ERECTILE
DYSFUNCTION
CLINIC ONTARIO

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ERECTILE DYSFUNCTION CLINIC ONTARIO

Erectile dysfunction, commonly referred to as ED or impotence, is experienced by an estimated 1 out of 5 men with age over 20 years old in the United States. 20 years of age in the United States. (1) Erectile dysfunction is said to be brought about by several factors including physical and psychological causes. ED has been quite misunderstood by most of the population making those who experience it unable to comfortably talk about this issue.

Still, one should know that erectile dysfunction can be possibly treated in most cases using certain methods and medications that help men achieve and maintain an erection straightforwardly. First, you must find a trained physician in men’s health and talk about any erectile issues you may be experiencing. Changes in your lifestyle and some dietary adjustments can help usher healthy functioning for erection.

The wide majority of males who look for treatment for erectile dysfunction may find that their previous performance anxieties have has either ceased or decreased and it has significantly improved their sex life.

WHAT IS
ERECTILE DYSFUNCTION?

Erectile dysfunction (ED) is when a man cannot initiate and maintain an erection during sexual intercourse. ED is different from having premature ejaculations when a man releases semen before his orgasm or reaches climax thus causing him to shortly lose his erection after starting sexual activity. Although erectile dysfunction and premature ejaculation may happen at the same time in some cases, it is advised to treat ED first as it has been proven to correct premature ejaculation conditions in the course of ED treatments. The psychological factors that underlie ED are quite complex since the CNS or central nervous system, consisting of the brain and spinal cord, the cardiovascular system, and the reproductive system all contribute to the picture. Neurotransmitters in the brain, like dopamine, epinephrine, and acetylcholine, play as major chemical messengers that drive erection. Sexual stimulations – whether psychological and/or physical – cause nerves to relay electrical impulses to the cardiovascular system, which in turn orchestrates blood flow leading to the penis. The penis has two arteries that supply oxygenated blood to the corpora cavernosa and erectile tissues. These arteries cause the penis to expand as they are filled with greater blood flow and met with pressure increases.

Blood must and should remain in the penis to keep it rigid and maintain its size throughout an erection. This progression is supported by erectile tissues surrounded by tunics that close off and restrict the flow of blood from leaving the penis. When the pressure in the penis drops after ejaculation or when stimulation is decreased, blood flow is allowed away from the penis and it recurs to its flabby state.

Erectile dysfunction occurs when a man loses the ability to initiate and maintain an erection while engaging in sexual activity.
Erectile dysfunction is usually treated with medications. These medications aim to give focus to the chemicals in a man’s body that balance these processes. Examples of these medications are sildenafil (Viagra) and tadalafil (Cialis) which encourage penile blood flow by impeding the action of PDE5 or phosphodiesterase-5 enzymes. The PDE5 suppressants shield cAMP or cyclic adenosine monophosphate and cGMP or cyclic guanosine monophosphate messenger activities between cells in the corpus cavernosum. This phenomenon relaxes blood vessels in the penis thereby increasing the influx of blood.

WHAT CAUSES
ERECTILE DYSFUNCTION?

A lot of men often assume that erectile dysfunction is only brought about by aging. This is not entirely true. Aging may cause ED and can be owed for the decrease in testosterone production, the leading cause of erectile dysfunction, there are a host of other factors that need to be taken into account. An example of other causes is the more prevalent statistics of ED in men with Type-2 Diabetes Mellitus (DM) and high blood pressure compared to healthier men. (1) This is not without basis as DM

This makes sense given that hypertension and DM Type-2 involve abnormalities in the cardiovascular system and may cause inefficiencies in penile blood flow thus producing erection difficulties.

ED is not at all a linear and simple condition. It originates from an extensive range of issues including psychological and physiologic. Truthfully, a male’s emotional well-being and mental health strongly influence erectile dysfunction, specifically in younger males. (2) This is occasionally referred to as psychogenic erectile dysfunction.

Naturally treating erectile dysfunction boils down to targeting its root cause and subsequently, its correction.

Emotional wellness and men

Truthfully, a male’s emotional well-being and mental health strongly influence erectile dysfunction, specifically in younger males. (2) This is occasionally referred to as psychogenic erectile dysfunction.

LOW T AND ED
WHAT’S THE CONNECTION?

Testosterone is considered the archetypal male hormone and its androgenic characterization have unparalleled effects on libido and erectile functioning in a roundabout way. ED may be caused by numerous health conditions but low testosterone or androgen deficiency presents itself as the main risk factor.

Testosterone is a pervasive hormone in both genders (male and female) that can affect nearly, if not all, bodily tissues and organs in the human body directly or indirectly. Low T may be considered as the tipping point of ensuing cycles of health conditions that can be both vicious and debilitating and that all influence each other.

It has been shown through research that low testosterone has increased the risk of a lot of diseases including cardiovascular disease, metabolic syndrome, DM Type-2, endothelial dysfunction, and anemia. All of these conditions will significantly impact the pathophysiology of ED.(6)

Additionally, low testosterone levels are associated with higher risks of depression and mood disorders. Low T also poses issues impacting libido and the quality of erections. (7) Concerning this, testosterone replacement therapy or TRT can help solve ED by bringing about healthier mental well-being and confidence in men who have low T levels.

Men who have low T levels should first address the deficiency as part of long-term treatment for ED. One study has found that low testosterone in men has negatively affected the endothelial function and flow-mediated vasodilation singly of other risk factors like chronic smoking, DM type-2, and hypertension. (8)

Most men suffering from low testosterone and ED who have undergone TRT have positively responded to bring about improved sex drive and erectile quality. TRT has achieved it through both physical and psychological changes.

TREATMENT FOR
ERECTILE DYSFUNCTION

A range of medications in addition to TRT can be used in the treatment of ED. PDE5 inhibitors like Viagra and Cialis are the usual go-to medications of choice depending on the pathophysiology of erectile dysfunction since these medications are just easy to take and are quite effective.

PDE5 INHIBITORS (PILL FORM)

PDE5 inhibitors (Viagra and Cialis) are non-addictive medications with fast-acting effects. Positive effects take up to 4 hours for Viagra and 36 hours for Cialis. Thus, Cialis may be considered the “long-acting” version of Viagra.

Avanafil (Stendra), a second-generation PDE5 inhibitor, may be substituted if the use of either Viagra or Cialis is not well-received. Stendra has shown a quicker onset of effects compared to the primary PDE5 inhibitors, reaching optimum concentration just about 30 minutes from ingestion. Effects of Stendra last just roughly 2 hours though.

ide effects of taking PDE5 inhibitors are experienced by some men including headaches, nausea, or blurred vision. These symptoms typically subside as well as the drug effects wear off. If a certain PDE5 inhibitor goes to produce side effects though, it is best to try a different choice as they are particularly selective for PDE enzymes throughout the body. Some men have to tolerate Cialis much more effectively than Viagra and Stendra, and vice versa.

Viagra and Cialis are non-addictive medications and their effects take action quickly, usually lasting up to 4 hours and 36 hours, respectively.

PDE5 inhibitors (Viagra and Cialis) are non-addictive medications with fast-acting effects. Positive effects take up to 4 hours for Viagra and 36 hours for Cialis. Thus, Cialis may be considered the “long-acting” version of Viagra.

INJECTABLE ED MEDICATIONS

If oral PDE5 garners unhelpful erectile dysfunction, injectable ED medications like P-shot and Trimix may be put into prescription. These injectable medications can be administered by the male patients themselves. They are injected into the penis’ intracavernosal space. Injectable ED medications bypass the GI tract and produce erections rapidly.

TRIMIX FOR ERECTILE DYSFUNCTION

Trimix for Erectile Dysfunction Trimix, as its name may imply, is composed of 3 different compounds, namely, papaverine, phentolamine, and alprostadil. These components of the Trimix help dilate and relax the penile blood vessels. To maintain its potency, this injectable is premixed and must be stored in a cool place.

One major advantage of injectable ED medications is that they are independent of food-to-drug interactions. For oral ED meds, alcohol and food may affect their uptake. Injectable ED medications are also generally considered safe for men with cardiovascular diseases and DM type-2.

P-SHOT® FOR TREATING ERECTILE DYSFUNCTION

Another notable injectable option for ED is the Priapus Shot ® (P-Shot®). P-Shot® is a one-time procedure that involves numerous injections of platelet-rich plasma or PRP into the penis. This is done to stimulate new tissue growth and promote stronger erections. To stimulate new tissue growth and promote stronger erections. The P-Shot® is determined to be an adjunct therapy to TRT and is said to increase male sexual stamina. The procedure is practically painless as it is used under anesthesia and it also does not take long, just under 30 minutes. Results of P-Shot® injections vary from one patient to another, from noticeably instant results to taking up to 3 months for optimum outcomes.

Turning to a licensed physician that expertly deals with men’s health is a given for coming up with the best erectile dysfunction treatments that fit right for you and are personalized to your needs.

WHY GAMEDAY MEN’S HEALTH
IS THE RIGHT CHOICE FOR ERECTILE
DYSFUNCTION TREATMENT

HOLISTIC APPROACH

Most of our competition singly offer GainsWave-similar treatments only. Meanwhile, here at GameDay, we consider a holistic approach to your ED and well-being. We have modern and advanced on-site laboratories that offer same-day testosterone testing. We also determine the factors that cause your ED by performing diagnostic examinations. We do not take guesses as other providers do. We believe in the idea that looking into the wider perspective is the better approach to taking care of our health.

INNOVATIVE TREATMENT PROTOCOLS

The GameDay team is continuously looking into new studies, approaches, and literature to make sure that our exclusive treatment processes stay up-to-date and scientifically validated. The high success rate of our team has long changed the course of the lives of millions of men who thought to never enjoy sex ever again.

HOW DOES
TRT WORK FOR ERECTILE DYSFUNCTION?

Men who experience erectile dysfunction rarely suspect low testosterone as the reason for ED. Viagra and Cialis may be undoubtedly effective for ED treatments but they do not correct the underlying low testosterone levels. Healthy testosterone counts are essential not only for sexual functioning but to long-term health and wellness.

Testosterone replacement therapy or TRT aims to “replace” the testosterone such that it is within the normal and healthier range. This correction is done under the supervision of a licensed physician. GameDay Men’s Health utilizes bioidentical testosterone only for TRT. This type of testosterone is considered safer as it is the same natural testosterone formed by the body.

TRT side effects are more tolerated health-wise than the side effects people usually get when using testosterone for illicit reasons or “performance enhancement”. To clarify then, TRT is not the same as the utilization of testosterone for athletics. Hence, TRT is not the same as using testosterone for athletic capabilities augmentation.

One should note that testosterone is a naturally-existing hormone and is necessary for human bodily functioning. The quality of life for men who do not produce enough of it will eventually decline.

Testosterone replacement therapy or TRT aims to “replace” the testosterone such that it is within the normal and healthier range.

IS TRT SAFE FOR
ERECTILE DYSFUNCTION

Presented here are the most pressing questions and concerns we receive from our prospective TRT candidates with ED:
  • DOES TRT INCREASE MY RISK OF HAVING CARDIOVASCULAR COMPLICATIONS?
  • DOES TRT HAVE AN EFFECT ON MY MOOD AND LEVEL OF AGGRESSION?
  • DOES TAKING TESTOSTERONE HORMONES CAUSE INFLAMMATION OF THE PROSTATE GLAND?

In truth, many of the supposed risks of testosterone replacement therapies, like a higher risk of prostate cancer or cardio diseases, stem from some studies that are poorly-designed and clinical trials that are faulty.

Several studies even conclude TRT to be beneficial in reality for the functioning of the cardiovascular system and metabolic health – thereby promoting a better quality of erections. Men with low T are the individuals who pose higher risks of prostate problems compared to those with normal testosterone levels.

Compared to a proper TRT, testosterone amounts for “performance enhancement” are extremely more and this is what a lot of people leave out of the picture. Normal TRT doses of testosterone are anywhere around 100-200mg.

SIDE EFFECTS OF TRT FOR
ERECTILE DYSFUNCTION

TRT may have a few side effects varying from one individual to another. Commonly experienced side effects of TRT for treating ED may include night sweats, oily skin, and acne (showing up on the shoulders or upper back commonly). These side effects are easily manageable though, if not avoided, through constant blood levels monitoring of several biomarkers and the adjustment of TRT doses accordingly.

Initial side effects of TRT usually subside after the body adjusts to having the testosterone within normal and healthy limits again.

ED ONTARIO TREATMENT

GameDay Men’s Health will guarantee you receive the best results possible while minimizing any side effects as the keystone of our ED Ontario Treatment.

PDE5 inhibitors like Viagra, Cialis, and Stendra are generally well-tolerated by men and have shown benefits on erectile function rapidly. These medications also serve as excellent adjunct treatments to TRT to resolve ED. Safe and potent injectable medication options, such as P-shot and Trimix are also available when PDE5 inhibitors are not as effective to bring about anticipated outcomes.

If you have experienced ED or other symptoms of low T, book a complimentary appointment with one of our qualified hormone specialists by

or calling us at 858-252-9202

We’ve helped countless men regain their confidence and sexual vitality.

REFERENCES

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?

Compared to other male health clinics, GameDay offers complimentary consultations that even include blood tests done in our on-site laboratory. The results will be ready in under 15 minutes without going around from one building to another. Additionally, we accept health plans like PPO and Tricare military, limiting the costs you pay out-of-pocket and making us the more affordable choice. At the center of our manpower are our licensed staff experts that specialize in treating health and wellness among males. We are passionate to give you the most professional service in a rather comforting, contemporary “man-cave” atmosphere. Ensuring that we bring only the most optimum efficient and safe treatments to you, we only make use of medications of the highest grade. This includes bioidentical hormones that are equivalent to what your body produces naturally at the molecular level.

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.