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Agony and ecstasy: sex advice

...They should be taken about one hour before sex on an empty stomach and can’t be used more than once in a 24-hour period.

None works without sexual stimulation and all are effective for different lengths of time.

Viagra and Cialis works for 17½ hours, though in some men this window extends to 36 hours, which is a significant advantage.

Viagra, Cialis and If you have heart or liver problems, your GP will probably recommend Uprima, a tablet that is dissolved under the tongue.

It works within 20 minutes and the erection lasts a maximum of two hours.

The other option is Muse, a tiny pellet (half the size of a grain of rice) that is inserted into the urethra.

It dissolves into the erectile tissue and, if the penis is massaged, causes an erection within ten minutes which lasts about two to three hours.

Caverject is a small plastic device that automatically performs an injection on the side of the penis.

Though this sounds like the least sexy option, it is a self-administered treatment that feels like a pin prick, works within 10 minutes and gives a firm erection for up to 45 minutes.

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