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Erectile dysfunction. A vasodilator such as prostaglandin E1 can be injected into one of the corpora cavernosa. If the blood vessels are capable of dilating, a strong erection should develop within 5 minutes. A tourniquet may be used if a venous leak is present that would produce difficulty in maintaining an erection. Better treatments for erectile dysfunction are badly needed, McCullough added. About 35 percent of men don't respond to impotence drugs, including Viagra, Cialis and Levitra. As men age, diabetes, high cholesterol and hypertension -- all conditions that can affect male sexual function -- can worsen, making the drugs less effective. Get regular exercise. Try to squeeze in at least 30 minutes of physical activity each day. Include aerobic and strength-training in your routine. where to buy viagra viagra no prescription online Reduced sperm count in also found due to the excessive stress and is found to one of reasons for the unsatisfactory sex life. A. Penile implant surgery is usually a last resort. Although there is nothing wrong with this approach, for many men it's a disservice. In medicine, the option of last resort is usually something that rarely works or has terrible side effects. Implants present a medical conundrum because they are one of the best treatments we have for ED. Implants have the highest patient and partner satisfaction rating, running higher than 90 percent. The only reason they're offered last is because of the surgery involved. In addition, if removal of the device is necessary, the other erectile dysfunction treatments will not be effective because corporal tissue is destroyed with implantation. Also, its risks, although very infrequent, can be significant.