This field is for validation purposes and should be left unchanged.


Erectile dysfunction, usually called impotence or ED, affects approximately one out of every five males in the United States who are over the age of 20. Erectile dysfunction (ED) can be brought on by a wide variety of reasons, both psychological and physiological. However, as a result of the fact that persons who suffer from the disease might not feel comfortable talking about it, the condition is generally misunderstood among the general community.

However, many cases of erectile dysfunction can be easily treated with certain drugs that make getting and keeping an erection more uncomplicated. The first step is to locate a doctor specializing in men’s health and discuss any erectile problems you may have. A healthy erectile function can also be supported by food and lifestyle changes.

ED treatment eliminates performance anxiety and enhances sex life for most guys.


A guy with erectile dysfunction cannot get or keep an erection during a sexual engagement. When a guy loses his erection immediately after sexual activity, it is not the same as premature ejaculation, which occurs when he discharges semen before climaxing (orgasm).

Certain men may experience both erectile dysfunction and premature ejaculation. Premature ejaculation problems are often resolved when erectile dysfunction is treated initially.

The physiological mechanisms underlying ED are relatively complex, as the central nervous system (brain and spinal cord), bloodstream, and reproductive system all play a role.

The critical chemical messengers that begin an erection are neurotransmitters in the brain (e.g., adrenaline, dopamine, acetylcholine). Nerves provide nerve currents to the vascular system, which then directs blood flow to the penis. This is in response to emotional and physical sexual stimulation. The penis has two arteries that deliver oxygen-rich blood to the corpora cavernosa and erectile tissue, causing the penis to grow due to increased blood flow and pressure.

Erectile dysfunction is when a man loses his ability to initiate and sustain an erection during sexual activity.

Erectile tissue is encircled by fibrous elastic sheathes (tunicae) that clamp and prevent blood from leaving the penis during an erection. As a result, after ejaculation or stimulation, the penis becomes flaccid, and the blood drains.

Medication that targets substances in the body that affect these pathways is a standard 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 efficiency 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, increasing blood flow.


ED isn’t always caused by aging, as men commonly think. While aging and testosterone loss can cause erectile dysfunction, several additional variables must be considered.

ED is more common in men with type-2 diabetes and hypertension than healthy men.

Hypertensive and type-2 diabetes can impair cardiac health, making it more challenging for blood to reach the penis and cause an erection.

Erectile dysfunction, on the other hand, is a complicated disorder that can be caused by a wide variety of psychological and physiological issues. In point of fact, a healthy emotional state, as well as a healthy mental state, are closely connected with erectile dysfunction, particularly in younger boys. This condition is also known 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 reality, emotional well-being and mental health are closely linked to erectile dysfunction, particularly in younger men. This is also known as psychogenic erectile dysfunction.

In point of fact, a healthy emotional state, as well as a healthy mental state, are closely connected with erectile dysfunction, particularly in younger boys. This condition is also known as psychogenic erectile dysfunction from time to time.


Directly and indirectly, testosterone’s androgenic qualities have potent effects on a man’s libido and ability to maintain an erection. Testosterone is considered to be the ultimate “man” hormone. Androgen deficiency, often known as low testosterone, is a crucial risk factor for erectile dysfunction (ED), which can be brought on by a number of different health issues.

Testosterone is a hormone that is present in both males and females, affecting almost every organ and tissue in the body (whether directly or indirectly). A low testosterone level is effectively the beginning of a never-ending cycle of other chronic health concerns that all feed into one another.

Low T is linked to anemia, endothelial dysfunction, cardiovascular disease, type 2 diabetes, and metabolic syndrome, all of which have a significant impact on the physiology of erectile function.

Low T is also linked to an increased risk of mood disorders, including depression, which is known to have an adverse effect on libido and erection quality.

In this way, TRT can help men with low T who have ED by promoting mental well-being and self-confidence.

Thus, a guy with low T should first treat his testosterone insufficiency to treat erectile dysfunction long-term. Low testosterone independently affected endothelial function and flow-mediated vasodilation in one investigation.

TRT can restore sex drive and erectile quality in men with low T and erectile dysfunction.


In addition to TRT (if needed), erectile dysfunction can be treated with a variety of meds. PDE5 inhibitors like Viagra and Cialis are usually the best choice for treating ED because they are simple to take and work very well.

PDE5 Inhibitors (Pill-Form)

Both Viagra and Cialis are drugs 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 take either Cialis or Viagra, an inhibitor of PDE5 from a second generation called avanafil (Stendra) may be tried instead. Stendra has an even quicker beginning of action than Cialis and Viagra, achieving high concentration within around 30 minutes of intake; the effects of Stendra typically persist for approximately 2 hours.

After using a PDE5 inhibitor, some men may encounter symptoms such as nausea, headaches, or impaired 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 varied levels of selectivity for PDE enzymes located throughout the body. Some guys can tolerate Cialis better than Viagra and Stendra, while others find the opposite true.

Viagra and Cialis are non-habit-forming medications, and their effects have a rapid onset, usually lasting up to 4 hours and 36 hours, respectively.

Injectable ED Medications

If oral PDE5 inhibitors are unsuccessful in treating erectile dysfunction, injectable alternatives like P-shot and Trimix may be recommended. Self-injection into the intracavernosal region of the penis allows these drugs to quickly induce an erection without going through the digestive system.

Trimix for Erectile Dysfunction

Papaverine, phentolamine, and alprostadil enlarge and relax penile blood vessels in Trimix. Premixed, it must be cooled to stay potent.

Injectable ED medicines do not interact with alcohol, food, or other drugs like PDE5 inhibitors. Therefore, cardiovascular and diabetic men can safely use injectable ED medicines.

P-Shot® for Treating Erectile Dysfunction

Erectile dysfunction injections include the Priapus Shot® (P-Shot®). This one-time surgery involves numerous penile platelet-rich plasma (PRP) injections to encourage new tissue growth and improve erections. P-Shot® synergizes with TRT and boosts sexual stamina. Anesthesia makes the 30-minute treatment painless. Some individuals see results quickly, but the optimal benefit may take three months.

For the best Erectile Dysfunction therapy, see a professional men’s health doctor.

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 intensive training specific to their job responsibilities to guarantee that each and every one of our patients receives the very best possible treatment at all times and in every situation.

Holistic Approach

Many of our rivals who provide a comparable therapy to GainsWave offer simply that. At GameDay, we approach your Erectile Dysfunction and wellness holistically. With our cutting-edge on-site facilities, we can provide same-day testosterone testing. We also undertake a diagnostic evaluation to discover the cause of your ED, unlike many other providers who merely speculate. In healthcare, a holistic perspective is usually preferable.

Innovative Treatment Protocols

Our staff is continually examining new studies, testing, and literature to guarantee that our entire treatment process is up to date with the most recent scientifically confirmed data. Our high success rate has changed the lives of countless men who thought they would never be able to have sex again.


Men with ED usually don’t think low testosterone could be the cause. Viagra and Cialis are very good at treating impotence but won’t fix low testosterone. Healthy testosterone levels are a vital part of health, wellness, and sexual function over the long term.

TRT is just a way for a licensed doctor to “replace” testosterone so that it is in a normal, healthy range. GameDay Men’s Health only uses bioidentical testosterone, which is safer because it is the same as the testosterone the body makes naturally.

When testosterone is taken as part of a healthy treatment plan (TRT), the side effects are much easier to deal with than when testosterone is used illegally (e.g., to “boost performance”). So, TRT isn’t the same as using testosterone to help you do better in sports.

Don’t forget that testosterone is a natural hormone that all people need. When a man’s body doesn’t make enough of it, his health and quality of life will slowly worsen.

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


Here are some of the most typical queries and worries we get from erectile dysfunction candidates considering TRT:


The fact is that many of the stated dangers of TRT, such as an increased risk of prostate cancer and cardiovascular disease, are based on the findings of research and clinical trials that were poorly designed or conducted and were riddled with errors.

In point of fact, the results of many studies point to the fact that TRT is genuinely advantageous for both the operation of the cardiovascular system and the health of the metabolic system, promoting higher erectile quality. In a similar vein, men who have low levels of T are at more significant risk of developing prostate problems compared to men who have average amounts of T.

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


Some men with ED may have side effects of TRT, such as nocturnal perspiration, greasy skin, and acne (particularly on the shoulders or upper back). These side effects, though, are easily managed, if not avoided, by monitoring blood levels of several biomarkers and modifying the TRT dose accordingly.

TRT’s first adverse effects usually fade once the body adjusts to having an average, balanced level of testosterone again.


GameDay Men’s Health will guarantee you obtain the most satisfactory results possible while controlling any adverse effects as part of our ED San Clemente Treatment.

PDE5 inhibitors such as Cialis, Viagra, and Stendra are well-taken by most men and swiftly produce favorable effects on erectile function. These drugs are excellent adjuncts to TRT for treating erectile dysfunction in men with low T. When PDE5 inhibitors fail to achieve the desired outcomes, injectable drugs such as the P-Shot and Trimix are safe and effective alternatives.

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.


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.