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Author: Teni Manova

Prostate symptoms and sex: what the treatments actually do

Illustration mapping prostate symptom treatments to their specific sexual effects

Two classes of prostate medicine, two completely different sexual effects, and a striking number of men who were never told about either.

Male fertility and sperm health: what the numbers mean and what changes them

Illustration of the sperm production cycle timeline from lifestyle change to semen analysis

A semen analysis is not a pass or a fail, the reference values changed and most of the internet hasn’t noticed, and nothing you do today shows up for three months.

When ED treatment isn’t working: what to check before giving up

Illustration of a checklist for reviewing an unsuccessful erectile dysfunction treatment

Before you conclude that nothing works, it is worth knowing how often ‘nothing works’ turns out to mean ‘four tablets, taken wrong, after dinner’.

Vardenafil and avanafil: how they differ from sildenafil and tadalafil

Illustration comparing onset and duration of four PDE5 inhibitors

Four medicines, one mechanism, and a surprisingly small number of real differences. The ones that exist are onset, duration and what you had for dinner.

Penile implants: what they involve, and why the decision is permanent

Illustration comparing malleable and three-piece inflatable penile implants

The treatment with the highest satisfaction figures in erectile dysfunction, and the only one you cannot undo. Both of those need saying in the same breath.

Alprostadil cream and pellets: the needle-free routes explained

Illustration comparing topical, intraurethral and injected routes for alprostadil

Less effective than injecting, considerably less daunting. The trade-off is the whole story, and the partner warnings are the part most pages leave out.

Alprostadil injections: how they are started, dosed and monitored

Illustration of a first supervised injection appointment with dose titration steps

The most effective medical treatment for erectile dysfunction, and the one with the most rules attached. Both of those facts matter.

Vacuum pumps for erectile dysfunction: how they work and who they suit

Illustration showing the stages of using a vacuum erection device with a constriction ring

Unfashionable, mechanical, and quietly one of the few ED treatments that works without needing your blood vessels to cooperate chemically.

Weight loss medicines before surgery: UK guidance says continue

Illustration contrasting UK and US perioperative recommendations for GLP-1 medicines

UK national guidance and US national guidance say opposite things, and some UK hospitals follow the US version anyway. The one instruction that holds everywhere is to tell the team.

Missed doses: the catch-up windows, product by product

Illustration of catch-up windows of different lengths for weekly, daily and oral dosing

Every product has a different rule, the oral tablet has no rule at all in the sense people expect, and the one thing none of them permit is taking two.

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