Erectile Dysfunction Treatment

What is Erectile Dysfunction (ED)?

Ongoing issue – the inability to get and keep an erection firm enough for sex.

What can cause ED?

Physical issues like andropause or Low T, heart disease, high blood pressure, high cholesterol, diabetes, obesity, and smoking. Other causes can include stress, anxiety, depression, relationship problems, and other mental health concerns

Testosterone plays a vital role in a range of bodily functions, including muscle and bone health, cognition, red blood cell and sperm formation, and sexual and reproductive function in males. 

The effects of aging begin much earlier than most men realize. Testosterone levels start to drop at a slow and steady rate in a man’s late twenties and continue to decline well into his golden years. This decline becomes more evident in middle-age when some men experience what has become known as andropause, or “male menopause.” This condition of hormone imbalance in men is characterized by a number of distressing symptoms, such as fatigue, muscle loss, increased body fat, sleeplessness, night sweats, irritability, depression and various forms of sexual dysfunction, like low libido and erectile dysfunction.

Treatment Highlights

  • ED Therapy includes
    • Explore the route cause and treating those issues first
    • Oral drugs or pills known as phosphodiesterase type-5 inhibitors like Viagra or Cialis to help temporarily maintain an erection so you can have sex
  • Testosterone helps maintain:
    • Bone density
    • Fat distribution
    • Muscle strength and mass
    • Facial and body hair
    • Red blood cell production
    • Sex drive
    • Men’s Sperm production

Our Process

  • Request consult
  • Diagnostic blood & allergy testing
  • Provider review & physical
  • Meds shipped directly to you or called into the pharmacy

Hormonal FAQ

What is Bio-Identical Hormone Replacement Therapy (BHRT)?

BHRT Otherwise known as, natural hormone therapy, is the use of hormones that are identical on a molecular level with endogenous hormones in hormone replacement therapy.

During Menopause, progesterone levels, estrogen, and testosterone levels fall causing the female symptoms listed above.

During Andropause, testosterone levels fall causing the male symptoms above. 

 

How long will it take to start my Hormone Replacement Therapy program?

From initial complimentary consult to provider consultation, it usually takes about 2-3 weeks, but can be sooner if the labs process all blood diagnostics tests sooner. 

Do I need to stay on BHRT forever?

As we age (male & female), our hormones decline progressively at about 1% each year. We are replacing your hormones to stay balanced, but your body continues to age and lose 1% production each year. When you stop BHRT your body will return to its normal aging process. Any change in hormones will produce symptoms. Your body may for how it felt prior to therapy, and you may experience the change in hormones.

How often do I need blood work?

2 – 4 times a year

Which is better pellet therapy or injectables?

It depends on your preferences. Both Pellets and injectables give a consistent form of delivery of medication. Pellets are dissolvable medications and are slightly more invasive. They are placed every 90 days by a small incision in the buttocks. The weekly injectable option is easier to alter the dose and are self-injectables or you may come to the office for an AIH provider to give one to you.

Do I need to donate blood if I am on testosterone?

If you experience testosterone induced polycythemia HCT >50 then you may be asked to donate blood.

What happens if I miss a dose?
  • DO NOT DOUBLE UP ON DOSING
  • Resume medications as normal
  • > 1 week contact the office
What do I do if I have surgery planned?
  • Speak to AlH provider
  • May be asked to stop HRT 4-6 weeks prior to surgery and post-surgery until mobilization to prevent clots
How to get HRT

Hormones, such as estrogen and progesterone, is available by prescription only. Schedule your complimentary consultation today to begin your journey towards a happier and healthier life!

FAQ

Do you accept insurance?

We only accept insurance for the purpose of labs.

How long will it take to start my Hormone Replacement Therapy program?

From initial complimentary consult to provider consultation, it usually takes about 2-3 weeks, but can be sooner if the labs process all blood diagnostics tests sooner. 

What is Testosterone Replacement Therapy?
TRT or androgen replacement therapy (ART) is a treatment that doctors give to males who have testosterone deficiency and are showing symptoms of hypogonadism.

Taking prescription testosterone helps restore the levels of this hormone in the blood, reversing the symptoms of low testosterone. People who take it may notice improvements in alertness, sexual function, energy, mood, and overall well-being.

How to get TRT

Testosterone for TRT is available by prescription only. Schedule your complimentary consultation today to begin your journey towards a happier and healthier life!

Do I have Low T?

If you are experiencing the signs and symptoms of Low Testosterone, such as loss of energy, sex drive, focus, or increased weight gain, we recommend getting a full panel blood test to see if your ailments are a sign of Low T. A more complete list of the signs and effects of Low Testosterone can be found above.

I have Low T. How long will it take for my Testosterone Replacement Therapy to take effect?

The individual can expect improvements in their blood testosterone levels within a week, however, symptoms may take longer to improve. It can take up to 4 weeks to see positive changes, and can take up to several months to realize all of the benefits of Testosterone Replacement Therapy.

Does TRT just involve testosterone replacement?

NO!!! One of the biggest misconceptions about Low T is that it can be managed through non-medically supervised testosterone replacement. Testosterone Therapy should ONLY be done under medical supervision with regularly recurring checkups with a trained professional. 

The hormones in your body work in tandem with one another and need to be rebalanced and maintained while undergoing hormone replacement therapy. Many of the “risks” of testosterone actually stem from the effects that individuals experience if doing so without the guidance of trained & experienced medical professional. “Risks” such as testicular anthropy (i.e., shrinking testicals), hypogonadism, and of course, “roid rage” can be greatly reduced with a proven program and the proper medical staff.

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