Sexual wellness is deeply intertwined with everything from how you feel in your body to how you feel about your body, and for most men, sexual health and wellness primarily centers on erectile function and testosterone levels. However, as many as 50% of men over the age of 40—and millions more younger than that—suffer from some form of erectile dysfunction (ED), a condition that prevents them from being their best in the bedroom and in life.
Although there is rarely a direct causal link to ED, it is often a critical indicator of overall health, and has been linked to broader health problems like systemic vascular disease, heart conditions, renal failure, high blood pressure, prostate cancer, depression, sleep apnea, and more. This means that successfully treating ED takes more than a simple, one-size-fits-all solution. It often requires an integrative, comprehensive approach that uses a variety of modalities and is tailored to each man’s unique needs.
At The Hormone Zone, led by renowned hormone and sexual wellness experts Dr. John Robinson and Dr. Cristina Bosch, we know that sexual wellness is just one part of living a fulfilled life, but it’s an important one. We also understand that dysfunction in one area of your health is typically linked to dysfunction in another, which is why we develop bespoke ED treatment plans that address all of your symptoms and help your body work better from the inside out for real, sustainable results in erectile function and sexual health. Our team of board-certified physicians has been at the forefront of men’s sexual health and wellness since 2006, and we’ve refined our ED offerings to include only the best in proven, effective, and research-backed modalities that can get your performance back in peak condition. Reclaim your youth and reignite your passion with bespoke sexual wellness solutions at The Hormone Zone.
An Education in Erections: How Everything Works
Achieving an erection involves the coordinated activation and suppression of various bodily systems, primarily within the parasympathetic nervous system. The parasympathetic nervous system is responsible for relaxing you and “undoing” the effects of the sympathetic system after a stressful situation, decreasing respiration and heart rate and allowing for the necessary cascade of responses required for an erection, ejaculation control, and orgasm.
When the PNS is activated during arousal, your brain sends impulses to the nerves in your penis, relaxing the smooth muscles around the corpora cavernosa—the two columns of spongy tissue that make up the shaft of the penis and are responsible for controlling blood flow and enabling erections—and allowing blood to flow into the tissue and create pressure. This pressure, which is what expands the penis, also compresses the veins and traps the blood in the tissue so the muscle can support and sustain the erection during sexual activities and intercourse. When you have healthy blood flow to the arteries in the corpora cavernosa, you are better able to achieve and maintain a strong erection and experience better orgasms.
However, for many men, it’s the sympathetic nervous system that activates during intimacy instead, triggering the “fight or flight” stress response and blocking communication to the PNS. This causes the corpora cavernosa to stiffen rather than relax, slowing or even altogether preventing the blood flow necessary to achieve and maintain an erection and resulting in erectile dysfunction.
Erectile dysfunction is as complex as it is common. It can be a symptom of more serious health problems like Peyronie’s disease, atherosclerosis, diabetes, sleep disorders, or metabolic syndrome. Erectile function is also sensitive to fluctuating or decreasing hormone levels as we age, as well as factors like certain medications, including blood pressure medications and antidepressants; health-related behaviors or lifestyle choices such as smoking or excessive alcohol use; and psychological or emotional health issues like anxiety, stress, and depression.
Effective ED Solutions for Proven Results
True sexual wellness requires a complete and comprehensive approach. That’s why the ED solutions available at The Hormone Zone are designed to improve your symptoms by improving how your body functions from the inside out. Our full complement of integrative and proven sexual wellness solutions can be used as stand-alone ED treatments or in conjunction with other treatments for maximum results. Our treatment plans are tailored to each patient and often include a combination of traditional and alternative therapies that go beyond what you need in the moment, such as:
- PDE5i medications like Viagra and Cialis
- The Priapus Shot, or P-Shot
- TriMix injections
- P-Shot® with Botox™
- PiezoWave acoustic wave therapy
- Bioidentical hormone replacement therapy (BHRT)/pellet therapy
- Testosterone replacement therapy for low-T
- Peptide therapy
- PhalloFILL penile girth enhancement
- HCG Therapy (Human Chorionic Gonadotropin)
- Wellness Strategies
- Testosterone Cypionate Injections
- Nutritional Approaches for Libido and ED
At The Hormone Zone, our holistic approach to treating ED relies on proven therapies, measurable results, and effective implementation. We begin with in-depth testing and comprehensive analysis from the outset and track your progress at regular intervals to ensure our customized plan is on target. If we don’t see the results we want, we’ll make the necessary adjustments or pivot to another solution, whatever it takes to get you where you need to be.
Erectile Dysfunction FAQs
What are the signs and symptoms of erectile dysfunction?
Erectile dysfunction occurs when there is not enough blood flow into the penis, the penis cannot trap and hold blood during an erection, or nerve signals from the brain aren’t reaching the penis. It is essentially characterized by the inability to get or maintain an erection firm enough and/or long enough for sexual intercourse, and it is often associated with other sexual dysfunction symptoms like lack of interest in sex or low libido (sex drive) and early (premature) or delayed ejaculation. ED is also frequently a symptom itself of a larger physical and/or psychological condition, including stress, anxiety, depression, some cancers, and chronic health problems.
How is erectile dysfunction treated?
Erectile dysfunction is a common and entirely treatable problem that can be caused by anything from hormone imbalances, physical health, age, and stress to shame or embarrassment about physiological problems, and successfully treating it means treating more than just the symptoms; it means addressing the underlying issues that could be causing the dysfunction in the first place.
ED treatments vary widely in their modality, but all are designed to improve blood flow to the blood vessels in the base of the penis and facilitate better arousal and firmer, longer-lasting erections. ED treatment solutions range from medications and injections to hormone replacement therapy, acoustic wave therapy, and counseling.
Before developing your custom treatment plan, the physicians at The Hormone Zone will perform a detailed analysis, in-depth medical history, and complete blood workup, as well as an ultrasound of the penis to check blood flow. With this information, they can create tailored solutions using a combination of therapies to deliver the best results.
What are the risk factors for erectile dysfunction?
Erectile dysfunction can be the result of emotional problems, health problems, or both. Risk factors that have been linked to ED include:
- Having high cholesterol
- Having cardiovascular disease
- Being obese
- Drug use or excessive alcohol use
- Smoking and/or tobacco use
- Having diabetes (high blood sugar)
- Being over the age of 50
- Poor physical health
While ED is common among aging men, age does not always cause ED, and ED is not an eventuality in all men. In fact, many men stay sexually functional well into their 80s. Sometimes, ED is an early sign of a more serious health problem, and should always be addressed and treated.