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Side effects of intraurethral alprostadil include pain in the penis and sometimes in the testicles, mild urethral bleeding, dizziness, and vaginal itching in the sex partner. Yes, there can be differences, says Dr Louis Liou, chief of urology at Harvard affiliated Cambridge Health Alliance in Boston. It means that it may be erect when stimulated, but it cannot erect when patients are at real sex. Sex therapy also helps a man s partner accept and cope with the problems. Exceeding your penis normal length for too long usually cause this.

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