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Other established ED treatments include: Vacuum erection devices Intracavernosal injections (alprostadil) Intraurethral alprostadil Testosterone replacement (for confirmed hypogonadism) Psychosexual therapy Penile prosthesis surgery (for refractory cases) All of these options have defined roles in ED management and are supported by clinical evidence

Pinch the skin: Gently pinch a small fold of skin and insert the needle at a 45-degree angle

Education Miraleen Patel is a board-certified Advanced Practice Registered Nurse in Florida

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