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Testosteronesupplementation appears to be more effective as a treatment for low libido than for EDFor most men with both ED and hypogonadism, oral PDE 5 inhibitors alone are recommended as the initial therapy. If these options fail, you may be referred to a urologist who can assist with other non surgical options such as vacuum device or injections or surgical treatment options. Eighteen community based groups were set up and 200 men who have sex with men and transgender people were trained in sexual health and rights.

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