Erectile Dysfunction Solutions
Erectile Dysfunction Treatment Options in Scottsdale
Most men are uncomfortable about discussing erectile dysfunction, even with their doctors, but you shouldn’t wait to get the help you need. You can restore strong, healthy sexual function without the need to take medication. Keith Smigiel, FNP-C, DC, FIAMA, at ReGen Pain & Wellness offers two treatments that relieve erectile dysfunction: Sockwave and the Penis Injection . To learn more about today’s most innovative and effective treatments for erectile dysfunction, call the office in Scottsdale, Arizona, or book an appointment online.
What causes erectile dysfunction?
Erectile dysfunction is defined as the inability to have an erection or to keep an erection that’s strong enough for sexual intercourse. Because your hormones, nerves, muscles, and blood vessels must all work properly and in sync to have an erection, any number of underlying health problems can lead to erectile dysfunction, including:
- High blood pressure
- High cholesterol
- Heart disease
- Diabetes
- Obesity
- Enlarged prostate
Your sexual function can also suffer if you have a sleep disorder or you feel anxious or depressed.
Shockwave & PRP Treatments for ED
What is Shockwave and how does it treat erectile dysfunction?
To get and keep an erection, you must have adequate blood flow to your penis. Unfortunately, the same problems that occur in blood vessels throughout your body, like blockages due to plaque, can also affect your penis. As a result, you won’t have enough blood flow to have an erection.
Sockwave is a noninvasive procedure that uses high-frequency, low-intensity sound waves to improve blood flow in the penis. After 6-12 treatments, the pulsed acoustic waves break up existing plaque and stimulate the growth of new blood vessels and nerves, resulting in strong erections and optimal sexual performance.
If you’ve noticed a decline in sexual performance over the years, but you don’t have erectile dysfunction, you can still benefit from Shockwave. Following treatment, you’ll experience stronger erections and increased sensitivity.*
Shockwave also treats Peyronie’s disease, a condition in which scar tissue causes curvature of the penis and painful erections. The soundwaves help break down the scar tissue while restoring blood vessels, leading to healthier, pain-free erections.
How does the Penis Injection improve erectile dysfunction?
The Penis injection improves erections and restores sexual response using platelet-rich plasma (PRP) to heal damaged tissues in the penis. Platelets contain growth factors, which stimulate the production of collagen, blood vessels, and other new tissues needed to heal erectile dysfunction.
Dr. Smigiel draws a sample of your blood and processes it in the office to separate the platelets and produce PRP. He then injects the PRP into your penis, where the growth factors trigger new tissue growth that boosts circulation and improves the strength and quality of your erections.
Whether you have erectile dysfunction or a decline in sexual functioning, call ReGen Pain & Wellness or schedule an appointment online to learn more about treatment with Shockwave and the Penis Injection.
*Individual results may vary.
Learn More about GAINSWave Treatments here!
Testosterone Treatments for ED
What does Testosterone do?
Testosterone isn’t just a sex hormone. As testosterone levels decline with age, various health problems might arise. Testosterone is essential for sexual function, but has many other uses as well. With receptor sites in the brain, heart and throughout the entire body, testosterone plays a pivotal role for men and women in maintaining lean body mass, skin elasticity, libido and healthy immune system. Testosterone ensures proper heart function, regulates mood and aids brain function (cognition); it controls blood sugar, regulates healthy cholesterol, controls blood pressure, can prevent heart attacks and even reduces the risk of prostate cancer.
Testosterone also aids in bone growth and anabolic functions, as well as augmenting protein synthesis. The fact that men produce more testosterone than woman is evidenced by their increased bone and muscle mass.
Testosterone is responsible for the sex drive of both men and women. As testosterone diminishes with age, so does the sexual functioning in both men and women. Restoring testosterone to youthful levels can reverse this situation. All too often men automatically assume that as they age their sexual capacity will diminish. There is no need to accept this loss of sexuality. Testosterone can play a critical role in helping to preserve and even restore sexual desire and function so that we can live our extended life span with the same excitement and enthusiasm we enjoyed in our youth.
Testosterone Optimization
Testosterone optimization results in increased muscle strength and lean body mass, improved sexual response, reversal of impotence, and improved body composition. Testosterone has also been shown to protect against cardiovascular disease, osteoporosis, arthritis and degenerative joint change. It improves the sense of well-being and depressed mood that are frequently seen in andropause (male menopause). It has also been shown to improve memory. Men who receive testosterone optimization consequently report that they feel sexier, stronger and healthier. They state that it makes them feel as they did when they were in their prime.
Testosterone optimization helps reduce obesity, raise lean body mass, normalize blood clotting and raise the good HDL cholesterol, all of which decrease the incidence of diabetes and cardiovascular disease. It also prevents cognitive decline and Alzheimer’s disease even better than estrogen does in women. A recent medical study showed testosterone reduced C-reactive protein levels (CRP)—a measurement of inflammation in blood vessels. Testosterone protected against heart attacks and progression of heart disease.
Does TRT have Risks?
Short-term risks, or what we call side effects, are minimal. If a man had a propensity to develop acne as a teenager, this may be reactivated when the testosterone levels are raised to adolescent levels. This can be effectively treated with topical or oral medications. The tendency to lose scalp hair can be exacerbated as well, but this also can be effectively treated with a medication that inhibits the conversion of testosterone to dihydrotestosterone called Finasteride or Propecia™.
The main concern that men have with regard to long-term TRT is whether it will increase the risk of prostate cancer, BPH and cardiovascular disease. At physiologic replacement levels—the range we keep our patients within—there is no evidence of any increase risk of prostate cancer or enlargement of the prostate to the point of symptoms. It is true that the longest prospective study is the three-year NIA study—which didn’t show any prostate problems—but, the overwhelming majority of case-controlled, retrospective, epidemiological studies following men for many years showed no increased risk in men whose testosterone levels are higher than average. The concern about TRT increasing the risk of prostate cancer stems from the well-documented fact that prostate cancers shrink if you deprive them of testosterone; however, as with breast cancer, this does not prove a causal or initiating role. If one does have an occult (as yet undetected) cancer, then it may cause it to grow, but we screen all our patients with a total PSA before starting TRT which we continue to monitor.
