San Francisco - Walnut Creek - Pleasanton - Oakland - Sacramento - Beverly Hills
ERECTILE DYSFUNCTION TREATMENT
oUR APPROACH
Vital Mens Health's approach to Erectile Dysfunction Treatment is comprehensive, and includes non-invasive options such as ED medications like Viagra and Cialis, Testosterone Replacement to improve libido, and Shockwave therapy or Acoustic Wave Therapy (marketed as Gainswave) for impotence. We have offices in Northern California in Walnut Creek, San Francisco, Oakland, and Pleasanton. In Southern California, we are in Beverly Hills.
EVALUATION
First it starts with a Full Evaluation of your physical and mental health, because there are a multitude of factors that can contribute, such as metabolic, hormonal, vascular, neurologic, anatomical, pharmacological, hygienic, muscle strength, psychological, weight and diet. Your Erectile Dysfunction Treatment is precisely made to your. Some men with vascular disease benefit from more treatment of their diabetes and hypertension, including weight loss and diet management. Some men require testosterone replacement if their hormone levels are not ideal. And while there are various Injection Therapies, non-invasive treatment with Shockwave Therapy.
TREATMENT OPTIONS
From your complaints, medical history, exam and labs, our board-certified physicians design a precise treatment approach to provide the best results. We differentiate poor libido or a decrease in your sexual desire and drive, and impotence or your difficulty in achieving and maintaining an erection. The Erectile Dysfunction Treatment options are many and include:
- Medications
- Testosterone Replacement
- Shockwave Therapy (sometimes called Soundwave or Acoustic Wave, and marketed as Gainswave)
- leading edge Injection Therapy with PRP, or TriMix
- Hormonal Therapy
- Diet
- Supplements
- Exercises.
- Only under special circumstances is surgery an option.
EARLY warning sign OF GENERAL HEALTH
Keep in mind, erectile dysfunction is one of the most sensitive signals in a man's overall health, it is the "canary in the coal mine". So don't delay or be embarrassed, take control of your health, because the earlier you come in, the better the results.
FAQs
- Does Insurance cover any of the services? --Yes, some of the services such as evaluation, labs, scans, and some of the treatments may be covered. Some Erectile Dysfunction Therapies like the Shockwave Therapy is not covered.
- What is your success rate? --That truly depends on the causes and conditions. One can expect anywhere from a modest to moderate impact. We hear advertisements reporting ninety percent results. That is frankly misleading and not real.
- How long are the treatments? --Chances are treatment will require a combination approach,.and as Erectile Dysfunction is a reflection of your overall health, a maintenance approach would be beneficial.
Erectile Dysfunction Treatments
medications and supplements
A variety of medications and supplements are available that may impact your performance. Some are off the shelf over-the-counter or prescription, and some are specifically compounded for your needs.
Acoustic wave therapy
Acoustic wave therapy or shock wave therapy is a treatment widely used in Europe, and adopted in the United States. Marketed under names like Gainswave, the best equipment is manufactured in Switzerland and Germany, and the protocols have been well established.
hygiene and weight loss
Overweight and Obesity and its related complications can significantly impact performance, not to mention general health. A full body composition analysis is performed, in addition to a comprehensive medical evaluation, to evaluate and manage any metabolic, cardiovascular, neurological or medication issues. A precise regimen of diet, weight loss pills, and supplements would be prescribed or recommended.
Schedule an Online Appointment
Order ED Medications to be delivered At Home or prescribed to a local pharmacy near you
Viagra, Cialis, Levitra, BiMix, TriMix, QuadMix - Regularly delivered to your home or refilled at a local pharmacy.
Hormone replacement Consult, management, refill
Best Value. You are talking with Medical Doctors. We accept Private Commercial PPO Insurance and Medicare.
Impotency Treatment
HORMONE REPLACEMENT THERAPY
HORMONE REPLACEMENT THERAPY
HORMONE REPLACEMENT THERAPY
A Full Laboratory Analysis of your Hormones to determine their contribution to causing Erectile Dysfunction, and which Hormone Replacement Therapy would be appropriate.
PENILE TRIMIX INJECTIONS
HORMONE REPLACEMENT THERAPY
HORMONE REPLACEMENT THERAPY
Not as bad as you think. Various leading-edge solutions are used in the clinic to treat Erectile Dysfunction and Peyronie's disease.
In addition, take home self-injection is available for use just before sexual activity, when oral medications do not work. This is especially of value for patients with Diabetes, Multiple Sclerosis, Spinal Cord Injuries, and other neurologic diseases.
EXERCISES
HORMONE REPLACEMENT THERAPY
EXERCISES
Yes, a little work will be required, and the impact will not just be on your gential health, but also on your overall health and longevity.
Trimix Injections
Trimix strengths
Trimix consists of alprostadil, papaverine, and phentolamine. Trimix is categorized as Standard concentrations or Low Alprostadil concentrations.
Alprostadil can cause an ache in the penis in 20% of men. Although it is harmless, the pain may interfere with enjoyment of the erection, and your doctor may change your prescription to a low alprostadil trimix. Standard and Low Alprostadil concentrations are listed in order from the weakest to the strongest:
STANDARD (Alprostadil/ Papaverine/ Phentolamine)
- Trimix #5 (10mcg/30mg/1mg) /mL
- Trimix #8 (20mcg/30mg/2mg) /mL
- Trimix #15 (40mcg/30mg/2mg) /mL
- Trimix #9 (40mcg/30mg/4mg) /mL
- Trimix #13 (60mcg/30mg/6mg) /mL
- Trimix #16 (100mcg/30mg/6mg) /mL
LOW ALPROSTADIL (Alprostadil/ Papaverine/ Phentolamine)
- Trimix #14 (2.5mcg/30mg/1mg) /mL
- Trimix #6 (2.5mg/30mg/4mg) /mL
- Trimix #7 (5mcg/30mg/4mg) /mL
- Trimix #11 (7.5mcg/30mg/4mg) /mL
- Trimix #12 (10mcg/30mg/4mg) /mL
We recommend starting with the lowest dose of Alprostadil. An appropriate starting dose is 2.5 micrograms. with increments of 2.5 micrograms. until the lowest effective dose is achieved. Actually, 80% of men can achieve a satisfactory erection with 5 micrograms.
We often use a 10 mcg/ 30 mg/mL/ 1 mg/mL mixture.
