Strategies to mitigate effects of treatment have existed for years, but they are often not discussed. I have discovered by trial and error as well as doing research on pub med that a combination of things really help maintain size, length and girth, and sexual function. Penile rehabilitation should, ideally, begin before treatment. Daily low dose generic cialis or viagra is helpful to maintain blood flow which prevents atrophy. Regular pelvic floor exercises also prevent atrophy and strengthens erections. Regular vacuum pump exercises can modestly increase length and girth. Trimix is absolutely a go to ED treatment. These strategies work even if you are already in advanced stages.