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About one out of every five men in the United States who are over the age of 20 suffer from erectile dysfunction, also known as impotence or ED. Other names for this condition include impotence and ed. (1) Erectile dysfunction, also known as ED, can be caused by a wide range of psychological factors and physiological factors. The condition is generally misunderstood among the general population because those who have the disorder might not feel comfortable talking about it.

On the other hand, erectile dysfunction is easy to treat in many cases by using particular medications that help achieve and maintain an erection. Your first step should be to make an appointment with a doctor who specializes in men’s health to discuss any issues you may have with keeping an erection. Alterations to one’s way of life as well as one’s diet can also be helpful in the process of promoting healthy erection function.

The vast majority of men who seek professional help for erectile dysfunction (ED) find that any previous performance anxiety they may have had gone away, and they experience a major improvement in their sex life.


Erectile dysfunction happens when a man loses the ability to get and maintain an erection while engaging in sexual activity. This can make it difficult for a man to have sexual relations. Because of this, it may be challenging for the man to experience sexual satisfaction. It is not the same thing as premature ejaculation, when a man ejaculates his sperm before actually climaxing or having an orgasm fairly quickly after engaging in sexual intercourse, causing him to lose his erection. This condition is referred to as “premature ejaculation.” This medical problem is not the same as what we are discussing here in any way, shape, or form.

There is a possibility that some men will suffer from both erectile dysfunction (ED) and premature ejaculation simultaneously. It is advised to address erectile dysfunction first since doing so will normally fix the problems with premature ejaculation as the treatment progresses.

The physiological mechanisms that are responsible for ED are fairly complex. This is due to the fact that the equation involves multiple systems, including the reproductive system, the cardiovascular system, and the central nervous system (which includes the brain and spinal cord).

Neurotransmitters, which can be found in the brain and include epinephrine, dopamine, and acetylcholine, are the primary chemical messengers responsible for initiating an erection. When the nerves are stimulated sexually, they send electrical impulses to the vascular system, which in turn causes blood flow to be directed toward the penis. This process is known as vasodilation. Both psychological and physical elements can play a role in sexual arousal. Because the penis contains two arteries that supply oxygen-rich blood to the corpora cavernosa and the erectile tissue, the penis is able to stretch as a result of an increase in blood flow and an increase in pressure.

Erectile dysfunction occurs when a man loses the ability to initiate and maintain an erection while engaging in sexual activity. This can make it difficult for a man to have sexual relations. Because of this, it may be challenging for the man to experience sexual satisfaction.

Erectile dysfunction occurs when a man loses the ability to initiate and maintain an erection while engaging in sexual activity.

Erectile tissue is encased in fibrous elastic sheathes known as tunicae, which clamp and restrict blood flow away from the penis in order to ensure that blood remains within the penis during an erection. This ensures that the penis maintains its rigidity and size. After ejaculation or the cessation of stimulation, the pressure in the penis begins to decrease, blood flow away from the penis begins to increase, and the penis reverts to its flaccid state.

One of the most common treatments for erectile dysfunction is the use of medication that works by targeting chemicals in the body that modulate these mechanisms (ED). Medications like Viagra and Cialis increase the blood flow to the penis by inhibiting enzymes known as phosphodiesterase-5 (PDE5). Sildenafil is the active ingredient in Viagra, and tadalafil is the active ingredient in Cialis.

These PDE5 inhibitors keep the activity of intracellular messengers in the corpus cavernosum that are known as cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP). This causes the blood vessels in the penis to relax, which in turn leads to an increase in the flow of blood through the penis.


It is a common misconception among men that erectile dysfunction (ED) is nothing more than a natural consequence of aging; however, this is not necessarily the case in all instances. Although a significant decrease in testosterone levels that comes with aging is a major risk factor for erectile dysfunction, there are a great many other aspects of a person’s life that should also be taken into consideration.

For instance, the occurrence of erectile dysfunction (ED) among men who suffer from type-2 diabetes and hypertension is markedly higher than that of men who are healthy. This is in comparison to the prevalence of ED among men who do not have either of these conditions. (1) Considering that high blood pressure and type 2 diabetes both have the potential to impair cardiovascular function, which in turn makes it more challenging for blood to flow to the penis and produce an erection, it stands to reason that this would be the case.

On the other hand, erectile dysfunction is a complicated condition that can be caused by a wide variety of problems, either psychological or physiological. In reality, a healthy emotional state, along with a healthy mental state, is strongly correlated with erectile dysfunction, especially in younger males. (2) Psychogenic erectile dysfunction is another name for this condition.

In order to effectively treat erectile dysfunction (ED), one must first determine the root cause of the problem and then work toward finding a solution to that problem.

In reality, a healthy emotional state, along with a healthy mental state, is strongly correlated with erectile dysfunction, especially in younger males. (2) Psychogenic erectile dysfunction is another name for this condition.


Both directly and indirectly, the androgenic properties of testosterone have powerful effects on a person’s libido and ability to maintain an erection. When most people think of a “man,” they picture the hormone known as testosterone in their heads. Erectile dysfunction (ED) is a condition that can be brought on by various health conditions. One of the most significant risk factors is androgen deficiency, also known as low testosterone.

Testosterone is a hormone that is found in both males and females and has an overall impact on almost every organ and tissue in the body. A low testosterone level is mainly the beginning of a never-ending cycle of other detrimental health conditions that all feed into each other. These conditions all feed into the low testosterone level.

According to research, having a low T level significantly increases the likelihood of a person developing metabolic syndrome, endothelial dysfunction, cardiovascular disease, type-2 diabetes, and anemia; these ailments significantly impact the physiology of erectile function. Furthermore, a low T level also significantly increases the likelihood of a person developing anemia.

Low T levels are also linked to a higher risk of depression and other mood disorders, which are well-known to affect a person’s libido and the quality of their erections.

In this regard, testosterone replacement therapy (TRT), also known as TRT, can help in the treatment of erectile dysfunction (ED) by fostering positive mental wellness and confidence in men who suffer from low T.

In other words, in order for a man to find a treatment for erectile dysfunction that will be effective over the long term, he should first and foremost address his testosterone deficiency. Only then will he be able to find a solution that will work. Even when other risk factors, such as hypertension, chronic smoking, and type 2 diabetes, are taken into account, one study found that low testosterone levels negatively impact endothelial function and flow-mediated vasodilation. This was the case even though other risk factors were taken into account. (8) Erectile dysfunction and low testosterone levels are almost always treatable conditions in men, and testosterone replacement therapy almost always results in a positive response from the patient (TRT). This is due to the fact that TRT can restore both a patient’s sex drive as well as the quality of their erections through changes in the patient’s physiological as well as psychological states.


Erectile dysfunction can be treated using a variety of medications, and in some cases, testosterone replacement therapy (TRT) may also be necessary in addition to these treatments. PDE5 inhibitors, such as Viagra and Cialis, are frequently the medications of choice for treating erectile dysfunction (ED) because of the ease with which they can be utilized and their high level of effectiveness. However, treatment for ED can change depending on the condition’s underlying cause.


It doesn’t take long for Viagra or Cialis to start working, and their effects typically last anywhere from four to thirty-six hours at a time respectively. Neither medication is addictive. As a result of this, Cialis is frequently referred to as the “long-acting” version of Viagra.

An inhibitor of PDE5 from a second generation called avanafil (Stendra) may be tried instead of Cialis or Viagra if the patient does not have a good tolerance for either of those medications. Stendra reaches its maximum concentration approximately 30 minutes after ingestion, whereas Cialis and Viagra take approximately an hour and a half to an hour and a half to reach their peak levels. Stendra’s effects typically last for approximately two hours.

Some men may experience side effects after taking a PDE5 inhibitor, including nausea, headaches, or blurred vision; however, these side effects typically go away within a short period of time after the effects of the drug have worn off. On the other hand, if taking one of the PDE5 medications causes adverse effects, it is best to look into other treatment options. This is because these drugs have varying degrees of selectivity for PDE enzymes that are located throughout the body. While some men are able to tolerate Cialis better than Viagra and Stendra, others find that the converse is true and that Cialis is more tolerable than Viagra and Stendra.

It doesn’t take long for Viagra or Cialis to start working, and their effects typically last anywhere from four to thirty-six hours at a time respectively. Neither medication is addictive. As a result of this, Cialis is frequently referred to as the “long-acting” version of Viagra.

Injectable ED Medications

In the event that oral PDE5 inhibitors are not successful in treating erectile dysfunction, a doctor may decide to prescribe injectable medications such as P-shot and Trimix instead. The patient is able to quickly achieve an erection and avoid the need for the medication to travel through the digestive tract when it is injected directly into the intracavernosal space of the penis. This method is known as intrapenis intravenous (IVI) therapy.

Trimix for Erectile Dysfunction

Trimix consists of three different compounds: papaverine, phentolamine, and alprostadil. You can find all three of these compounds in the product. These three components work synergistically to aid in the process of relaxing and expanding the blood vessels in the penis. Because it has already been combined, the active ingredients have to be stored at a significantly lower temperature than normal.

Injectable treatments for erectile dysfunction (ED) have a number of advantages, one of which is that, unlike PDE5 inhibitors, they do not quickly and easily interact with alcohol, food, or other medications. This is one of the ways in which injectable treatments differ from PDE5 inhibitors. Injectable treatments for erectile dysfunction are considered safe for use even in patients who also suffer from cardiovascular conditions and diabetes.

P-Shot® for Treating Erectile Dysfunction

An additional injectable course of action for erectile dysfunction is available in the form of the Priapus Shot®, also referred to as the P-Shot®. This one-time procedure consists of multiple injections of platelet-rich plasma (PRP) into the penis to encourage new tissue growth and promote stronger erections. It has been reported that combining the P-Shot® with TRT results in an increase in sexual stamina as well as effectiveness. [Citation needed] [Citation needed] Because of the anesthesia, the operation only takes a little over a quarter of an hour to complete and causes very little discomfort to the patient. There is a possibility that the treatment will produce instant results for some patients, while for others, it may take up to three months before they feel the full benefits of the treatment.
When trying to determine which treatment for erectile dysfunction will be most effective for you and your individual needs, it is always necessary to speak with a licensed medical professional specializing in men’s health. This is especially important when trying to determine which treatment for erectile dysfunction is going to be most effective for you.


In order to ensure that each and every one of our patients receives the very best possible care at all times and in any circumstance, every single member of our staff here at GameDay Men’s Health has been put through extensive training that is directly related to the duties that they are expected to perform in their jobs.


A good proportion of our competitors who offer treatments that are comparable to the GainsWave are limited to offering only that treatment to their customers. At GameDay, we take a holistic approach to addressing your health concerns, which includes erectile dysfunction treatment as part of that comprehensive approach. Because we have cutting-edge labs right here on-site, we are able to perform testosterone testing on the same day it is ordered, thanks to this capability. In addition, rather than making educated guesses about the root cause of your ED like many other healthcare providers do, we perform a diagnostic exam in order to get to the bottom of the problem and find out what’s causing it. When it comes to medical care, the most effective course of action is to take a more holistic perspective.


Our team is constantly monitoring the publication of new research, testing, and reading new literature to guarantee that our proprietary treatment protocol will always be up to date with the latest scientifically validated information. This allows us to ensure that our treatment is always effective. Many men’s lives have been significantly improved as a result of our high success rate. These men had previously been under the impression that they would no longer be able to engage in sexual activity.


Almost never do men who struggle with erectile dysfunction think about the possibility that low testosterone levels could be to blame for their condition. Although Viagra and Cialis are, without a doubt, effective in treating ED, it is important to note that these medications will not boost testosterone levels that are already low. The ability to keep one’s testosterone levels at a normal level over time is essential to one’s general health, well-being, and sexual function over the course of one’s lifetime.

The goal of testosterone replacement therapy, or TRT, is merely to “replace” testosterone levels so that they are within a normal and healthy range under the direction of a qualified medical professional. In the treatments offered by GameDay Men’s Health, we only use bioidentical testosterone, which is indistinguishable from the testosterone that is produced by the body naturally. As a result, it is significantly less risky.

When testosterone is used for healthy TRT doses, the side effects are noticeably more manageable than the side effects that people typically experience when using testosterone for nefarious purposes. However, when testosterone is used for unhealthy, non-TRT doses, the side effects can be quite severe (also known as “performance-enhancing”). As a result, testosterone replacement therapy and the use of testosterone to enhance athletic performance are not the same things.

It is important to keep in mind that testosterone is a hormone that occurs naturally and is necessary for the functioning of the human body. A man’s quality of life and overall health will gradually deteriorate if his body cannot produce an adequate amount of it. If this occurs, an individual’s overall health will also suffer.

The goal of testosterone replacement therapy, or TRT, is merely to “replace” testosterone levels so that they are within a normal and healthy range under the direction of a qualified medical professional.


The following is a list of the questions and concerns that we hear the most frequently from potential candidates for TRT who struggle with erectile dysfunction:


The fact of the matter is that the findings of studies and clinical trials that were poorly designed or conducted and were riddled with errors form the basis for many of the purported dangers of TRT, such as the increased risk of prostate cancer and cardiovascular disease.

In point of fact, the findings of a number of studies indicate that TRT is beneficial for both the function of the cardiovascular system and the health of the metabolic system, promoting better erectile quality. This is the conclusion that can be drawn from the findings of the studies. Men with normal levels of T have a lower risk of developing prostate problems than men with low levels of T. This is because men with low levels of T have a lower level of the hormone T.

Many people are unaware of the fact that the amount of testosterone that is used for “performance enhancement” is dramatically higher than the amount that would be considered appropriate for TRT. This is something that should be kept in mind when comparing the two amounts. When receiving TRT, a weekly dose of testosterone that is anywhere from 100 mg to 200 mg is considered to be within the normal range.


TRT is known to have a number of potential adverse effects, some of which include night sweats, oily skin, and acne. These side effects are known to occur in some men who have erectile dysfunction (ED) (particularly on the shoulders or upper back). The good thing is that these unwanted effects are simple to control, and it is often possible to avoid them altogether. This can be accomplished by monitoring the levels of a number of biomarkers in the blood and adjusting the dosage of TRT accordingly.

Any initial negative effects of testosterone replacement therapy (TRT) almost always vanish after a certain amount of time has passed and the body has had sufficient time to readjust to having a normal, healthy level of testosterone once again.


As part of our ED San Clemente Treatment, GameDay Men’s Health will ensure you get the best results possible while controlling any side effects.

PDE5 inhibitors like Viagra, Cialis, and Stendra are well-tolerated by most men and produce beneficial actions on erectile function quickly. For men with low T, these medications serve as great adjuncts to TRT for treating erectile dysfunction. Injectable medications, like the P-Shot and Trimix, are also safe and effective options when PDE5 inhibitors don’t produce the desired results.

If you’re experiencing ED or any other symptoms of low T, don’t hesitate to schedule a complimentary consultation with one of our hormone specialists by

or calling us at 858-252-9202

We have been able to assist a significant number of men in regaining their sexual vitality and confidence thanks to the work that we have done.


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.