Bioglandin injections, also known as prostaglandin injections, are a form of therapy used to treat ED. These injections work by relaxing smooth muscle tissue and dilating blood vessels in the penis, facilitating increased blood flow and thus, improving erectile function. While Bioglandin injection have shown promising results in enhancing erectile function, they are not without potential side effects, including pain at the injection site, prolonged erections, and priapism. Smoking has long been recognized as a significant risk factor for ED. The chemicals present in tobacco smoke can damage blood vessels and impair blood flow throughout the body, including to the penis. Additionally, smoking contributes to the development of atherosclerosis, a condition characterized by the buildup of plaque in the arteries, further restricting blood flow and compromising erectile function. Research studies have consistently demonstrated a strong association between smoking and an increased risk of ED, with smokers being more likely to experience difficulties achieving and maintaining erections compared to non-smokers.