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In the US, 1 in 5 males over the age of 20 is thought to have erectile dysfunction, often known as impotence or ED. Both psychological and physiological factors can contribute to ED. Unfortunately, the general public has a poor understanding of the ailment since those who have it might feel awkward discussing it.

In many instances, erectile dysfunction is curable with drugs that facilitate getting and sustaining an erection. Contact a physician specializing in men’s health and discuss any erectile problems you may face. Lifestyle changes and nutrition can also encourage healthy erectile function.

The great majority of men who seek therapy for ED discover that any initial nervousness they may have had vanished, and their sex life improves noticeably.


When a man is unable to start and maintain an erection during a sexual engagement, this is called erectile dysfunction. It differs from premature ejaculation, which occurs when a man loses his erection by releasing semen before climaxing (having an orgasm) immediately after engaging in sexual activity.

In some guys, ED and early ejaculation may coexist. It is recommended to address erectile dysfunction first because doing so frequently resolves problems with premature ejaculation.

The cardiovascular system, the central nervous system (the brain and spinal cord), and the reproductive system all play a role in ED, which makes the underlying physiological processes pretty complicated.

Neurotransmitters (like epinephrine, dopamine, and acetylcholine) in the brain are the primary chemical communicators that start an erection. When the mind or body is stimulated sexually, nerves send electric pulses to the vascular system. The vascular system then sends blood to the penis. There are two arteries in the penis that send oxygenated blood to the corpus cavernosum and erectile tissue. This causes the penis to get bigger because more blood is flowing through it, and the pressure goes up.

When a man is unable to start and maintain an erection during a sexual engagement, this is called erectile dysfunction. 

When a man is unable to start and maintain an erection during a sexual engagement, this is called erectile dysfunction.

Erectile tissue is covered in fibrous elastic sheaths that lock and prevent blood from leaving the penis because blood must stay in the penis to retain stiffness and volume during an erection. As a result, the tension in the penis decreases, blood drains, and the penis resumes its flaccid state after ejaculation or when the stimulation stops.

Medication used to treat ED frequently targets body substances that control these systems. For instance, by blocking the phosphodiesterase-5 (PDE5) enzymes, sildenafil (Viagra) and tadalafil (Cialis) promote blood flow to the penis.

These PDE5 inhibitors keep the corpus cavernosum’s cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) intracellular messengers active, relaxing the penis’ blood arteries and boosting blood flow.


Men frequently believe erectile dysfunction (ED) is a natural consequence of aging, but this is not always the case. Although getting older and the concomitant decrease in testosterone is a crucial risk factor for erectile dysfunction, there are a multitude of other aspects of one’s life that should also be taken into account.

For instance, the prevalence of erectile dysfunction (ED) among men who suffer from type-2 diabetes and hypertension is much higher than that of men who are healthy.

Given that hypertension and type 2 diabetes can both impair cardiovascular function and make it more difficult for blood to travel to the penis and generate an erection, it makes perfect sense that this would be the case.

However, impotence is a complicated illness resulting from various psychological and physiological problems. In reality, erectile dysfunction and emotional well-being are closely associated, particularly in younger men. This condition is also known as psychogenic impotence.

Naturally, identifying the underlying cause of ED and then addressing it are the first steps in treatment.

In reality, erectile dysfunction and emotional well-being are closely associated, particularly in younger men. The term “psychogenic erectile dysfunction” is sometimes used to describe this.

In reality, erectile dysfunction and emotional well-being are closely associated, particularly in younger men. The term “psychogenic erectile dysfunction” is sometimes used to describe this.


The hormone testosterone is the archetypal “man” hormone, and it has substantial direct and indirect impacts on desire and erectile function. While several medical disorders can lead to ED, androgen insufficiency (low testosterone) is a significant risk factor.

In both men and women, testosterone is a hormone that affects almost every cell and organ of the body (whether directly or indirectly). As a result, low testosterone sets a vicious cycle of crippling health issues that all feed into one another.

Low T has been linked to metabolic syndrome, endothelial dysfunction, cardiovascular illness, type 2 diabetes, and anemia, all of which significantly affect the physiology of erectile performance.

Furthermore, low T is linked to an increased risk of depression and mood disorders, both of which are known to have an impact on libido and erectile function.

In this aspect, TRT can aid in the treatment of ED by promoting mental health and confidence in men with low T.

In order to effectively treat erectile dysfunction over the long term, a man with low T must first address his testosterone shortage. One study even discovered that decreased testosterone had an adverse effect on endothelial function and flow-mediated vasodilation without affecting other risk factors, including type 2 diabetes, hypertension, or chronic cigarette smoking.

The majority of low T and ED men respond favorably to TRT because it improves erectile function and sex drive through a combination of physiological and psychological changes.


Erectile dysfunction can be treated with various drugs, in addition to TRT (if that’s what’s required) in some cases. PDE5 inhibitors like Viagra and Cialis are typically the drugs of choice for treating erectile dysfunction (ED) because they are simple to use and very successful. However, the treatment of ED might vary depending on the root reason.


The effects of Viagra and Cialis, two separate drugs, start quickly and typically last up to 4 hours and 36 hours, correspondingly. Cialis can therefore be compared to “long-acting” Viagra.

If neither Cialis or Viagra are well tolerated, avanafil (Stendra), a PDE5 inhibitor of the second generation, may be administered. Stendra starts working even more quickly than Cialis and Viagra, reaching its peak concentration around 30 minutes after consumption. However, its effects persist for about two hours.

After taking a PDE5 inhibitor, some men may feel nausea, headaches, or impaired vision, although these adverse effects often go away immediately after the medication wears off. Since PDE5 drugs have variable selectivity for PDE enzymes across the body, it is wise to try an alternative option if one of them causes adverse effects. For example, Cialis may be more tolerable for some men than Viagra, Stendra, or 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 for erectile dysfunction if oral PDE5 inhibitors are ineffective. These drugs are self-administered by injection into the penis’ intracavernosal region, skipping the digestive system and quickly causing an erection.


Trimix has three different substances in it—papaverine, phentolamine, and alprostadil—that help the blood vessels in the penis open up and relax. It has already been mixed, and to keep its potency, it must be kept cool.

PDE5 inhibitors can easily interact with alcohol, food, and other medicines, which is not the case with injectable ED drugs. Injectable ED medicines are also considered safe for men with heart problems or diabetes.


P-Shot® for Treating Erectile Dysfunction The Priapus Shot® (P-Shot®), an injectable treatment for erectile dysfunction, is another possibility. In this one-time operation, platelet-rich plasma (PRP) is repeatedly injected into the penis to encourage the creation of new tissue and strengthen erections. The P-Shot® allegedly boosts sexual endurance and works in synergy with TRT. Under anesthesia, the surgery is almost painless and doesn’t last more than 30 minutes. Some people may get results immediately, but it may take up to three months for the full benefits.

As usual, choosing the best erectile dysfunction medication for you and your unique circumstances requires talking with a physician specializing in men’s health.



At GameDay Men’s Health, every member of our staff has undergone thorough training specific to their position to ensure that every patient receives the most excellent caliber of treatment at all times.


Many of our rivals that provide services comparable to the GainsWave provide those services solely. Your health and erectile dysfunction are treated as a whole at GameDay. We provide same-day testosterone testing thanks to our cutting-edge onsite labs. Instead of just guessing as many other physicians do, we perform a diagnostic test to establish the root cause of your ED. In medicine, it’s always best to take a broad view.


Our staff continually reviews new research, tests, and literature to ensure that our customized treatment regimen aligns with the most up-to-date scientifically validated data. As a result, our remarkable success rate has altered the lives of many men who previously believed sex was no longer possible.


Men with erectile dysfunction rarely consider that low testosterone could be the cause. Viagra and Cialis are unquestionably helpful in treating erectile dysfunction. However, they will not treat low T. A healthy testosterone level is essential to long-term health, fitness, and sexual performance.

TRT is intended to “replace” testosterone to normal, healthy levels under the supervision of a physician. GameDay Men’s Health utilizes only bioidentical testosterone, which is far safer because it is identical to the testosterone produced naturally by the body.

The adverse effects that people frequently suffer while using testosterone for illegal objectives (i.e., for “efficiency”) are considerably more tolerable in healthy TRT doses. TRT is, therefore, not the same as utilizing testosterone to improve athletic performance.

Keep in mind that all humans require the hormone testosterone, which is inherent. Unfortunately, it slowly deteriorates a man’s quality of life and health when his body doesn’t create enough of it.

TRT aims to “replace” testosterone to a normal, healthy range when used under the direction of a qualified medical professional.


The following is a list of the most frequently asked questions and concerns that we get from potential candidates for TRT who have erectile dysfunction:


The truth is that many of the alleged dangers of TRT, like a higher risk of cardiovascular disease and prostate cancer, are derived from the findings of shoddy research and defective clinical trials.

Several studies indicate that TRT is advantageous for metabolic and cardiovascular health, supporting excellent erectile performance. Similarly, men with low T have a higher risk of developing prostate problems than men with normal T levels.

Many people are unaware that the testosterone used for “improving performance” is significantly more than the recommended TRT dose. A typical weekly testosterone dose on TRT ranges from 100 to 200 mg.


TRT is known to have several potential adverse effects, including nocturnal sweating, acne, and oily skin, which may be experienced by certain men who have erectile dysfunction (ED) (particularly on the shoulders or upper back). The good news is that these unwanted effects are simple to control and may often be entirely avoided by tracking the levels of a number of biomarkers in the blood and modifying the TRT dosage accordingly.

After some time, during which the body adjusts to having an average, healthy level of testosterone once more, any initial side effects of TRT typically disappear.


As part of our treatment for erectile dysfunction in San Clemente, GameDay Men’s Health will work to ensure that you achieve the most significant potential results while minimizing any adverse effects.

PDE5 inhibitors, which include Viagra, Cialis, and Stendra, are generally well tolerated by men and generate beneficial effects on erectile function speedily. These drugs are excellent compliments to TRT for the treatment of erectile dysfunction in men who have low testosterone levels. If PDE5 inhibitors do not achieve the desired effects, injectable medication is another safe and efficient choice. Examples of such treatments include the P-Shot and Trimix.

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.