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Second line therapies consist of an intraurethral suppository of prostaglandin E1 and intracavernosal injection with vasoactive substances. The FDA recommends that men follow general precautions before taking a medication for ED. In other cases, there is no swelling or fullness of the penis at all. You may also consider some herbs that support testosterone and erectile function. During the second phase, the bulbospongiosus muscle contracts and expels the seminal fluid through the urethra.