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If you‚re totally opposed to using a needle, there‚s another way to administer prostaglandins: Insert them as a suppository into the tip of your penis, so the meds are absorbed through the lining of your urethra. ‚It‚s the same chemical [as in the shots], but you‚re talking a 20- to 100-fold increase in dose,‚ since the pellets aren‚t as readily absorbed as the injections, said McVary. That also means the prostaglandin pellets take longer to kick in ‚ about 20 minutes to half an hour. Another downside: ‚It dramatically increases blood flow in the pelvis, not just the penis,‚ said Paduch. ‚A lot of men will experience a menstrual-like pain. ‚ But the option is certainly there for needle-phobic patients.

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