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    Overall, the PDE5 inhibitors were more effective than placebos. They were also well-tolerated, for the most part.

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    For a long time, men could purchase only an injectable form or opt for special mixes available as generic drugs in the open market. You can purchase prostaglandin in online pharmacies and store it in bulks in a refrigerator to use when needed in small quantities. However, this is a very effective yet inconvenient treatment method that drove away many people especially since much more convenient and easy-to-use methods started arriving to the market. Namely, PDE5 inhibitors in pills that immediately made prostaglandin an outdated solution.

    In 2012, Medicare reimbursements per enrollee varied from $6,724 in Anchorage, Alaska to $13,596 in Miami, Florida.[46] Annual premiums are similarly disparate. In 2015, the average family premium in the South was $16,785 while the same coverage averaged $18,096 in the Northeast.[47] Firms in the South were less likely to provide coverage for an employee’s domestic partner than other regions. In the South, 41 percent of firms reported providing benefits for same-sex partners (compared to 51 percent in the Northeast) and 20 percent reported offering benefits to opposite-sex domestic partners (compared to 46 percent in the Northeast).[48]

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    Williams G, Abbou CC, Amar ET, Desvaux P, Flam TA, Lycklama à Nijeholt GA, et al. Efficacy and safety of transurethral alprostadil therapy in men with erectile dysfunction. MUSE Study Group.
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    Evaluation of hormonal status (testosterone, serum hormone–binding globulin, luteinizing hormone [LH], prolactin, thyroid-stimulating hormone [TSH]) – Note that the American College of Physicians (ACP) does not recommend for or against routine use of hormonal blood tests or hormonal treatment in ED patients.

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    45. Locatelli F, Nissenson AR, Barrett BJ, Walker RG, Wheeler DC, Eckardt KU, et al. Clinical practice guidelines for anemia in chronic kidney disease: problems and solutions. A position statement from kidney disease: improving global outcomes (KDIGO). Kidney Int (2008) 74:1237–40. doi:10.1038/ki.2008.299.

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    Dr. McKinlay cautioned that men should try to modify diet and other behavior factors before trying such therapies.

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    15) Which of the following can be used to treatment erectile dysfunction?