Category

men

Treatments for Erectile Dysfunction

Before beginning a course of treatment for erectile dysfunction, you’ll first need the condition to be diagnosed. Erectile Dysfunction is when a man is unable to achieve or sustain an erection firm enough for sex. It’s also not a one-off situation. ED is characterized by the inability to achieve or sustain an erection more than half the time. It’s important to understand that ED is more common than you think – it happens to approximately 50% of men between the ages of 40 to 70 years old. Don’t be stressed over it, if anything, that will only add anxiety to the performance and things could get worse from there.

So, you’ve seen your urologist and it’s been established, you have ED. What next?

Oral medications like Cialis or Viagra may be prescribed. They are the most common treatment insofar as PDEs inhibitors are concerned. They increase blood flow to the penis so that an erection may be achieved (and of course, sustained as desired).

There are also injectable medicines that are readily available. Injectable medications stimulate blood flow so as to achieve and sustain an erection as desired.

PRP Therapy is another avenue that may be recommended. Platelet-Rich Plasma Therapy (also known as the P-Shot) takes the patient’s blood, separates the platelet-poor from the platelet-rich plasma, and then re-injects it into the afflicted area. The experimental PRP therapies revitalize muscles and tissues as well as improve circulatory function.

Erectile Dysfunction Shock Wave Therapy is the application of low-intensity shockwaves sent to reopen the veins and re-establish proper blood flow to the penis.

If your doctor determines that the ED is stemming from something more psychological than physiological, then sexual therapy (counselling) will be recommended. Depression, stress, anxiety (even performance anxiety), and relationship issues can all play a role in ED.

If sex in your relationship is important to, why throw in the towel and succumb to your ED? You don’t have to forever miss the intimacy? Erectile Dysfunction is a treatable condition and most men are able to return to healthy sexual function once they’ve been prescribed a proper course of treatment. So, keep your head up, visit your urologist and set a plan in motion so you can get back in the game!

Dr. Steinberg

The P-Shot

The P-Shot was created by Dr. Charles Runels to help men who suffer from erectile dysfunction get that so-desired pep back into their step. Named after the Greek God of Virility, the Priapus Shot, aka the P-Shot, delivers approximately seven different growth factors into the penis to stimulate the regeneration of new cells, collagen and blood vessels so as to rejuvenate tissue so that a firm and sustained erection can occur.

Unlike our gargantuan-endowed friend Priapus, the P-Shot will not deliver an oversized and permanent erection, but rather will increase blood flow to the penis allowing for spontaneous arousal and desired sexual response. You know what that means? A healthy sexual lifestyle might be in your future!

How does this magical P-Shot work? Good question. It’s simple.

The P-Shot is an experimental procedure that uses platelet-rich plasma (PRP), which basically means that your own blood is reinjected into your body to attract reparative stem cells that immediately work to restore penile muscle and tissue. Let’s rewind a step.

The Process:

The P-Shot process involves a quick withdrawal of blood from the patient’s arm. Your blood is then transferred to a centrifuge where it spins for about 10 minutes. This process separates the platelet-rich plasma from the platelet-poor plasma. Re-injecting the PRP into the penis, blood flow is stimulated and ready for action.

By harvesting your own plasma-enriched growth factors and injected them back into your blood supply, the P-Shot is essentially a natural treatment, and because it’s natural, the procedure does not present any side effects.

The benefits of PRP Therapy can include:

  • Erections achieved and maintained during intercourse
  • Increased sensation and pleasure
  • Improved self-confidence
  • Restored intimacy in relationships
  • Spontaneous response to sexual desire

The benefits of the P-Shot have been known to last for up to a year. While the P-Shot is a relatively new procedure and is still considered experimental, it is of note that men who suffer from erectile dysfunction have seen improvements. Whether it’s a placebo effect or a direct effect from the treatment… well, let’s just put it this way, it’s definitely worth a (P-)shot to find out!

Dr. Steinberg

Estrogen in Men – Not Just a Female Hormone

Traditionally, estrogen is thought to be an exclusively female hormone. However, if you take a closer look at what estrogen does, you’ll learn that this “female” hormone plays a vital role in men’s (sexual) health as well.

There are three major endogenous estrogens in females that have estrogenic hormonal activity: estrone, estriol, and estradiol. However, the estradiaol, the predominant form of estrogen, is critical to both men and women. Estradiol plays a key role in sexual function as it is essential for modulating libido, erectile function, and spermatogenesis (the production or development of mature sperm, without which, one might not be able to fertilize the female counterpart).

Estrogen receptors, as well as aromatase (the enzyme that converts testosterone to estrogen) are abundant in the brain, penis, and testes. All three of these organs are essential to “normal” sexual function. When aroused, estradiol synthesis is increased in the brain as well as in the penis and testes.

Our hormones co-mingle in a variety of ways, for example, estradiol regulates testosterone in the mature penis. Although our hormones work together to balance our bodies, low testosterone or elevated estrogen can increase incidences of erectile dysfunction.

As with women, men can have a fluctuation in estrogen production. When a man’s body produces too little or too much estradiol, there are a range of symptoms that may occur:

  • Sexual dysfunction (low libido, decreased morning erections, decreased erectile function)
  • Enlarged breasts
  • Lower urinary tract symptoms associated with benign prostatic hyperplasia (BPH)
  • Increased abdominal fat (mostly associated with low estrogen)
  • Feeling tired
  • Loss of muscle mass

Estradiol boosts serotonin levels naturally. When this hormone is out of balance, serotonin levels drop (this is true for women too – which is why estrogen is most commonly known as the hormone connected to mood and behaviour). Typically, when one’s serotonin drops, the body will naturally counteract it by kicking out norepinephrine and epinephrine (thanks adrenals!), to balance the body. In cases where a person suffers from chronic stress or has weak adrenals, the whole balancing act gets out of whack. That’s when symptoms kick in:

Hormone therapy is an effective solution in cases where the body isn’t producing a natural amount of any given hormone. Other ways to help your body balance and regulate hormone levels include: reducing stress, eating well, and exercising routinely. You can take your health into your own hands by understanding the basic ways your body functions.

If you are ever uncertain about what does what or how something works (or if something isn’t working the way you think it should), call us up! We encourage you to get in touch if you are ever concerned about anything related to your overall health, especially when related to your sexual wellness. You’d be surprised to learn that you aren’t alone if you call your doctor and #HaveTheBallsToTalkAboutIt

 

Dr. Steinberg