Erectile Dysfunction Clinic Bellevue


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Erectile Dysfunction Clinic Bellevue

Erectile Dysfunction, otherwise known as ED or impotence, affects 1 out of 5 men over the age of 20 in the United States. Many physiological and psychological factors cause ED. This condition is fairly misunderstood by many because those who suffer from it refrain from talking about it.

But erectile dysfunction is easily treatable in many cases with the help of certain medications that help them easily achieve and maintain an erection. The first step involves finding a physician trained in men’s health and discussing any erectile issues you may have. Making changes to your lifestyle and diet can also help promote healthy erectile function.

The majority of men that pursue ED treatment find that any performance anxiety they have had before goes away, and their sex life greatly improves.


Erectile Dysfunction happens when a man is unable to initiate and sustain an erection during sexual intercourse. This is not the same as premature ejaculation, which occurs when a man releases semen before having an orgasm, shortly after engaging in sexual intercourse, which results in him losing his erection.
Some men can have ED and premature ejaculation at the same time. Patients are advised to seek treatment for erectile dysfunction first because it usually corrects the issues concerning premature ejaculation in the process.
The physiological mechanisms that lead to ED are rather complicated because the central nervous system (the brain and spinal cord), cardiovascular system, and reproductive system all play a role.

Erectile Dysfunction happens when a man is unable to initiate and sustain an erection during sexual intercourse.

The brain’s neurotransmitters (dopamine, epinephrine, and acetylcholine) are the main chemical messengers that trigger erections. Psychological and/or physical sexual stimulation is the reason why nerves transmit electrical impulses to the vascular system, which, in turn, directs blood flow to the penis. The penis has two arteries that supply oxygen-rich blood to the corpora cavernosa and erectile tissue. This causes the penis to expand from greater blood flow and an increase in pressure.

Since blood must stay in the penis to keep its rigidity and size during an erection, fibrous elastic sheaths surround the erectile tissue, clamping and restricting blood flow away from the penis. After ejaculation, or once the simulation stops, pressure in the penis drops, blood flows away, and the penis becomes flaccid.

Erectile Dysfunction is usually treated with medications using chemicals that moderate these mechanisms. For instance, sildenafil or Viagra and tadalafil or Cialis increase blood flow to the penis by restricting phosphodiesterase-5 (PDE5) enzymes. By inhibiting the PDE5 enzymes, they are able to preserve the cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) activity in the corpus cavernosum. The cAMP and cGMP are intracellular messengers that relax blood vessels in the penis and increase blood flow.


There is a misconception that ED is merely an effect of aging, but that’s not necessarily true. Although aging and the corresponding decrease in testosterone levels can lead to erectile dysfunction, there are a myriad of other factors that must be taken into consideration.

For example, the frequency of ED among men suffering from type-2 diabetes and hypertension is generally higher compared to healthy men. This makes perfect sense considering that hypertension and type-2 diabetes can affect cardiovascular function and make it harder for blood to flow to the penis, thereby affecting one’s ability to produce an erection.

However, ED is a complicated condition that can arise from a plethora of psychological and/or physiological issues. Emotional wellness and mental health are strongly connected with erectile dysfunction, especially in younger men. This is often referred to as psychogenic erectile dysfunction.

The treatment of ED naturally involves pinpointing the root cause and then correcting it.

Emotional wellness and mental health are strongly connected with erectile dysfunction, especially in younger men. This is often referred to as psychogenic erectile dysfunction.


Testosterone is known as the quintessential “male” hormone because its androgenic properties have a strong impact on a man’s libido and erectile function. Although ED can be caused by several health conditions, androgen deficiency (low T) is a major risk factor.

Testosterone, as a hormone, is present in both males and females. It affects virtually every tissue and organ in our bodies (directly or indirectly). Low T is basically the starting point for the succeeding cycle of debilitating health conditions that all affect one another.

According to research, low T increases the risk of metabolic syndrome, cardiovascular diseases, type-2 diabetes, endothelial dysfunction, and anemia, all of which has a huge impact on the physiology of erectile function.

Low testosterone levels are also associated with an increased risk of depression and mood disorders, which are known to affect libido and erectile quality. Fortunately, TRT can help treat ED by improving men’s mental health and giving back the confidence they lost from low T.

Simply put, men suffering from low T should work on their testosterone deficiency first as a way to address erectile dysfunction in the long term. According to a study, low testosterone negatively affected a man’s endothelial function and flow-mediated vasodilation, apart from other risk factors, including chronic smoking, hypertension, and type-2 diabetes.

Men with low T and erectile dysfunction almost always respond positively to TRT because it helps restore their sex drive and erectile quality, thanks to physiological and psychological changes.


Apart from TRT, there are several medications that you can use to treat erectile dysfunction. Depending on the cause, PDE5 inhibitors such as Viagra and Cialis are usually recommended as a medication because they are easy to take and are effective.


Viagra and Cialis are fast-acting, non-addictive medications, and their effects usually last from 4 to 36 hours, respectively. In this case, Cialis can be considered as the “long-lasting” Viagra.

Avanafil (Stendra), a second-generation PDE5 inhibitor, may be used if a patient cannot tolerate either Viagra or Cialis well. Stendra has an even faster onset of action compared to Viagra and Cialis, reaching a maximum concentration within 30 minutes of ingestion. However, its effects last only for 2 hours.

After taking a PDE5 inhibitor, you might experience nausea, headache, or blurred vision after. However, these symptoms usually go away after the drug wears off. But if you experience side effects from one of the PDE5 medications, it’s wise to try a different option because they have distinct selectivity for PDE enzymes all over the body. Some men tolerate Viagra better than Stendra and Cialis and vice versa.

Viagra and Cialis are fast-acting, non-addictive medications, and their effects usually last from 4 to 36 hours, respectively. In this case, Cialis can be considered as the “long-lasting” Viagra.

Injectable ED Medications

If oral PDE5 inhibitors do nothing to help with your erectile dysfunction, you can try injectable medications such as P-Shot and Trimix instead. These medications are self-administered by injecting them into the intracavernosal space of the penis, bypassing the gastrointestinal tract and instantly producing an erection.

Trimix for ED

Trimix comes with three different compounds, namely phentolamine, papaverine, and alprostadil, which help expand and relax the penis’ blood vessels. It is pre-mixed and must be stored in a cool, dry place to maintain its potency.

Injectable ED medication is highly advantageous for ED patients because they do not readily interact with food, alcohol, and other medications, unlike PDE5 inhibitors. Injectable ED medications are also considered a safe option for men suffering from cardiovascular issues and diabetes.

P-Shot for ED Treatment

Another great option for treating erectile dysfunction is the Priapus Shot or P-Shot. This one-time procedure requires several injections of platelet-rich plasma or PRP into the penis. Doing so stimulates the growth of new tissues and promotes better, longer erections.

It is said that the P-shot is synergistic with TRT and can increase sexual stamina. The procedure is painless, especially under anesthesia, and it takes less than 30 minutes to complete. Some patients may notice results almost immediately, but it can take up to three months to reap the maximum benefit of the P-shot.

As always, it is recommended to consult with a licensed physician specializing in men’s health to determine which ED treatment works for you and fits your specific needs.

Is the Right Choice for ED Treatment?


At GameDay Men’s Health, we take pride in the fact that all our staff have undergone training in their capacities, thus making sure that each patient receives the highest standard of care, all the time, every time.


Many of our competitors that offer treatments similar to the GainsWave, only offer that. We at GameDay take a holistic approach to your ED and health. With our advanced lab, we can provide same-day testosterone testing. We also perform diagnostic examinations to trace the cause of your ED instead of just guessing, like what other men’s health clinics do. It is always better to look at the bigger picture when it comes to healthcare.

State-of-the-Art Treatment Protocols

Our team of professionals is always looking into new studies, tests, and literature to make sure our treatment protocols stay in line with the latest scientifically validated information we have access to. We take pride in our high success rate, which has helped to improve the lives of many men who thought they would no longer be able to enjoy sex.


Those who suffer from erectile dysfunction hardly suspect that low T is the culprit. Although Viagra and Cialis effectively treat erectile dysfunction, they do not provide a solution for low T levels. Having healthy testosterone levels is essential to one’s long-term health, wellness, and sexual function.

Testosterone replacement therapy (TRT) involves replacing testosterone with a normal, healthy level under the supervision of a licensed physician. GameDay Men’s Health only uses bioidentical testosterone, which is a lot safer because it is the same as the testosterone our body produces naturally.

In healthy doses of testosterone, the side effects are more manageable compared to the side effects people usually experience when using testosterone for illegal purposes (such as performance enhancement). Therefore, TRT is not the same as using testosterone to improve one’s athletic performance.

Note that testosterone is a natural hormone that all humans need. When a man’s body is unable to produce enough amounts of testosterone, it will severely affect his health and quality of life.

Testosterone replacement therapy (TRT) involves replacing testosterone with a normal, healthy level under the supervision of a licensed physician.

Undergo TRT for Erectile Dysfunction?

Below are some of the most common questions and concerns we receive from potential TRT candidates suffering from erectile dysfunction:

  • Will TRT harm/increase my risk of cardiovascular complications?
  • Will testosterone make me more aggressive and moodier?
  • Will taking testosterone cause the prostate gland to hypertrophy?

In reality, many of the apparent risks of TRT, such as the increased risk of cardiovascular diseases and prostate cancer, are based on poorly designed studies and failed and inaccurate clinical trials.

Many studies reveal that TRT is actually good for cardiovascular and metabolic health, which eventually promotes better erectile quality. In addition, men with low T are the ones at risk of prostate issues compared to men with normal testosterone levels.

What many people fail to understand is that the amount of testosterone used to enhance performance is drastically more compared to a normal TRT dose. A normal weekly dose of testosterone on TRT is somewhere around 100-200 mg.

TRT Side Effects
for Erectile Dysfunction


There are a couple of side effects of TRT that some men with ED experience, including oily skin, acne, and night sweats. Fortunately, these side effects are easily manageable, if not avoidable, by monitoring blood levels of different biomarkers and adjusting the TRT dose accordingly.

Any side effect of TRT you experience will generally disappear after the body acclimates to having a normal and healthy testosterone level again.

ED Bellevue Treatment

As part of our ED Bellevue treatment, GameDay Men’s Health promises to give you the best results possible while controlling any side effects.

Most men tolerate PDE5 inhibitors such as Viagra, Cialis, and Stendra well. These inhibitors produce beneficial results on erectile function immediately. For those with low T, these medications work well as adjuncts to TRT for erectile dysfunction treatment.

Injectable medications, such as Trimix and P-Shot, are also safe to use and effective. You can opt to use them in case PDE5 inhibitors do not produce the results you want.

If you are suffering from ED or any other low T symptoms, give us a call and book your complimentary consultation with our resident hormone specialists.

dial our hotline at 858-252-9202

We have come to the rescue for men who want to gain back their confidence and sexual energy. Allow us to help you too!


1. Selvin, E., Burnett, A. L., & Platz, E. A. (2007). Prevalence and risk factors for erectile dysfunction in the US. The American journal of medicine, 120(2), 151-157.
2. Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: prevalence and predictors. Jama, 281(6), 537-544.
3. Park, B., Wilson, G., Berger, J., Christman, M., Reina, B., Bishop, F., … & Doan, A. (2016). Is Internet pornography causing sexual dysfunctions? A review with clinical reports. Behavioral Sciences, 6(3), 17.
4. Hald, G. M. (2015). Comment on: Is pornography use associated with sexual difficulties and dysfunctions among younger heterosexual men?. The journal of sexual medicine, 12(5), 1140-1141.
5. Prause, N., & Pfaus, J. (2015). Viewing sexual stimuli associated with greater sexual responsiveness, not erectile dysfunction. Sexual medicine, 3(2), 90-98.
6. Traish, A. M., Guay, A., Feeley, R., & Saad, F. (2009). The dark side of testosterone deficiency: I. Metabolic syndrome and erectile dysfunction. Journal of andrology, 30(1), 10-22.
7. Zarrouf, F. A., Artz, S., Griffith, J., Sirbu, C., & Kommor, M. (2009). Testosterone and depression: systematic review and meta-analysis. Journal of Psychiatric Practice®, 15(4), 289-305.
8. Akishita, M., Hashimoto, M., Ohike, Y., Ogawa, S., Iijima, K., Eto, M., & Ouchi, Y. (2007). Low testosterone level is an independent determinant of endothelial dysfunction in men. Hypertension Research, 30(11), 1029.
9. Corona, G., Rastrelli, G., Vignozzi, L., Mannucci, E., & Maggi, M. (2011). Testosterone, cardiovascular disease, and the metabolic syndrome. Best practice & research Clinical endocrinology & metabolism, 25(2), 337-353.
10. Kloner, R. A., Carson, C., Dobs, A., Kopecky, S., & Mohler, E. R. (2016). Testosterone and cardiovascular disease. Journal of the American College of Cardiology, 67(5), 545-557.
11. Morgentaler, A. (2006). Testosterone replacement therapy and prostate risks: where’s the beef?. Canadian Journal of Urology, 13, 40.

It’s time to find the New You

Frequently Asked Questions

Why choose Gameday?

In contrast to many male health clinics, we offer a complimentary consultation that includes a blood test through our on-site laboratory. We will have your lab results ready within 15 minutes – no running around from building to building. Our expert, licensed staff specializes in treating male health and wellness. We are dedicated to providing you with the most professional care in a comforting, modern “man-cave” environment. To ensure optimal efficacy and safety, we use only the highest-quality medications, including bioidentical hormones that are the molecular equivalent of what your body naturally produces.

Why Gameday?
  1. On-site lab /get your results in 15 minutes/ No runaround/ free consultation
  2. Expert, licensed staff
  3. Comfortable ‘man-cave environment’
  4. Highest quality medication
What does TRT do?

Testosterone replacement therapy (TRT) is a form of medical treatment that helps restore testosterone levels to a healthy level by providing prescription testosterone. In most cases, injectable testosterone is administered either weekly or bi-weekly. This results in a steady supply of testosterone in the blood and, eventually, the reversal of low T symptoms. Hence, the goal of TRT is to re-establish and maintain proper testosterone levels. After being on TRT for a few weeks, many men notice they are able to sleep better, their sex drive is higher, they have more confidence and motivation, they have an easier time building muscle and losing fat, and their energy levels are greater. Adult males with low T are the ideal candidates for TRT since testosterone levels tend to fade as we age past our 20s. However, some younger males may be candidates for TRT if they have primary or secondary hypogonadism since these signify a dysfunction either in the testes or the brain, respectively. Regardless of what age you are, low T is not something to be taken lightly and TRT is the most effective way to treat this condition.

Where and how do I get my lab testing done?

We have an on-site laboratory that will perform any labs our physicians order for you. If you haven’t been to Gameday Men’s Health before, we offer a free consultation to new patients. You can book an appointment online by clicking here.

Can you help me with sexual dysfunction?

Sexual dysfunction related to low T is best remedied through TRT. Many men who have low T notice that they lose interest in sex and subsequently have a harder time achieving (and maintaining) an erection. Once testosterone levels are brought back to a healthy range, libido and erectile quality tend to improve. [We offer PDE5 inhibitors, like sildenafil and tadalafil, if erectile dysfunction persists despite having healthy testosterone levels.]

Are diet and exercise important?

Absolutely. Testosterone has extensive benefits when used in conjunction with a proper diet and diligent exercise regimen. Most men find that they are able to build more muscle and gain strength quicker when they are consistent with their nutrition plan and gym routine while on TRT. As such, it’s essential to realize that TRT is not intended to replace a healthy lifestyle. There is simply no drug, supplement, or medication that can make up for a poor diet and lack of exercise.