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When you're sexually aroused (turned on) your brain sends signals to the nerves in your penis.
The nerves then cause blood flow in to your penis, making it hard.
It may also help maintain the length and thickness of the penis if used regularly and soon after surgery.
With the cream, you or your partner can rub in any cream that's left on the tip and massage your penis to help it absorb the drug.
If the pellet works you should get an erection within 5-10 minutes which lasts for up to an hour. You use a pump and a plastic cylinder to create a vacuum which makes the blood flow into your penis. After using the pump to get an erection, you slip a constriction ring from the end of the cylinder around the base of your penis.
They will keep working for four to six hours or up to eight hours for vardenafil.
So if they work you should be able to get an erection if you're sexually aroused during that time. It can work for up to 36 hours so it lets you be more spontaneous.