High dropout rates due to pain, bruising, plaques. MUSE was developed to overcome these drawbacks but it is not as efficacious. This is transurethral alprostadil. Surgical options were discussed as well as vacuum devices. ED generally has a physiological basis.
Sexual counseling can be very effective.
Viagra for female sexual dysfunction was discussed. It is being researched. It is effective in women who cannot take estrogens who are postmenopausal and have vaginal dryness making intercourse too painful. There is potential for virilization.