Three questions
Find out if venous leak is part of your ED.
A short recommendation — not a diagnosis — for whether Xialla is worth a $50 try.
Start
1 / 3
Who is helping with your ED?
A doctor
I am already working with a clinician.
I am figuring this out myself
No clinician is guiding treatment yet.
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2 / 3
What did the doctor say the problem is?
Not enough blood flowing in
Pills, injections, cream, shockwave, or a pump.
Venous leak — blood flowing out too quickly
They named outflow and may have prescribed a ring.
Both, or they were unsure
Inflow and outflow together, or no clear diagnosis.
They did not describe it that way
I have a prescription, but inflow versus leak was not explained.
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3 / 3
On that treatment, what happens to the erection?
It holds well enough
Medication or a pump is producing a usable erection.
It arrives, then fades
Inflow improved. The erection does not last.
It is still too soft
Some improvement, not enough rigidity.
Still almost no erection
The inflow treatment has not produced a usable result.
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3 / 3
What happens with the ring you were given?
It slides during sex
Or it has to be tightened until it is painful.
It stays in place, but the result is still poor
The ring does not slide. Intercourse is still unsatisfactory.
I was not given a ring
Venous leak was diagnosed. Nothing is holding the blood yet.
It is the ring that came with a pump
The pump creates the erection. The included ring is meant to hold it.
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2 / 3
What do your erections do?
Almost no erection
Little or no rigidity, whatever the cause.
They arrive, then fade
An erection starts and then is lost, often at the worst moment.
They are too soft
There is some erection, not enough for satisfactory intercourse.
I have a penile implant
The shaft is rigid. The glans or overall fullness may still be lacking.
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3 / 3
Have you tried a treatment that increases inflow?
Not yet
No pills, injections, or pump so far.
Yes, and still almost no erection
Inflow treatment did not produce a usable result.
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3 / 3
What happens with an ordinary constriction ring?
It slides, or it has to be painfully tight
The ring moves during sex, or comfort is the problem.
I have not used one
Or I only tried briefly.
It stays in place, but sex is still a problem
The ring does not slide. The erection is still too soft or fades.
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Recommendation
Result
What you reported
Recommendation
This is not a diagnosis and does not create a patient–physician relationship. Speak with your clinician before changing treatment. Do not wear a constriction device longer than 30 minutes. Remove it if the penis is numb, cold, painful, or discolored.
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