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If the cause of your erectile dysfunction (ED) is psychological in nature, seeing a sex counselor or sex therapist may help. In general, sex counselors and sex therapists tend to get specific training about sexual issues that sabotage sexual satisfaction, like erectile issues.
Treatment for erectile dysfunction (ED) includes Alprostadil, which is available as tiny pellets that can be inserted into the penis shortly before intercourse. These pellets are part of a therapy called medicated urethral system for erection (MUSE). This therapy involves inserting a pellet about an inch into the penis, using a disposable plastic applicator. From there, the surrounding tissue quickly absorbs the drug. Some men find MUSE easier to use than penile injections for ED, but about 10% of men who try it find the application mildly painful, and about 3% become dizzy and develop low blood pressure. Men should not use MUSE more than twice in 24 hours.