ERECTILE DYSFUNCTION THERAPY

Cardiovascular health and limiting excessive alcohol consumption and smoking may improve symptoms of ED

Sildenafil (Viagra)

  • Lasts up to 4 – 5 hours
  • Not meant to be taken continuously
  • Starting dose is 50 mg for sexual activity

BOTH

  • Increases blood flow = erection
  • Treats large percentage of men
  • Efficiency varies with underlying causes
  • Take 30 mins – 1 hr before sexual activity
  • Priapism requires medical attention
  • Avoid taking with nitrate medications
  • May interact with some drugs

Tadalafil (cialis)

  • Can be taken once daily at lower doses
  • Starting dose is 2.5 mg – 5 mg
  • Can continuously treat ED
  • Longer duration than Sildenafil
  • Lasts up to 36 hours
  • Nicknamed "The Weekend Pill"
  • More flexibility than other ED medications

Injections

What iS it?

WHat Does It DO?

  • Alprostadil – synthetic form of prostaglandin E1 (PGE1)
  • Self-administered by individual or partner
  • Rotate injection sites to maintain effectivenes
  • Lasts between 30 minutes – several hours
  • Priapism requires medical attention
  • Avoid if bleeding disorders or priapism
  • Provider instruction for safe administration
  • Produces erection within 5 – 20 minutes
  • Dilates blood vessels
  • Relaxes smooth muscle tissue
  • Increases blood flow
  • Results in erection
  • Helps those unresponsive to oral medications
  • Highly effective treating ED

Testosterone Therapy

What is it?

ADMINISTRATION

What Does It Do?

  • Less testosterone produced with age
  • By age 40, 50% of levels lost
  • Develops male reproductive tissues
  • Muscle loss = weight gain
  • Avoid if cardiovascular disease
  • Evaluation, physical exam, & blood tests
  • Injections
  • Creams
  • Gels
  • Troches
  • Can compound DHEA with oral/injectable
  • Treats hypogonadism
  • Improves mood & mental health
  • Retains muscle & bone density
  • Higher libido & energy levels
  • Less ED & fatigue
  • Aids memory & concentration

Bremelanotide PT–141

What is it?

What does it do?

  • Developed based on Melanotan II – hormone that darkens skin
  • Synthetically produced variant of peptide hormone
  • Naturally produced in body & stimulates melanogenesis
  • Revolutionary game changer for men suffering from ED
  • Accidentally discovered Melanotan II causes arousal & erections
  • Effects occurred in 9/10 male volunteers
  • Instructed on how to inject at our office
  • Keep medication refrigerated
  • Self-administered 1 – 2 hours before sex
  • Dosage: men & women 2mg dose, but don't exceed 2mg in 72 hours
  • 1st injection, use 1mg test dose & add 1mg more 30 mins later
  • Timing & response different per person
  • Treats sexual dysfunction in women, but has more use in men
  • Activates melanocortin receptors without tanning skin
  • Produces potent, long-lasting erections
  • Increases libido & desire
  • Enhances performance
  • Boosts confidence
  • Elevates energy
  • Improves mood
  • Over-all increase in sexual satisfaction
  • Doesn't use vascular system, goes through nervous system
  • Uses different pathway than medications like Viagra or Cialis
  • Works when other ED medications not successful

Individual results may vary