Potentially Curative Treatments available.
In the majority of cases involving men older than 35, the causes are primarily physical. In men younger than 35, the causes may be more psychological. However, even in these cases, medical intervention can always manage a man’s ED, and often solve the problem altogether.
Regardless of age, the best treatment plans for ED are based on a thorough evaluation of all the possible causes. Not sure which treatment option is best for you? Take our ED assessment:
No matter how old or young you are, or how long you've been suffering with ED, we can help you treat your condition, even if you've had unsuccessful results elsewhere. Request more information or schedule an appointment.
ED Treatment Options
Oral Medications - Works for 70% of Men
Who is it for? Oral medications work for 70% of men. For many of these men, it is truly a wonder drug, giving them excellent, predictable, and long-lasting erections. Oral medications have revolutionized the treatment of ED by bringing the issue into the open and giving many men hope.
There are four oral medications for the treatment of ED: Viagra (sildenafil), Levitra (vardenafil), Cialis (tadalafil), and Stendra (avanafil). They are all members of the class known as PDE 5 inhibitors. All four of these medications have the same mechanism of action. It’s important to understand how these medications are absorbed and broken down in order to get the best results from them.
Oral Medications - Works Immediately
Who is this for? For the 30% of Patients where oral medications do not work, Self -Injections into the penis is a great alternative. This often sounds scary to the patient but most men will tell you that the injection doesn’t hurt at all. Some describe it as completely painless. Others report that if feels as if they have been flicked with a rubber band. The injection is extremely quick and uses a very fine needle (usually a 29 or 30 gauge). And since the side of the penis doesn’t have many pain receptors, there is little sensation.
It works like this: The medication goes into the penis with a device that’s similar to the ones used by diabetics. A disposable syringe, with a very fine needle, is placed on the injector. The device is placed against the side of the penis, and you press a button. A spring pushes a very thin needle into the penis and, at the same time, pushes the medication into the penis.
The three most common medications used for injections are prostaglandin E1, papaverine, and phentolamine. All three act by relaxing the smooth muscles and causing the arteries to dilate, making it possible for blood to get into and be kept in the penis.
Shockwave Therapy - Potentially Curative, Non-Invasive Treatment
Who is this for? LI-ESWT (Low Intensity- Extracorporeal Shock Wave Therapy) is a relatively new, painless method for treatment of ED. It has been proven, in the past 10 years, to be extremely effective, in improving ED in most men.
The extraordinary feature of LI-ESWT is that it is the first potential non-surgical curative treatment for ED.
Current treatment of ED, using pills or injections, is extremely successful, but they have always relied on ongoing management of the condition. That is, anyone using pills or other treatments must plan to use them before each sexual activity. LI-ESWT treatment potentially improves a man’s sexual functioning whenever he is sexually active. This may allow him to get and maintain a good erection without requiring an immediate intervention, or improve his function so that he can use a less powerful method to be successful (i.e. function with using pills as opposed to injections.)
Restorative Cell Therapies - Potentially Curative, No Side Effects
Who is this for? Men with mild to moderate ED are the best candidates for Restorative Cell Therapy. Restorative Cell Therapy is a relatively new treatment option for erectile dysfunction (ED). It is one of the few options that is potentially curative, improving your base line erectile function, rather than managing it. You may be able to get and maintain a good erection without advanced planning, or with a less invasive method (e.g. only pills, without injections).
Excellent new research published by The Journal of Sexual Medicine in 2021, shows that Restorative Cell Therapy improves erectile dysfunction in men with mild to moderate ED. We’ve waited to offer this treatment for ED to our patients until we felt the evidence for a specific protocol, with specific equipment, was found to be convincingly effective from a science-based perspective.
Specific Treatments for Gay/Bisexual Men
Our mission is to offer the best treatment options to each man and work with you to create a customized treatment plan. Gay and bisexual men have additional, unique needs and we at Maze are uniquely designed and staffed to address them.
Conditions We Treat
- Low Libido
- Decreased Energy
- Difficulty taking off fat and putting on muscle
- Mental Fogginess
- Depression/Anxiety
Pelvic Floor Dysfunction
- Difficulty with urination or defecation
- Pain in the pelvis, penis, scrotum or perineum, especially after sex
- Sexual dysfunction, especially erection issues
Other Services We Offer
Anal Rehabilitation (Too tight or too loose)
Anal Dilation
- Learning to Bottom
- Issues with Bottoming
Anoscopy and PAP
Anal Manometry
Bowel prep
Pelvic Floor Therapy
PrEp – initiation and maintenance
Sexually Transmitted Disease Testing
- Chlamydia, Gonorrhea, Trich, Syphilis, HIV, Hepatitis
- HPV screening (anal PAP)
- PrEP (Pre-Exposure Prophylaxis)
Sex therapy
IN A PATIENT’S OWN WORDS
I came to Dr. Werner after having a prostate issue that caused Erectile Dysfunction. I had it for at least four years, and was given Viagra, which just wasn't doing it for me. I wanted my mojo back! I found Dr. Werner on the internet, and came in to see him. That was the best decision I ever made.
My first appointment was surprising; it was really great. It was such a pleasant experience, and seeing Dr. Werner continued to be pleasant. It's better than any other practice.* Now, sex is very enjoyable again – my anxiety is gone, and my youth and vigor are back. Dr. Werner resolved my issues quickly, and I didn't have to keep trying to explain what was going on with me, because he had already figured it out.
It's ok to take care of yourself. You become a better human when you take care of your own issues.
- WM, 38 years old -