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PDE5i work for many men but they will not cause an erection unless the man is mentally AND physically stimulated see our factsheet Oral treatment for erectile dysfunction. However, they are not aphrodisiacs and do not increase libido. It s the first FDA approved oral treatment for erectile dysfunction. Smooth muscle relaxation ensues by activation of guanylate cyclase. Decreasing the amount of alcohol you drink this can have a positive effect on erectile function, as well as overall health.