It should also be noted that cialis/etc is ineffective if you have low testosterone, high blood pressure, diabetes, or a host of other medical problems.
In my experience the first thing a doc does is says it's all in your head. This is despite documentation in the medical journals stating ED is usually caused by a physical problem, not a psych one. Seems docs are stuck in the 70's.
With a little persistence, cialis/etc is prescribed. If this doesn't work, a visit to a urologist is next. All a urologist does is fondle your nuts, stick his finger up your ass and prescribe a different PDE5 inhibitor.
Once this doesn't work, injectable drugs are prescribed. Only a urologist can prescribe these drugs. If this doesn't work, a penile implant is the last step.
In my opinion the medical community needs to do more extensive testing when diagnosing ED. It's possible an arterial blockage or other malfunction may be the cause. The reason I say this is because sometimes caverject/edex doesn't work, yet it directly reacts with the arteries and forces them to open, allowing blood to flow where it needs to go. Obviously if the arteries are allowing blood flow but nothing is happening, something else must be going on.
As for issues with my x, I'm not going to rehash ancient history. I have a new wife now, and things couldn't be better. All I was saying is there are compelling reasons for using injectible ED drugs. First and foremost would be keeping the homefront happy. No woman wants a guy who can't perform. And no guy wants a woman who doesn't perform either.