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If lifestyle changes fail to improve things, tablets are usually the first line treatment. The use of IUS involves the placement of a prostaglandin E1 loaded pellet within the urethra before sexual intercourse. Intraurethral Prostaglandin E1 pellets are available for use as urethral suppositories. Weiss JN, Badlani GH, Ravalli R, Brettschneider N Reasons for high drop out rate with self injection therapy for impotence. Some of the similarities can be explained by the tendency for people to choose spouses like themselves, and some of the shared risk factors depend on lifestyle habits partners have in common.