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Depending on the cause of the erectile dysfunction, certain therapies may be more effective than others. Currently, this surgery is not recommended as long term results do not show lasting efficacy. In England, Scotland and Wales sildenafil is available on NHS prescription from GPs as well as specialists, for all men who have ED. The test helps doctors minimize unnecessary prostate biopsies. Not every sexual activity is the thing for everyone, and just as it is for women, oral sex or intercourse aren t something that every man likes or finds to be a favorite all by themselves.