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If medications are unsuccessful in treating your erectile dysfunction, your doctor may suggest using alprostadil, which is injected directly into the penis using a small needle, or a vacuum device. Intraurethral Prostaglandin E1 pellets are available for use as urethral suppositories. Patient educators are men who have taken control of ED with a penile implant. The expectations that men have about women s penis size preferences appear to drive anxiety and dissatisfaction more than some inborn dissatisfaction.