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Commonly called Impotence, Erectile Dysfunction or ED is a condition that affects about twenty percent of the men population aged 20 years old and above in the United States. The condition could be due to a multitude of psychological or physiological factors but is commonly misunderstood and not talked about in public.

The good news is, in many cases, erectile dysfunction can be cured with the help of medications that make erections easier to achieve. For this to be possible, the first step would be to find a reliable physician specializing in men’s health and discuss the erectile issues you have been experiencing. There may be an adjustment in lifestyle and dietary behaviors to make alongside the medications to help get your erectile function on track.

8 out of 10 men who sought treatment for Erectile Dysfunction experienced a significant improvement in their sex lives and the performance anxiety they had to deal with before the treatment.


When a man’s ability to start and maintain an erection during sexual activity is failing or is totally lost, then he is most probably suffering from erectile dysfunction (ED). ED is not similar to premature ejaculation where a man’s release of semen happens before the orgasm, disrupting his drive for an erection during sexual intercourse but they might coexist. In such cases, experts would always treat ED first as it can help address premature ejaculation during the course of the treatment.

Since men’s cardiovascular system, the brain, the spinal cord [which make up the central nervous system], and the reproductive system, all have roles to play in the existence of ED, it has become quite complex to prove that ED is a mere physiological issue.

Dopamine, epinephrine, acetylcholine, and other brain neurotransmitters are the main chemical actors that begin an erection. Physical sexual and/or psychological stimulations trigger the nerves to transmit the electrical impulse to the vascular system. As a result, blood flow towards the penis happens. Two arteries in the penis help supply oxygen-rich blood to the erectile tissue and corpora carvenosa. The more blood flow there is, the more the penis expands, and the pressure increases.

When a man’s ability to start and maintain an erection during sexual activity is failing or is totally lost, then he is most probably suffering from erectile dysfunction (ED).

To maintain the penis’s size and rigidity during an erection, enough blood supply is vital. Normally, when an erectile tissue is surrounded by fibrous elastic sheathes, it also restricts blood from leaving the penis. Once the stimulation or ejaculation is over, the pressure in the penis also cools down. At this point, blood in the penis starts flowing away and leaves it back in its flaccid state.

The treatment of ED usually begins with medications that normalize the chemicals in the body responsible for triggering an erection, e.g. tadalafil (Cialis) and sildenafil (Viagra). These medications inhibit phosphodiesterase-5 (PDE5) enzymes that boost blood flow onto the penis. Such enzymes maintain Cyclic Adenosine Monophosphate (cAMP) and Cyclic Guanosine Monophosphate (cGMP) which are intracellular messengers in the corpus cavernosum that help relax the blood vessels and encourage blood flow in the penis.


Contrary to the belief of the majority of men, erectile dysfunction (ED) is not always a consequence of aging. While it is true that testosterone supply in men tends to decrease as they age and this can also lead to ED, a plethora of other factors can likewise lead to ED and need to be thoroughly considered.

For instance, more men with hypertension and type-2 diabetes are suffering from ED than those without. This makes sense given that both conditions can disrupt proper cardiovascular function leading to irregular blood flow onto the penis which is vital for the erection to take place.

Moreover, erectile dysfunction is an intricate condition that can arise from having a myriad of physiological and/or psychological issues. As a matter of fact, mental health and emotional wellness, and ED are strongly linked to each other, especially in younger men, which the medical world calls psychogenic erectile dysfunction.

Treating erectile dysfunction is all about identifying the root cause of it and addressing or correcting it appropriately.

As a matter of fact, mental health and emotional wellness, and ED are strongly linked to each other, especially in younger men, which the medical world calls psychogenic erectile dysfunction.


Testosterone is the most distinguished man hormone. It has androgenic properties that can greatly impact men’s sex drive and erectile function both indirectly and directly. Low testosterone, for that matter, can also lead to ED although the latter can stem from several health conditions.

Testosterone is a hormone present both in men and women and affects every organ and tissue in the body both indirectly and directly. When one has a low testosterone supply, it can lead to a damaging cycle of debilitating health conditions feeding into each other.

As per various research, low testosterone can pave the way for metabolic syndrome, cardiovascular disease, endothelial dysfunction, anemia, and a lot more conditions that can affect the physiology of erectile function. Moreover, research shows that more people with low T are at a greater risk of having mood disorders and depression. These all can also lead to lower sex drive and erectile quality. With this said, it is worth acknowledging what Testosterone Replacement Therapy (TRT) can do to help cure ED by building and boosting confidence levels and mental wellness in men.

There is also a study that has seen how low T has worsened factors that can lead to health conditions such as chronic smoking, hypertension, and type-2 diabetes. That is to say that men suffering from low T must make it a priority to have their testosterone deficiency addressed to avoid the long-term, unmanageable effects of erectile dysfunction – something that TRT can be a big help of. Over the years, TRT has helped restore men’s libido and erectile quality with the help of psychological and physiological approaches.


Besides Testosterone Replacement Therapy (TRT), a number of medications can help effectively treat or address the stems of erectile dysfunction and some of them are accessible and easy to take, such as Viagra, Cialis, and other PDE5 inhibitors. As for which medication is most effective, it still depends on the cause of ED.


PDE5 Inhibitors are one of the commonly used medications to address erectile dysfunction. They usually come in pill form and are usually available in the market. PDE5 Inhibitors such as Cialis and Viagra are known to be greatly effective. Cialis’s onset of effect can last up to 36 hours while Viagra is its short-term version with an effect that can last only up to 4 hours.

Another PDE5 inhibitor that is popular in the market is Avanafil or Stendra. Men who are not okay with the side effects of Viagra and Cialis often resort to Stendra and its effect can begin within only 30 minutes from ingestion and can last up to approximately two hours.

However, it pays to take note of the side effects that you might have to experience from taking PDE5 inhibitors to make it a manageable experience. These symptoms include headaches, nausea, and blurred vision. Fortunately, these will not last long and will generally subside once the drug wears off. It is prudent, nonetheless, to try another PDE5 inhibitor option if side effects persist. What works for one may not be the same for the other as PDE enzymes can differ for every human body.

Viagra and Cialis are non-habit-forming PDE5 Inhibitors and can take effect rapidly. Respectively, their effects can last up to 4 hours and 36 hours.


In cases where oral PDE5 inhibitors do not improve erectile dysfunction symptoms, injectable medications like P-shot and Trimix are usually considered alternatives. These are usually self-administered-ly injected into the penis’s intracavernosal space, facilitating an erection rapidly.

Trimix for Erectile Dysfunction

Trimix is a mixture of three unique compounds, alprostadil, papaverine, and phentolamine, that facilitate the expansion and calming of the blood vessels in the penis. It has to be stored at a cool temperature to keep its potency. The good thing about this injectable is it skips passage to the gastrointestinal tract, skipping interaction with food, alcohol, and other medications, unlike PDE5 inhibitors. It is considered safe and effective, especially for men with diabetes and heart issues.

P-Shot® for Treating Erectile Dysfunction

Besides Trimix, P-SHOT or Priapus Shot is also a good injectable option to treat erectile dysfunction. It is a single, painless, anesthesia-induced, around 30-minute-long procedure where a number of platelet-rich plasma (PRP) injections are administered into the penis to encourage tissue growth and promote stronger erections. P-Shot is considered to work well even with TRT and is found to be a great sexual stamina booster. The results can appear right away but maximum benefits are usually seen after up to three months.

Whether your ED medication of choice is oral or injectable, it is always best to consult with a licensed physician who is an expert in men’s health to ensure that you are on the right track.



Here at GameDay Men’s Health, our staff are all highly trained and experienced professionals that make sure to provide the best value of our patient’s money through our highest standard of care and quality of services every time, all the time.


Unlike our competitors who only offer one to two types of treatment for erectile dysfunction, we at GameDay Men’s Health take a holistic approach to it. Same-day testosterone testing will be provided using our state-of-the-art on-site laboratories. Diagnostic exams will also be given to further underpin the underlying factor that caused our patient’s erectile dysfunction. Here, we always believe that a better approach to healthcare takes being able and willing to look at the bigger picture.


Our team understands the continuous emergence of studies and promising treatments. We review these to guarantee the best scientifically validated proprietary treatment protocol. We have managed to maintain a high success rate after transforming a lot of lives of our men patients who used to think their sex lives are dead and hopeless.


Low Testosterone has been rarely considered the most common culprit of erectile dysfunction. PDE5 Inhibitors like Viagra and Cialis are undoubtedly effective to treat erectile dysfunction. However, they are not as effective to correct a man’s testosterone levels which is imperative for his wellness, long-term health, and sexual drive.

Here at GameDay, our testosterone replacement therapy (TRT) ultimately seeks to restore men’s testosterone levels to a normal range under the supervision and guidance of a licensed physician. We only utilize bioidentical testosterone to ensure safety and natural-like results. Moreover, our TRT testosterone doses are regulated so that possible side effects are significantly avoided. On that note, our TRT is not the solution for those who seek an athletic performance enhancement. Our goal is to preserve every man’s quality of life and avoid it from deteriorating because of low T.

Here at GameDay, our testosterone replacement therapy (TRT) ultimately seeks to restore men’s testosterone levels to a normal range under the supervision and guidance of a licensed physician.


We have received various concerns and questions from men with erectile dysfunction who are interested in getting a TRT. Here are some of them:

  • Is TRT bad and risky for my cardiovascular health?
  • Does having good testosterone levels boost my mood and make me more aggressive?
  • Will my prostate gland experience hypertrophy from having a TRT?

There have been a number of purported TRT risks, e.g. increased risk of prostate cancer and cardiovascular disease, but they are in truth based on results from flawed clinical trials and poorly designed studies. As a matter of fact, a lot of studies contradict this and have found out that TRT has a lot of benefits for metabolic and cardiovascular health which in the long run can contribute to better erectile quality.

Studies have also shown that men with low testosterone levels are more susceptible to prostate problems than men with normal testosterone levels. However, what people are usually unaware of is that performance enhancement uses more testosterone doses than a proper TRT which is clearly risky.


Men with erectile dysfunction who sought TRT have noted a few common but manageable side effects. This includes oily skin, night sweating, and acne appearing on the upper back and shoulders. With the right TRT doses, these can be avoided but should they appear, they also subside generally after the body becomes accustomed to the normal testosterone level.


As part of our ED Seattle treatment, GameDay Men’s Health is committed to providing the best results possible with minimal side effects. Our PDE5 inhibitors like Viagra, Cialis, and Stendra are usually well-tolerated and are greatly beneficial in restoring rapid erectile function. Our TRT can likewise serve as great adjuncts for treating erectile dysfunction for men who experience both ED and low T. P-Shot, Trimix, and other injectable medications that we provide are also proven safe and effective when oral medications do not seem to work as expected.

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.