
SEXUAL hEALTH
SEXUAL HEALTH
ERECTILE DYSFUNCTION
- Estimated 30 million men in the U.S. struggle with ED. Erectile dysfunction can be a sign of serious underlying vascular disease, heart disease, high blood pressure etc. Many times there are easily reversible causes such as changing medications, increasing activity levels, managing depression
Common symptoms related to erectile dysfunction:
- Unable to achieve an erection
- Partial erection
- Unable to keep an erection
- Having a reduced or no sexual desire
- Low self esteem
- Relationship stress
- Anxiety
Men are probably most familiar with a class of drugs called PDE-5 inhibitors eg. sildenafil (Viagra), tadalafil (Cialis). They have been established as the gold standard in the treatment of erectile dysfunction.
Frequently as low testosterone is treated many sexual problems such as low libido and erectile dysfunction improve. However, if symptoms persists, we offer treatment to optimize performance as needed. If these first line medications are not effective we also offer additional topical creams and injectable medications.
MOST OF OUR MENS HEALTH PACKAGES INCLUDE YOUR CHOICE OF:
- SILDENAFIL (VIAGRA) 30 TABLETS 50MG MONTHLY
- TADALAFIL 20MG TABLETS 30 TABLETS MONTHLY (GREAT FOR PRELOAD DURING WEIGHT TRAINING GIVEN VASODILATORY EFFECTS)
Premature Ejaculation
SSRIs can help treat erectile dysfunction if there is a psychosomatic component where stress, anxiety or depression are involved. However, SSRIs can also cause erectile dysfunction. It is important for a complete review of current medications and health history to help determine the exact cause of your erectile dysfunction.
SSRIs have also been found to be effective in treating premature ejaculation (PE), a common sexual dysfunction characterized by the inability to control ejaculation and achieving orgasm sooner than desired. SSRIs can delay ejaculation by increasing the serotonin levels in the brain, which helps to inhibit the reflex that triggers ejaculation.If appropriate then SSRIs can be taken on an as needed basis to treat premature ejaculation. Typically paroxitine (Paxil) is used.
We do offer select SSRI’s for as needed treatment of premature ejaculation and they are also included in many of our mens health packages.
HAIR LOSS
Minoxidil
Minoxidil is a medication that is commonly used to treat hair loss and promote hair growth in both men and women. It is available in both topical and oral forms and works by increasing blood flow to the hair follicles, stimulating hair growth.
We can assess you to see if you are an appropriate candidate for treatment. We offer both the oral (dispensed on-site) and topical forms.
Finasteride
Finasteride is a medication commonly used to treat male pattern baldness by inhibiting the hormone responsible for hair loss. It has been shown to be effective in slowing down hair loss and promoting hair regrowth in some individuals. While effective it can also lower testosterone so dosing adjustments may be needed. We can work with you and see if you are a candidate and optimize in conjunction with your TRT.