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Erectile dysfunction, often known as impotence or ED, affects approximately 1 in 5 males in the United States over the age of 20. Erectile dysfunction can be caused by various psychological and physiological causes. Unfortunately, the general public misunderstands the illness, as those who struggle with it may not feel comfortable discussing it.

Certain drugs can make getting and keeping an erection more uncomplicated; erectile dysfunction is often easily curable. The first thing to do if you have erectile dysfunction is to see a doctor specializing in treating men’s health. Changing your food and way of life can also improve your chances of maintaining a solid erection.

The great majority of men seeking therapy for ED report considerable improvements in their sex life and their ability to perform in bed.


During sexual engagement, erectile dysfunction occurs when a man lacks the capacity to initiate and maintain an erection. It is not the same as premature ejaculation, which occurs when a man discharges his sperm before climaxing (having an orgasm) immediately after engaging in sexual activity, resulting in the loss of his erection.

In some guys, ED and premature ejaculation may coexist. Therefore, it is recommended to address erectile dysfunction first, as this typically resolves early ejaculation concerns.

Since the central nervous system (i.e., the brain and spinal cord), the cardiovascular system, and the reproductive system are all involved, the physiological mechanisms behind ED are very complex.

Epinephrine, dopamine, and acetylcholine are just a few examples of neurotransmitters that play a crucial role in triggering an erection. When a person gets sexually aroused, mentally or physically, nerves send electrical impulses to the vascular system, sending blood to the penis. As a result, the penis swells due to increased blood flow and pressure from the two arteries that deliver oxygen-rich blood to the corpora cavernosa and erectile tissue.

When a man loses his capacity to initiate and maintain an erection during a sexual engagement, he is said to have erectile dysfunction.

When a man loses his capacity to initiate and maintain an erection during a sexual engagement, he is said to have erectile dysfunction.

Erectile tissue is enclosed by flexible elastic sheathes that compress and limit the pump of blood away from the penis, ensuring that the penis remains stiff and the desired size is maintained throughout the duration of the erection. As a result, a man’s penis returns to its flaccid state after orgasms or when the stimulation stops.

Medication that targets substances in the body that affect these pathways is frequently used to treat ED. Sildenafil (Viagra) and tadalafil (Cialis), for example, increase the penis’s blood flow by inhibiting phosphodiesterase-5 (PDE5) enzymes.

These PDE5 inhibitors keep intracellular messengers cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) active in the corpus cavernosum, calming vessels in the penis and boosting blood flow.


Men commonly believe that ED is a natural consequence of aging. However, this is not always the case. Although aging and the concomitant decrease in testosterone are important causes of erectile dysfunction, many other factors must also be considered.

For instance, the prevalence of erectile dysfunction is substantially higher among men with type 2 diabetes and hypertension than among healthy men.

Given that hypertension and type 2 diabetes can impair cardiovascular function and make it more difficult for blood to reach the penis and produce an erection, this makes sense.

However, erectile dysfunction is a complex disorder that can be caused by various psychological and physiological problems. In reality, emotional and mental health are highly associated with erectile dysfunction, particularly in younger men. Therefore, this condition is sometimes known as psychogenic erectile dysfunction.

Obviously, treating erectile dysfunction involves identifying the underlying reason and then addressing it.

In point of fact, a healthy emotional state, as well as a healthy mental state, are closely connected with erectile dysfunction, particularly in younger boys. Therefore, the term “psychogenic erectile dysfunction” is sometimes used to refer to this condition.

In reality, emotional and mental health are highly associated with erectile dysfunction, particularly in younger men. Therefore, this condition is sometimes known as psychogenic erectile dysfunction.


Testosterone is the prototypical “man” hormone, and its androgenic qualities have both direct and indirect effects on libido and erectile function. While a variety of medical disorders can cause ED, androgen insufficiency (low testosterone) is a crucial risk factor. 

Testosterone is a hormone that affects nearly every tissue and organ in both males and females (whether directly or indirectly). As a result, low testosterone levels are essentially the beginning of a vicious cycle of chronic health disorders that all feed into one another.

Low T raises the risk of metabolic syndrome, type-2 diabetes, endothelial dysfunction, cardiovascular disease, anemia, and erectile dysfunction.

Distress and emotional problems, which affect libido and erectile quality, are also linked to low T.

TRT can improve mental health and confidence in low-T males, treating ED.

In other words, if a man has low T and wants a permanent remedy to erectile dysfunction, he should focus on fixing the low T first. Independent of other risk factors, including hypertension, chronic smoking, and type 2 diabetes, low testosterone was observed in one study to negatively affect endothelial function and flow-mediated vasodilation.

TRT has a high success rate for treating low T and erectile dysfunction in men, and it has been shown to improve a man’s sex life in a number of areas (both physiological and psychological).


To cure erectile dysfunction, a variety of drugs can be utilized alongside TRT (if necessary). PDE5 inhibitors, such as Viagra and Cialis, are often recommended as the first line of treatment for erectile dysfunction (ED) due to their convenience, efficacy, and lack of side effects.


Viagra and Cialis are non-habit-forming drugs with a quick onset and a duration of up to 4 hours and 36 hours, respectively. As a result, Cialis can be compared to “lengthy” Viagra.

If neither Cialis or Viagra are well tolerated, avanafil (Stendra), a second-gen PDE5 inhibitor, may be administered. Stendra has a quicker action onset than Cialis and Viagra, achieving high concentration within about 30 minutes of intake and lasting around 2 hours.

Some men may have nausea, headaches, or impaired vision after using a PDE5 inhibitor, but these symptoms usually pass quickly. If one of the PDE5 drugs causes side effects, it’s best to try another because they have varying selectivity for PDE enzymes throughout the body. Cialis is tolerated better by certain men than Viagra and Stendra, and vice versa.

Viagra and Cialis are non-habit-forming medications, and their effects have a rapid onset, usually lasting up to 4 hours and 36 hours, respectively.


Injectable drugs like P-shot and Trimix may be recommended in the event that oral PDE5 inhibitors are not successful in treating erectile dysfunction. By injecting the drug directly into the intracavernosal region of the penis, the patient is able to quickly achieve an erection while avoiding the need for the medication to go through the digestive tract.


Trimix comprises three distinct substances, papaverine, phentolamine, and alprostadil, that help widen and relax the blood vessels in the penis. It’s already combined. Thus refrigeration is necessary to keep it practical.

The benefit of injectable ED medication is that they don’t readily combine with alcohol, food, and other medicines like PDE5 inhibitors may. Intravenous ED drugs are also considered safe for individuals suffering from cardiovascular difficulties and diabetes.


The Priapus Shot®, also known as the P-Shot®, is an additional injectable treatment option for erectile dysfunction. This one-time technique consists of numerous injections of platelet-rich plasma (PRP) into the penis in order to produce more robust erections and encourage the creation of new tissue. It has been observed that using the P-Shot® in conjunction with TRT results in an increase in sexual stamina and effectiveness. The operation requires less than half an hour to complete and is virtually painless thanks to the anesthetic. Some individuals may have rapid results, while others may need up to three months to experience the full benefits of the treatment.

When trying to determine which Erectile Dysfunction treatment will be most effective for you and your individual requirements, it is always important to contact a registered medical professional specializing in men’s health.



All of our employees at GameDay Men’s Health have received thorough training in their respective roles to ensure that every patient gets the most significant standard of care every time.


Many of our rivals only provide it when they provide similar treatment to the GainsWave. At GameDay, we approach your health and erectile dysfunction holistically. For example, same-day testosterone testing is available thanks to our cutting-edge on-site labs. In addition, unlike many other doctors, we conduct a diagnostic assessment to identify the root cause of your ED. Healthcare is always better when approached from a broad perspective.


To ensure that our patented treatment procedure is always in accordance with the most up-to-date, scientifically proven knowledge, our staff reviews new studies, tests, and literature on a regular basis. As a result, many guys who had given up hope of ever having sexual satisfaction again have had their lives completely transformed by our exceptionally high rate of success.


Low testosterone is rarely considered a possible cause of erectile dysfunction in men. Without a doubt, Viagra and Cialis are the most effective treatments for erectile dysfunction. Yet, they do nothing to improve low T. Maintaining optimal testosterone levels is critical for overall health, sexual satisfaction, and libido.

 Under a doctor’s watchful eye, TRT is supposed to “replace” low testosterone levels with those within a healthy range. Bioidentical testosterone is used only at GameDay Men’s Health because it is a safer alternative to traditional testosterone. After all, it is chemically identical to the testosterone your body produces naturally.

When testosterone is used for healthy TRT doses, the adverse effects are significantly more controllable than the side effects people frequently encounter when using testosterone for unlawful purposes (sometimes known as “performance-enhancing”). Therefore, testosterone replacement therapy is not the same as utilizing testosterone to increase sports performance.

Remember that testosterone is a naturally occurring hormone essential for human beings. If a man’s body cannot create enough of it, there will be a progressive decline in his quality of life and overall health.

TRT is intended to “replace” testosterone to normal, healthy levels under the supervision of a physician.


The following are some of the most often-asked issues and concerns voiced by men with erectile dysfunction who are considering TRT:

  • How likely is it that taking testosterone will enlarge the prostate gland?

Many of the alleged hazards of TRT, such as a higher risk of prostate cancer and heart disease, are based on findings of poorly planned research and defective clinical trials.

Numerous studies demonstrate that TRT is advantageous for cardiovascular function and metabolic health, promoting excellent erectile quality. Similarly, men with low T levels are at a higher risk of prostate problems than men with normal T levels.

Many people are unaware that the quantity of testosterone used for “enhancing performance” is significantly more than the recommended TRT dose. On TRT, a typical weekly testosterone dose ranges between 100 and 200 mg..


TRT can cause several unwanted side effects, including night sweats, greasy skin, and acne in some men with erectile dysfunction (particularly on the shoulders or upper back). Monitoring blood levels of several biomarkers and modifying the TRT dose can help alleviate or prevent these unwanted effects.

Once your body adjusts to producing a healthy amount of testosterone again, any negative effects of TRT should fade away.


As part of our treatment for erectile dysfunction in El Dorado Hills, GameDay Men’s Health will guarantee you achieve the most excellent potential outcomes while minimizing unwanted effects.

PDE5 inhibitors such as Viagra, Cialis, and Stendra are well-tolerated by the majority of men and rapidly improve erectile function. These drugs are excellent supplements to TRT for treating erectile dysfunction in males with low testosterone. When PDE5 inhibitors do not achieve the desired results, injectable drugs such as P-Shot and Trimix are safe and effective alternatives.

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.