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    • Semi-rigid implants can be appropriate for older men who dont have regular sex
    • Inflatable implants made up of two or three parts that are inflated to maintain a more natural erection. They are often very expensive.

    About 5% of men who have penile implants experience mechanical issues with the implants within five years.

    Side Effects and Warnings

    Men who have cardiovascular disease including conditions like coronary heart disease, should use PDE-5 inhibitors with caution. Speak to your doctor if this applies to you. Sex can be a good way to improve your cardiovascular health, but you need to ensure that you are fit enough to take the medication safely.

    If you have an anatomical issue with your penis, like Peyronies Disease, again you need to consult your doctor to see if it is safe for you to take an erectile dysfunction treatment. 

    If you are taking medicines (for example, to treat angina) or using recreational drugs (such as butyl nitrate, also known as poppers) that contain nitrates, then you must not take PDE-5 inhibitors. Using the two drugs together can be very dangerous for your heart. 

    If you suffer from priapism (a painful erection that lasts several hours), or if you are taking long-lasting alpha-blockers (a type of medication used to treat high blood pressure), then, again, you need to be very cautious about taking any erectile dysfunction treatment, so speak to your doctor first. 

    Unless your doctor has said you can, do not take PDE-5 inhibitors if you:

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