| Vitamin D | Improves endothelial function | 1000-2000 IU daily | Emerging | Check levels before supplement |
She is always quick to reply and she always returns my calls.
Trimix regular did not produce a much better erection, only for a half hour longer, meaning the unbearable pain was also for longer. It's not excruciating, not sharp, but very heavy pressure that makes the whole experience very uninviting to repeat. No pain with Bimix or Bimix Forte, but even weaker results than Alprostadil. The vacuum pump does not really work at all, and even worse with a ring around the base. Does anyone here have any experience with or heard anything about any localized pain killer for Alprostadil?
Obviously, external lidocain would not help, and one would anyway not want to dull external sensation. Alternatively nitroglycerin has been studied for external use to produce an erection. Clinical study: summaries/discussions: and if you prefer video: and Has anyone here actually tried this or has anything to share about it? Hi, I think you need to give your body more time to heal. It took me probably at least 6-8 months after my surgery to get a decent erection. Karen Bono provided me with an absolute amazing experience -5 stars all the way.