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PLLC

Erectile Dysfunction

Find solutions with Testosterone Replacement Therapy (TRT)

As men age, they produce less testosterone required for normal physical performance and sexual enjoyment. Low testosterone levels can also lead to other issues such as muscle loss, fatigue, decreased sexual desire, mood swings, memory loss, depression, and anxiety.

Hormone replacement therapy can reverse these symptoms by boosting low testosterone levels and correcting hormone imbalance. Men receiving testosterone replacement therapy can see an increase in energy, performance, sexual virility and improved feelings of well-being, as well as reduced body fat, decreased mood swings, increased strength and improved mood.

What is Erectile Dysfunction?

Erectile dysfunction (ED), also known as impotence, is the inability to get and keep an erection firm enough for sex. It can be caused by a variety of physical or psychological conditions.

What are some common causes of ED?

Erectile dysfunction (ED) can be caused by a variety of physical and psychological factors. Physical causes include heart disease, clogged blood vessels (atherosclerosis), high blood pressure, diabetes, obesity, neurological conditions such as Parkinson’s disease or Multiple Sclerosis, tobacco use, trauma or injury to the penis or spinal cord, diseases of the penis, certain medications like antidepressants and antihistamines, and sleep disorders. Psychological causes include depression, anxiety and stress.

How is Erectile Dysfunction diagnosed?

Erectile dysfunction (ED) can be diagnosed by taking a medical and sexual history, and a mental health and physical exam. Blood tests may be used to check for hormonal problems such as hypogonadism (low testosterone), signs of heart disease, diabetes, and other health conditions. Urine tests (urinalysis) may also be performed.

How is Erectile Dysfunction diagnosed?

Erectile dysfunction (ED) can be diagnosed by taking a medical and sexual history, and a mental health and physical exam. Blood tests may be used to check for hormonal problems such as hypogonadism (low testosterone), signs of heart disease, diabetes, and other health conditions. Urine tests (urinalysis) may also be performed.

What are some common symptoms?

Symptoms of erectile dysfunction (ED) include trouble getting an erection, trouble keeping an erection firm enough for sex, being able to get an erection sometimes but not every time you want to have sex, being able to get an erection but not having it last long enough for sex and being unable to get an erection at any time.

How is ED treated?

Treatment options for ED include medications such as oral medications that enhance the effects of nitric oxide involved in relaxing penile muscles, therapies such as self-injections and exercises, hormone therapy if testosterone levels are low, psychotherapy to manage stress, depression or anxiety and surgical implants.

 

Medications to treat ED

Sildenafil is a medication used to treat male sexual function problems such as impotence or erectile dysfunction (ED). It works by increasing blood flow to the penis during sexual stimulation, which can help a man get and keep an erection. Sildenafil is also sold under the brand name Viagra for treating ED and under the brand name Revatio for treating pulmonary arterial hypertension (PAH).

It’s important to note that this drug does not protect against sexually transmitted diseases (such as HIV, hepatitis B, gonorrhea, syphilis).

Tadalafil is a medication used to treat male sexual function problems such as impotence or erectile dysfunction (ED). It works by increasing blood flow to the penis during sexual stimulation, which can help a man get and keep an erection. Tadalafil is also used to treat symptoms of an enlarged prostate (benign prostatic hyperplasia - BPH). It’s sold under the brand name Cialis for treating ED and BPH and under the brand name Adcirca for treating pulmonary arterial hypertension (PAH).

How common is ED?

The global prevalence of erectile dysfunction (ED) varies widely, with rates ranging from 3% to 76.5%. ED is associated with increasing age, but a high prevalence of ED has also been identified in young men. For 2025, the prevalence of ED is predicted to be approximately 322 million worldwide.

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