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If it is a matter of extremely poor genital and/or penile tissue circulation than perhaps a sexual health supplement can offer improvements over time.
As chemical compounds, these drugs can have interactions (sometimes dangerous) with other drugs (whether prescribed or not), that can affect their efficacy and your safety, especially interactions with nitrates.
That's why they need to be prescribed by your doctor.
Sometimes I managed to ignore it but often the discomfort was so bad that I had to forego sex!
And for other problems other than sex, I have tried many products for enlarged prostate ( like most products with ingredients like saw palmetto, selenium, stinging nettle root, pumpkin seeds , lycopene & etc..) but none of them gave me a lasting solution to my prostate problems. Classified as drugs, these products were created to help men suffering from various forms of serious erectile dysfunction and they are regulated by the FDA (in the US).