Have a complete medical history and physical examination to determine your cause of erectile dysfunction. Men with medical conditions that may cause a sustained erection such as sickle cell anemia, leukemia or multiple myeloma, or a man who has an abnormally shaped penis may not be able to take Viagra. Viagra's use in combination with other ED treatments has not been studied, therefore, its use in combination with other treatments is not recommended. Testosterone supplementation is not recommended for men who have normal testosterone levels for their age group due to the risk of prostate enlargement and other side effects. Testosterone replacement therapy is available in an oral form and as a skin patch.
Infection is the most common cause of penile implant failure and is treatable with antibiotics.
In some cases, the infected implant must be replaced by a new implant. Implants are usually not considered until other methods of treatment have been tried. Many times, men will avoid sexual situations due to their emotional pain associated with ED, causing their partner to feel rejected or inadequate. It is important to communicate openly with your partner. Some couples consider seeking treatment for ED together, while other men prefer to seek treatment without their partner's knowledge.