ERECTILE DYSFUNCTION CLINIC SAN BERNARDINO

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ERECTILE DYSFUNCTION CLINIC SAN BERNARDINO

Erectile dysfunction, also called impotence or ED, affects approximately one out of every five men in the United States who are over the age of 20. (1) Erectile dysfunction (ED) can be brought on by a wide variety of factors, both psychological and physiological. As a result of the fact that those who suffer from the condition might not feel comfortable talking about it, the condition is generally misunderstood among the general population.

On the other hand, erectile dysfunction is easily treatable in many instances through the use of specific medications that help make it easier to achieve and maintain an erection. The first thing you should do is consult a doctor who specializes in men’s health and discuss any difficulties you may be having maintaining an erection. Alterations to one’s way of life and one’s diet can also assist in promoting healthy erection function.

The overwhelming majority of men who seek treatment for erectile dysfunction (ED) discover that any previous performance anxiety they may have had disappeared, and they experience a significant improvement in their sex life.

WHAT IS
ERECTILE DYSFUNCTION?

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 the man to have sexual satisfaction. It is distinct from premature ejaculation, which occurs when a man releases semen before actually climaxing (having an orgasm) relatively soon after engaging in sexual intercourse, resulting in the loss of his erection. This condition is not the same as what we are talking about here.

It’s possible that some men will experience both ED and premature ejaculation at the same time. It is recommended to treat erectile dysfunction first because doing so will typically fix the problems with premature ejaculation as the treatment progresses.

Because the central nervous system (which includes the brain and spinal cord), cardiovascular system, and reproductive system are all factors in the equation, the physiological mechanisms that underlie ED are fairly complex.

The primary chemical messengers responsible for initiating an erection are neurotransmitters, such as epinephrine, dopamine, and acetylcholine, which are found in the brain. Nerves send electrical impulses to the vascular system when they are stimulated sexually, which in turn causes blood flow to be directed toward the penis. Sexual stimulation can be either psychological or physical in nature. Because the penis has two arteries that supply oxygen-rich blood to the corpora cavernosa and the erectile tissue, the penis can enlarge due to increased blood flow and 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 the man to have sexual satisfaction.

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

Because blood must stay in the penis during an erection to keep its rigidity and size, erectile tissue is surrounded by fibrous elastic sheathes (tunicae) that clamp and restrict blood flow from the penis. Following ejaculation or the cessation of stimulation, the pressure in the penis decreases, blood flow away from the penis increases, and the penis reverts to its flaccid state.

Medication that targets chemicals in the body that modulate these mechanisms is a common treatment for erectile dysfunction (ED). By inhibiting phosphodiesterase-5 (PDE5) enzymes, medications such as sildenafil (the active ingredient in Viagra) and tadalafil (the active ingredient in Cialis) promote increased blood flow to the penis.

These PDE5 inhibitors maintain the activity of intracellular messengers known as cyclic adenosine monophosphate (cAMP) and cyclic guanosine monophosphate (cGMP) in the corpus cavernosum. This results in the relaxation of blood vessels in the penis, which in turn increases blood flow.

WHAT CAUSES
ERECTILE DYSFUNCTION?

Men frequently believe erectile dysfunction (ED) is a natural consequence of aging, but this is not always the case. Although getting older and the associated decrease in testosterone is a major risk factor for erectile dysfunction, many other aspects of one’s life 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 significantly higher than that of men who are healthy. (1) Given that hypertension and type 2 diabetes can both impair cardiovascular function and make it more difficult for blood to flow to the penis and produce an erection, it makes perfect sense that this would be the case.

Erectile dysfunction, on the other hand, is a complicated condition that can be caused by a wide variety of psychological and/or physiological issues. In point of fact, a healthy emotional state, as well as a healthy mental state, are strongly correlated with erectile dysfunction, particularly in younger males. (2) This condition is also referred to as psychogenic erectile dysfunction from time to time.

To successfully treat erectile dysfunction (ED), one must first identify the underlying issue and then work to resolve it.

In point of fact, a healthy emotional state, as well as a healthy mental state, are strongly correlated with erectile dysfunction, particularly in younger males. The term “psychogenic erectile dysfunction” is sometimes used to refer to this condition.

In point of fact, a healthy emotional state, as well as a healthy mental state, are strongly correlated with erectile dysfunction, particularly in younger males. The term “psychogenic erectile dysfunction” is sometimes used to refer to this condition.

LOW T AND ED
WHAT’S THE CONNECTION?

Directly and indirectly, testosterone’s androgenic properties have powerful effects on libido and erectile function. Testosterone is the hormone that most people think of when they think of a “man.” Androgen deficiency, also known as low testosterone, is a major risk factor for erectile dysfunction (ED), which a number of different health conditions can bring on.

Testosterone is a hormone that is present in both males and females and has an effect on almost every organ and tissue in the body (whether directly or indirectly). A low testosterone level is essentially the beginning of a never-ending cycle of other debilitating health conditions that all feed into each other.

According to research, having a low T level significantly increases a person’s likelihood of developing metabolic syndrome, endothelial dysfunction, cardiovascular disease, type-2 diabetes, and anemia; these conditions significantly impact the physiology of erectile function.

(6) Low T levels are also linked to an increased risk of depression and other mood disorders, which are well-known to affect libido and the quality of erections.
(7) In this regard, testosterone replacement therapy (TRT) can assist in the treatment of erectile dysfunction (ED) by establishing healthy mental wellness and confidence in men who suffer from low T.

In other words, to find a solution to erectile dysfunction that will be effective over the long term, a man with low T should first and foremost address his testosterone deficiency. According to the findings of one study, low testosterone levels negatively impact endothelial function and flow-mediated vasodilation even when other risk factors, like hypertension, chronic smoking, and type 2 diabetes, are considered. (8) Men who suffer from low testosterone levels and erectile dysfunction almost always have a positive response to testosterone replacement therapy (TRT). This is because TRT can restore both sex drive and erectile quality through changes in the patient’s physiological and psychological states.

TREATMENT FOR
ERECTILE DYSFUNCTION

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

INHIBITORS OF PDE5 (PILL FORM)

Both Viagra and Cialis are medications that do not cause addiction, and their effects start working quickly and typically continue for up to four hours and thirty-six hours, respectively. Because of this, Cialis is sometimes referred to as “long-acting” Viagra.

If the patient does not tolerate either Cialis or Viagra, an inhibitor of PDE5 from a second generation called avanafil (Stendra) may be tried instead. Stendra has a much quicker effect onset than Cialis and Viagra, reaching maximum concentration within approximately 30 minutes of ingestion; the effects of Stendra typically last for approximately 2 hours.

After taking a PDE5 inhibitor, some men may experience symptoms such as nausea, headaches, or blurred vision; however, these side effects typically disappear shortly after the drug’s effects have passed. On the other hand, if one of the PDE5 medications causes adverse effects, it is best to look into other treatment options because these drugs have different levels of selectivity for PDE enzymes located throughout the body. Some men are able to tolerate Cialis better than Viagra and Stendra, while others find the opposite to be true.

Both Viagra and Cialis are medications that do not cause addiction, and their effects start working quickly and typically continue for up to four hours and thirty-six hours, respectively.

Both Viagra and Cialis are medications that do not cause addiction, and their effects start working quickly and typically continue for up to four hours and thirty-six hours, respectively. Because of this, Cialis is sometimes referred to as “long-acting” Viagra.

Injectable ED Medications

Injectable medications like P-shot and Trimix may be prescribed if oral PDE5 inhibitors are ineffective in treating erectile dysfunction. By injecting the medication directly into the intracavernosal space of the penis, the patient is able to quickly achieve an erection while avoiding the need for the medication to travel through the digestive tract.

Trimix for Erectile Dysfunction

Papaverine, phentolamine, and alprostadil are the three different compounds that can be found in Trimix. These three ingredients work together to help dilate and relax the blood vessels in the penis. Because it has already been mixed, the active ingredients need to be kept at a low temperature.
Injectable treatments for erectile dysfunction (ED) have a number of benefits, one of which is that they do not readily interact with alcohol, food, or other medications in the same way that PDE5 inhibitors can. Injectable treatments for erectile dysfunction are also regarded as safe for men who struggle with cardiovascular conditions and diabetes.

P-Shot® for Treating Erectile Dysfunction

The Priapus Shot®, also known as the P-Shot®, is an additional injectable treatment option for erectile dysfunction. This one-time procedure consists of several injections of platelet-rich plasma (PRP) into the penis to promote stronger erections and encourage new tissue growth. It has been reported that taking 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 anesthesia. Some patients may experience immediate 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 consult with a licensed medical professional specializing in men’s health.

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

At GameDay Men’s Health, each member of our staff has undergone extensive training specific to their job responsibilities to guarantee that each of our patients receives the very best possible care at all times and in every situation.

HOLISTIC APPROACH

A significant number of our rivals, who provide treatments that are analogous to the GainsWave, only provide that treatment. At GameDay, we take a comprehensive approach to addressing your health concerns, including erectile dysfunction. We are able to provide same-day testosterone testing thanks to our cutting-edge on-site labs, which are located here. In addition, we conduct a diagnostic exam in order to identify the underlying cause of your ED, as opposed to taking educated guesses as many other healthcare providers do. When it comes to healthcare, it is almost always best to take a more holistic approach.

INNOVATIVE TREATMENT PROTOCOLS

To ensure that our proprietary treatment protocol is always up to date with the most recent scientifically validated information at our disposal, our team is always monitoring the publication of new research, conducting new tests, and reading new literature. Our high success rate has made a significant difference in the lives of many men who previously believed they would no longer be able to have sexual relations.

HOW DOES
TRT WORK FOR ERECTILE DYSFUNCTION?

Men who struggle with erectile dysfunction almost never consider the possibility that low testosterone levels could be to blame. Although Viagra and Cialis are, without a doubt, effective in treating erectile dysfunction, these medications will not correct low testosterone levels. Maintaining normal levels of testosterone over time is critical to one’s overall health, well-being, and sexual function over the long term.

Under the direction of a qualified medical professional, TRT is merely designed to “replace” testosterone levels so that they are within a normal and healthy range. Only bioidentical testosterone, which is identical to the testosterone that is naturally produced by the body and is therefore much safer, is utilized in GameDay Men’s Health’s treatments.

When testosterone is used for healthy TRT doses, the side effects are significantly more manageable than the side effects that people frequently experience when using testosterone for nefarious purposes (also known as “performance-enhancing”). Therefore, testosterone replacement therapy is not the same as using testosterone to enhance athletic performance.

Keep in mind that testosterone is a naturally occurring hormone that is required in the body of every human. If a man’s body cannot produce enough of it, there will be a slow decline in his quality of life and overall health.

Under the direction of a qualified medical professional, TRT is merely designed to “replace” testosterone levels so that they are within a normal and healthy range.

IS TRT SAFE FOR
ERECTILE DYSFUNCTION

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

  • WILL TRT MAKE ME MORE VULNERABLE TO CARDIOVASCULAR COMPLICATIONS?
  • WILL TESTOSTERONE MAKE ME MORE HOSTILE AND MOODY?
  • WILL TAKING TESTOSTERONE END UP CAUSING THE PROSTATE GLAND TO HYPERTROPHY?

The fact of the matter is that many of the purported dangers of TRT, like the increased risk of prostate cancer and cardiovascular disease, are based on the findings of studies and clinical trials that were poorly designed or conducted and were riddled with errors.

In point of fact, the results of a number of studies point to the fact that TRT is actually beneficial for both the function of the cardiovascular system and the health of the metabolic system, which in turn promotes better erectile quality. In a similar vein, men with low levels of T are at a greater risk of developing prostate problems than men with normal levels of T.

The amount of testosterone used for “performance enhancement” is significantly higher than the amount considered appropriate for TRT, which is something that many people are unaware of. On TRT, a weekly testosterone dose that falls between 100 and 200 mg is considered normal.

SIDE EFFECTS OF TRT
FOR ERECTILE DYSFUNCTION

TRT is known to have several potential negative effects, including night sweats, oily skin, and acne, which can occur in some men with erectile dysfunction (ED) (particularly on the shoulders or upper back). The good news is that these unwanted effects are simple to control and can often be entirely avoided by tracking the levels of a number of biomarkers in the blood and adjusting the TRT dosage accordingly.

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

ED ROSEVILLE TREATMENT

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

PDE5 inhibitors, which include Viagra, Cialis, and Stendra, are generally well tolerated by men and produce beneficial effects on erectile function in a speedy manner. These medications are excellent compliments to TRT for erectile dysfunction in men with low testosterone levels. In the event that PDE5 inhibitors do not produce the results that are desired, another safe and efficient option is an injectable medication. Examples of such medications include the P-Shot and Trimix.

Please do not hesitate to set – up a complimentary consultation with one of our hormone specialists if you are experiencing ED or any other symptoms of low T. You can do so by contacting us online or by calling us at 858-252-9202.

We have assisted a large number of men in regaining their sexual vitality and confidence.

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

Frequently Asked Questions

Why choose Gameday?

In contrast to the majority of male health clinics, we provide a free consultation consisting of a blood test performed in our on-site laboratory. We will have the lab work results ready for you within the next 15 minutes, so there is no need to run around from building to building. The treatment of male health and wellness is the area of expertise of our qualified and licensed staff. We are committed to providing you with the highest level of professional care in a relaxing and up-to-date atmosphere in the style of a “man cave.” Only the highest-quality medications, such as bioidentical hormones, which are the molecular equivalent of what your body normally produces, are used in our practice. This helps us achieve the best possible results while minimizing the risk of side effects.

What are the effects of low testosterone?

In contrast to the majority of male health clinics, we provide a free consultation consisting of a blood test performed in our on-site laboratory. We will have the lab work results ready for you within the next 15 minutes, so there is no need to run around from building to building. The treatment of male health and wellness is the area of expertise of our qualified and licensed staff. We are committed to providing you with the highest level of professional care in a relaxing and up-to-date atmosphere in the style of a “man cave.” Only the highest-quality medications, such as bioidentical hormones, which are the molecular equivalent of what your body normally produces, are used in our practice. This helps us achieve the best possible results while minimizing the risk of side effects.

How do you fix low testosterone?

In contrast to the majority of male health clinics, we provide a free consultation consisting of a blood test performed in our on-site laboratory. We will have the lab work results ready for you within the next 15 minutes, so there is no need to run around from building to building. The treatment of male health and wellness is the area of expertise of our qualified and licensed staff. We are committed to providing you with the highest level of professional care in a relaxing and up-to-date atmosphere in the style of a “man cave.” Only the highest-quality medications, such as bioidentical hormones, which are the molecular equivalent of what your body normally produces, are used in our practice. This helps us achieve the best possible results while minimizing the risk of side effects.

Will insurance cover my at-home testosterone injections?

In contrast to the majority of male health clinics, we provide a free consultation consisting of a blood test performed in our on-site laboratory. We will have the lab work results ready for you within the next 15 minutes, so there is no need to run around from building to building. The treatment of male health and wellness is the area of expertise of our qualified and licensed staff. We are committed to providing you with the highest level of professional care in a relaxing and up-to-date atmosphere in the style of a “man cave.” Only the highest-quality medications, such as bioidentical hormones, which are the molecular equivalent of what your body normally produces, are used in our practice. This helps us achieve the best possible results while minimizing the risk of side effects.

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?

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.