SYMPTOMS & DIAGNOSIS

At Maze Men’s Health, we know that Erectile Dysfunction (ED) is not just about erections — it’s about your overall health, confidence, and well-being. Our team, led by Michael A. Werner, MD, board-certified urologist and sexual medicine specialist, takes a thorough, evidence-based approach to diagnosing and treating ED. By understanding the root causes — physical, hormonal, neurological, and psychological — we can create a treatment plan that restores both function and confidence.

Erectile Dysfunction can result from several overlapping factors. Vascular issues are among the most common causes. Healthy erections depend on proper blood flow into the penis, and any condition that damages blood vessels — such as diabetes, high blood pressure, high cholesterol, smoking, or poor diet — can impair that process. Because the penile arteries are smaller than those in the heart or legs, ED often appears before more serious cardiovascular events like heart attacks or strokes, making it an early warning sign of vascular disease. Neurological conditions such as diabetes, spinal cord injury, multiple sclerosis, or complications from surgery can disrupt nerve signals to the penis. Hormonal imbalances, including low testosterone or thyroid disorders, can interfere with libido and erectile function. Psychological factors, such as anxiety, depression, or performance fear, can also play a major role, often creating a cycle where physical difficulty leads to worry, which further impacts performance. Our job is to break that cycle.

When you come to Maze Men’s Health in Westchester or NYC, your first visit will last about an hour and includes a comprehensive medical and sexual history, physical examination, and diagnostic testing. We take the time to understand when your ED began, how it affects your relationship and confidence, and what patterns you’ve noticed. We may assess blood flow with penile Doppler ultrasound, evaluate nighttime erections using RigiScan testing, and perform hormone and metabolic panels to check testosterone, thyroid, cholesterol, and glucose levels. This thorough process allows us to pinpoint the exact causes of your Erectile Dysfunction and build a treatment plan that is targeted, effective, and completely individualized.

Our ED treatment options are tailored to your unique needs. Depending on the cause, this may include testosterone therapy, medication management (such as PDE5 inhibitors like Viagra or Cialis), low-intensity shockwave therapy (LiSWT) to improve penile blood flow, regenerative or peptide treatments, counseling for performance anxiety, or a combination of approaches. Every patient at Maze receives medical guidance rooted in science and supported by ongoing care. Even if you’ve tried treatment before without success, our results-driven, integrated approach helps thousands of men across Westchester, New York City, Connecticut, and New Jersey reclaim healthy sexual function and confidence.

If you’re experiencing symptoms of Erectile Dysfunction — difficulty getting or maintaining an erection, decreased rigidity, low libido, or reduced sexual satisfaction — contact Maze Men’s Health today. We’ll identify the underlying cause, explain your results in plain language, and help you get back to a fulfilling, active sex life.