ED Injections Not First Line For Erectile Dysfunction
Dear Dr Roach explains ED often signals vascular or hormonal issues and that weight loss can help. If PDE5 inhibitors fail, second line includes vacuum devices and injections. Alprostadil is FDA approved and effective about 90 percent. Trimix adds risk of infection and may not outperform alprostadil alone.
Wary in Washington flags potential grooming in family circle
A reader warns about a 59-year-old bachelor who befriended a single mother and her four daughters, focusing on one daughter who now claims to be 18. The note advises informing the mother of possible grooming and ending such behavior, as red flags appeared eight years prior. The column also urges counseling for a abuse survivor in Oregon and suggests pursuing personal healing and possible separation if needed.
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