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Here is the breakdown: There is an important caveat

By relaxing these muscles, Botox promotes vasodilation , meaning it widens blood vessels and allows better blood flow to the penis, which is a key part of achieving and maintaining an erection.[2] In this way, its action is somewhat similar to PDE5 inhibitors (like Viagra or Cialis), and it may work for men who dont respond well to standard ED medications

Hormonal Therapy: Hormonal treatments aim to regulate or suppress the hormones that influence the menstrual cycle, thereby reducing the growth of endometrial-like tissue

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If they have failed a rehabilitative program or have only been offered or opted for a passive-therapy-only management plan, they will almost certainly be offered CSI at least once, and usually multiple times before surgery is considered