Sexual Health & Wellness

Erectile Dysfunction

Symptoms, Causes & Various Treatment

Millions of men worldwide suffer from Erectile dysfunction, classified as a man’s inability to achieve and maintain an erection that is hard and long enough to perform sexual intercourse. Over 80% of Erectile Dysfunction (ED) issues are caused by poor blood flow. *This inability becomes a true medical condition once difficulty persist for an extended period.

Treatment Options For Erectile Dysfunction

Erectile Dysfunction

Symptoms, Causes & Various Treatment
Millions of men worldwide suffer from Erectile dysfunction, classified as a man’s inability to achieve and maintain an erection that is hard and long enough to perform sexual intercourse. ED is sometimes referred to as impotence, and while most men will have occasional difficulty achieving a healthy erection during sexual intercourse, ED is a chronic condition, meaning that difficulty persists for an extended period of time. The penis has two chambers, one on either side, that fill with blood during sexual arousal, resulting in the penis becoming engorged (hard). When blood flow to the corpora cavernosa is blocked, diminished or restricted, this can result in ED. Unfortunately, most men are reluctant to report erectile dysfunction (ED) to their partner, or even to their physician, due to self-esteem and embarrassment with their performance in the bedroom. Erectile Dysfunction is far more common than the public realizes, and we offer a variety of solutions to address this important issue.

Causes of Erectile Dysfunction:
Due to physical, psychological or emotional reasons men all over the world suffer from erectile dysfunction. Most of these men would welcome a natural, drug-free, solution to their ED, with long-lasting results. There are many causative medical and psychological factors related to E.D. Age is, often, the main consideration and predominant factor in erectile dysfunction. Typically, men over the 40 experience ED as the result of inadequate blood flow to the penis and often due to the narrowing of blood vessels. Inadequate blood flow can arise due to many causes including but not limited to:

  • Poor blood circulation
  • Hormonal imbalances
  • Obesity or Inactive Lifestyle
  • Alcohol consumption
  • Smoking
  • Sleep apnea
  • Psychological stress
  • Diabetes
  • Hypertension
  • High cholesterol

Treatment Options For Erectile Dysfunction

Testosterone Replacement Therapy to Optimize your Health

Most men over the age of 30 will experience a reduction in the production of testosterone at a steady rate. A decrease in the hormone testosterone is a natural result of aging. While this reduction affects every man individually, 20% of men over the age of 60 years have clinically low testosterone and this number increases to 30% for men in their 70s. Men of all ages may experience the effects of diminished testosterone, even if they may not be classified as having “clinically low” testosterone.

Diagram of effects of a testosterone deficiency
Testosterone is an important hormone which affects many important bodily functions including:
  • Sex drive
  • Sperm production
  • Red blood cell production
  • Muscle mass/strength
  • Bone density
  • Fat distribution

A decrease in testosterone levels can result in significant physical and emotional symptoms including fatigue, loss of libido, weight gain. The effects of low testosterone are often attributed to aging, but through a medically supervised approach, we can help you supplement your declining testosterone, and reclaim your vitality. Through Testosterone therapy, we have helped 1000s of men increase their energy level, achieve better and more satisfying sexual relationships, improve confidence, and improve health outcomes, regardless of your age.

Testosterone Replacement as a treatment for Erectile Dysfunction can only work if there is good vascular health throughout the body, especially the penis. Without it, this is like pouring the best gasoline in the world into a rusty engine that hasn’t been cleaned and tuned up. You may get it to turn over a few times, but it will sputter and then, eventually, nothing will work.

Nutrition and lifestyle play a very important role in hormone therapy. TRT may help increase your testosterone levels to a healthy range. In addition to this treatment, your doctor may recommend a personalized lifestyle plan. For example, they may recommend diet changes as a part of your comprehensive treatment plan, to help you respond better to hormone therapy. Eating a healthy, balanced diet helps your body and mind in a variety of ways. Therefore, it should be no surprise that it can also help with your low testosterone treatment.

Diet and supplementation will influence your testosterone production, so providing your body the correct nutrition while receiving testosterone replacement therapy will optimize your health. You may want to stay away from low-fat diet plans, as they may be linked to low testosterone levels. While certain fats can decrease testosterone in your body, polyunsaturated omega-3 fatty acids may improve testicular function. Therefore, you may want to discuss what you eat with your doctor when creating your low T treatment plan.

Other lifestyle factors can also worsen your low testosterone levels. Stress can exacerbate many conditions, including low T. Therefore, you may want to limit stress as part of your treatment plan. Each individual decompresses differently, but some stress-reducing techniques include meditation, journaling, and exercising.

Living a sedentary lifestyle can also impact testosterone production. Regular exercise may be able to support your testosterone replacement treatment. Ask your doctor if they recommend a workout regimen to help you become healthier. Exercise is not only a way to gain energy, manage your weight, and improve your overall health, but it may also assist your testosterone replacement therapy. Therefore, it’s important to talk to your doctor about what you can do alongside testosterone injections to help relieve your low T symptoms.

Shockwave Therapy® For Erectile Dysfunction

Shockwave Therapy is a clinically proven, non-invasive soundwave therapy, specifically developed for men seeking a long-term solution to improve their sexual performance or erectile dysfunction. This therapy treats the Cause not the Symptom of Erectile Dysfunction. Shockwave Therapy is the name of a protocol given to a procedure for E.D utilizing Extracorporeal Shockwave Therapy (ESWT). ESWT is high-frequency, low-intensity soundwaves (acoustic) to improve blood flow to the penis, remove micro-plaque, and stimulate the growth of new blood vessels (angiogenesis). We use a specific protocol designed to optimize efficacy, safety, and results based upon your level of ED severity. The Protocol we use is based on a series of over 30 clinical studies showing a greater than 75% success rate in treating Erectile Dysfunction (E.D).

The procedure calls for 1000s of shockwaves on and around the penis, improving blood flow to the penis by dissolving plaque build-up and stimulating the growth of new blood vessels. This is accomplished as a result of the microtraumas created by the focused waves and the healthy inflammation your body generated that follows. This regenerative treatment results in stronger, harder, and more sustainable erections with long-term effects resulting from the pulsating waves that trigger a healing response that “wakes-up” dormant stem cells and growth factors in the penis for an overall rejuvenation of male erectile tissue.

The P-Shot®: A Quick and Relatively Painless Procedure That May Provide a Long-Term Solution for E.D

The Priapus Shot® (also known as the P-Shot) is a minor in-office regenerative treatment to enhance male sexual performance. This treatment is virtually pain-free, and is completed in less than an hour. Our medical team will apply your own body’s blood-derived bioactive growth factors directly to the penis, stimulating the growth of new blood vessels (angiogenesis), and tissue growth. This is accomplished through drawing the patient’s blood, and placing it in our state of the art centrifuge to obtain your body’s platelet-rich plasma (PRP). Following local anesthetic, this PRP is introduced into the penis, resulting in tissue, nerve, and blood flow rejuvenation with very minimal adverse effects. This offers the opportunity for long-term improvements in your sexual performance. This therapy is designed to work in conjunction with other therapies for ideal results. (Acoustic Wave / Testosterone Replacement).

P-Shot is a great option for men wanting to restore or elevate their sexual performance, especially if they have lost function due to a prostate condition, surgery, prescription drug side effects, and other conditions like diabetes. This procedure has far longer effectiveness than other treatments, as it is designed to treat damaged tissue, or blood flow affecting your erection. Unlike other erectile dysfunction (E.D) treatments, the P-shot results in tissue and blood-flow repair, a result that is not achievable through pills, creams, pumps, or other treatment options. Following the treatment, aside from the noticeable difference in size, you should not feel any discomfort.

The P-Shot represents the single most comprehensive procedure addressing male enhancement, and has the added benefit of improving sexual performance for a far longer-term than pills or other treatment options.

E.D Medications:

Pharmaceuticals such as Viagra (Sildenafil), Levitra (Vardenafil), and Cialis (Tadalafil) are among the most popular treatment options for erectile dysfunction. Although popular and boast an 80% success rate, these drugs are classified as phosphodiesterase-5 inhibitors (PDE-5) – which, temporarily, enable an erection but are not the best for maintaining an erection over time. Because the prescription is typically the first and easiest solution, it is relied upon heavily. One consideration with E.D medication is that the body does not react immediately to some of the pills, and can take up to 1.5 days to respond. Therefore, the man needs to space out sex, limiting the chance of a spontaneous sexual experience and creating anxiety when he does not have a “little blue pill” close by. This type of activity can also lead to developing a tolerance, meaning increasingly more medication is required to achieve the result. Additionally a potential drug dependence can develop with E.D medications– even if it is psychological.

In response to the concerns with erectile dysfunction drugs, our practice offers alternative treatments that treat the underlying issues with E.D such as hormone balance, and blood flow, rather than the temporary patching up of symptoms offered with E.D medication.

Treatment Options For Female Sexual Wellness


IntimaLase® is an innovative, clinically proven, noninvasive Er:YAG laser therapy for the treatment of Vaginal Relaxation Syndrome. Vaginal Relaxation Syndrome is a condition that is generally associated with overstretching of the vaginal canal, resulting from childbirth, and/or from natural ageing of the body.

This treatment is based on a proprietary Er:YAG laser light technology called Fotona SMOOTH®, which enables delivery of specially composed laser energy pulses to the vaginal mucosa tissue. The precisely controlled Fotona SMOOTH® energy pulses are designed to induce thermal effects in the vaginal tissue, stimulating collagen remodeling and the synthesis of new collagen fibers. The end result of collagen neogenesis and remodeling, is tightening of the vaginal canal. This process is quick, safe, and effective.

For the majority of patients, two sessions with a one-month interval are sufficient for significant tightening of the vaginal canal. No special pre-op preparation or post-op precautions are necessary. Patients can immediately return to their normal everyday activities after treatment. After a single treatment, clinical results show a tightened vaginal canal, greater sexual satisfaction, and significant improvement in a patient’s quality of life.

Female Bioidentical Hormone Therapy

Bioidentical Hormone Replacement Therapy can be used to treat women when their hormone levels decrease, or become unbalanced. It’s most frequently used to ease symptoms of perimenopause and menopause. The most commonly replicated and utilized BHRTs are Estrogen, Progesterone, and Testosterone. Clinical research demonstrates that women can expect a variety of benefits from Bioidentical Hormone Therapy, including the following:

  • Heightened Libido
  • Reduced Risk of Depression
  • Improved Cholesterol Levels
  • Reduced Osteoporosis and Restoration of Bone Strength
  • Improved Mood
  • Heightened Concentration and Memory
  • Reduced Hot Flashes and Vaginal Dryness
  • Reduced Risk of Alzheimer’s Disease
  • Reduced Risk of Endometrial and Breast Cancer
  • Improved look and feel of hair, skin, and nails
  • Reduced risk of breast cancer
  • Reduced risk of osteoporosis (bone density)
  • Fewer hot flashes
  • Easier to maintain muscle mass and strength

Like any medical treatment, there is always the possibility that patients can experience adverse effects while taking hormones. It is important to consult with a Physician like Dr. Deepti, who has spent years developing knowledge of this therapy, and uses an evidence guided approach to safely administer BHRT. If you believe you can benefit from our expertise, please don’t hesitate to schedule a consultation!

For women at or near menopause, (and sometimes for even younger women suffering from key hormone deficiencies) BHRT can be life-changing, and the minimal adverse effects and safety of BHRT has been well-documented.

Don't wait, reach out today!

If you are suffering from Erectile Dysfunction, Peyronie’s Disease, or simply want to restore your youthful sexual performance, contact us now!  Your first step toward Sexual Health could be as simple as a phone call.