ERECTILE DYSFUNCTION

Happy Young Man

Can Affect All Men of All Ages

​It’s okay if things aren't like they used to be - trust us, you’re not alone. Erectile Dysfunction (ED) is one of the most common sexual problems men face. Also known as "impotence," ED is the inability for a man to maintain or achieve an erection firm enough for sexual intercourse.

 

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How have things been from an erection standpoint lately? 

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COMMON CAUSES

  • Psychosocial conditions

  • Interruption of blood flow to the penis

  • Damage to  penile nerves

  • Chronic medical conditions such as: Heart disease, diabetes, vascular disease, endocrinopathies

  • Medication side effects

  • Tobacco use

Signs & Symptoms

On top of causing problems in your relationship, we understand that ED can be stressful and embarrassing to experience. We deal with this diagnosis almost on a daily basis. Please don’t feel ashamed to talk to us about it. For most patients, improving your physical health and taking a pill 30 minutes to one hour prior to intercourse can help!

DIFFICULTY MAINTAINING AN ERECTION

PREMATURE

EJACULATION

DEPRESSION AND ANXIETY

DIFFICULTY ACHIEVING AN ERECTION

LOW TESTOSTERONE

LEVELS

RELATIONSHIP PROBLEMS

LOW LIBIDO

SHAME AND GUILT

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What To Expect

Timeline


New patients will be screened, and we will order lab work to asses for possible underlying causes and contributing factors like diabetes, high cholesterol and hypertension, which can effect blood flow to your penis. Depending on your health history, we can start prescriptive therapy on the day of your virtual visit!




Treatment


ED is generally treated with Phosphodiesterase Type 5 Inhibitors (PDE5’s) such as Sildenafil or Tadalafil that help relax blood vessels to increase blood flow to your penis. Some insurances cover these medications at little-to-no cost, while others do not. A script for 30 days is between $11 and $36 depending on the pharmacy used. TIP: Use a coupon from goodrx.com and take it to the nearest discount-rated pharmacy.




Follow-Up


Is it reasonable for us to follow-up every 6 -12 months to ensure you are not having adverse effects from any medication(s), and there have been no changes in your health. Typically, we write prescriptions that include 11 refills. If you do not get the results you desire, please schedule a follow-up to discuss alternative forms of treatment.




Testing


It is recommended to test your testosterone, lipid levels and blood glucose prior to treating erectile dysfunction to assess underlying health conditions. We will also review your recent medical history and blood pressure (BP) readings prior to prescribing any medicine. Please provide at least 2 blood pressure readings taken within the past 2 - 3 weeks. If you do not have a home BP machine, you can find the nearest station by clicking here.





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NO SUBSCRIPTION SERVICE NEEDED

A subscription of the most common erectile dysfunction medications such as Sildenafil/Viagra, Tadalafil/Cialis, Vardenafil/Levitra, and Avanafil/Stendra can be sent to a pharmacy near you, or mailed to you. 

These medications are phosphodiesterase-5 enzyme (PDE-5) inhibitors, they block PDE-5 which in return, relaxes certain muscles and blood vessels, which increases blood flow to the penis to help with an erection.

Frequently Asked Questions

How do erections work?


An erection happens after your brain becomes aroused by something you may see, think, smell, or feel. These chemical signals communicate with your penis' blood vessels and relaxes the arteries to allow for more blood flow. Once blood is in the penis, pressure builds within the spongy tissue of the penile shaft causing your penis to expand and hold the erection. Once blood stops flowing in, the veins open and the erection softens.




How serious is ED?


ED is not considered “serious,” but it can be a warning sign for other serious illness that impact your blood circulation such as atherosclerosis (hardening or blockage of arteries), heart disease, high blood pressure or diabetes.




Are pills the only treatment for ED?


The most common form of treatment for ED is with oral medications PDE5’s (phosphodiesterase type-5 inhibitors) such as viagra and cialis, levitra, stendra. Treatment is most successful by funding the underlying cause. As ED can be impacted by physiological causes such as low testosterone levels or medication side effects, analyzing your blood work can help rule out more serious conditions. * Other treatments for ED include: * Testosterone Therapy (when low testosterone is detected in blood testing) * Penile Injections (ICI, intracavernosal Alprostadil) * Intraurethral medication (IU, Alprostadil) * Vacuum Erection Devices * Penile Implants, etc.





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