Erectile dysfunction, also known as physical impotence, is the inability to achieve or maintain an erection firm enough for sexual intercourse. It is the most commonly reported sexual health condition. At least 31% of men over the age of 40 experience some degree or ED, but it can also occur in younger males.
Men suffering from impotence may also experience premature ejaculation, performance anxiety, anorgasmia (the inability to reach orgasm), and lack of sexual desire. Sexual dysfunction can be a sign of a physical or psychological condition, and can cause depression, low self-esteem, stress, and relationship strain.
A healthy blood flow is vital in achieving an erection. The most common forms of erectile dysfunction are caused by blocked blood vessels or plaque buildup in the penile region. Just like our arteries to the heart, the penile arteries can become clogged and can impair the blood flow. Low testosterone levels can be a contributing factor of ED. Impotence can also be caused by certain prescription medications, anxiety, trauma, diabetes, cavernosal dysfunction (also called venous leak), obesity, high cholesterol, heart disease, smoking, substance abuse, diabetes, treatments for prostate cancer, high blood pressure, Peyronie’s disease, multiple sclerosis, or neurological problems. Dr. Jeffrey Arbuckle is a sexual health expert in Virginia Beach who will work closely with you to help improve your sexual performance. Fountain of You MD will help you find a safe and effective solution for erectile dysfunction without surgery. We will get you back to enjoying your sex life again!
Our clinical care team has a 97% success rate, and we are committed to finding a cure for all men affected with erectile dysfunction in Virginia. Dr. Arbuckle is well-versed in treating impotence in Virginia Beach using multiple effective therapies. We are confident that we will find an effective therapy for you. Each of our therapeutic options will be tailored to meet your needs and are proven to be safe for most men of all ages.
Testosterone replacement therapy is usually the best option for men with low testosterone levels. Testosterone will improve your sex drive, but additional medications may be necessary if the blood flow is poor. Testosterone is the principle male sex hormone responsible for the development of sex organs and sexual characteristics.
It plays a key role in muscle growth, bone density, regulating your sex drive, and your overall sense of well-being. We treat low testosterone with a comprehensive combination of lifestyle changes and high quality, time released intramuscular injections of bioidentical hormones on a weekly or biweekly basis. Bioidentical hormone injections are the most effective method of testosterone replacement therapy. If you’re suffering from erectile dysfunction, lack of energy, feelings of anxiety and depression, low sex drive, lack of mental clarity, sleep problems, or weight gain, your testosterone levels may be unbalanced, and we can help.
Replenishing hormone levels is vital to optimize the aging process and restore energy and vigor. Our core belief is that hormone replacement improves health, energy levels, and the general sense of well-being.
Prescription oral medications, like Viagra or Cialis, are considered first line therapy for treating erectile dysfunction. These medications are extremely popular and increase blood flow and enhance nitric oxide, which relaxes the muscles in the penis. This group of drugs, called phosphodiesterase inhibitors, will work if the ED is not severe.
Penile injection therapy, sometimes called intracavernous pharmacotherapy (ICP), is the most effective therapeutic option for several different types of erectile dysfunction. To unblock the venous outflow, a specific combination of vasodilators is delivered via an auto-injector into the spongy tissue of the penis, resulting in increased blood flow to the penis during stimulation. The induced erection occurs minutes after and lasts approximately 30-90 minutes. The dose of medication is precise so that the erection is not prolonged. By using a small needle, the injection is not very painful.
Platelet-rich plasma (PRP) injections for ED is a revolutionary therapy that uses regenerative cells dawn from your own blood to strengthen erections. PRP is packed with growth factors and each treatment stimulates your body to heal, repair, and develop more blood vessels and penile tissue. This therapy is recommended for all men diagnosed with erectile dysfunction, especially those suffering from scarring or Peyronie’s Disease (penile curvature from injury). There is little to no pain or downtime following the PRP injection procedure, with most patients resuming normal activity the same day. PRP injections for erectile dysfunction, sometimes called the P shot, can help strengthen your erection.
Low-intensity extracorporeal shockwave therapy (Li-ESWT), more commonly known as Acoustic Shockwave Therapy, Gainswave, or linear compression therapy, clears plaque out of blood vessels while encouraging the growth of new blood vessels. To restore natural erectile function, non-invasive, low-intensity soundwaves pass through erectile tissue during this non-surgical treatment for erectile dysfunction.
There are other costly and invasive therapies, like vacuum erection pumps, intraurethral suppositories, and prosthetic penile implants. Penis pumps and suppositories can be pricy and difficult to operate. Penile prosthetic implants should be considered last, as they are permanent and require expensive surgery, anesthesia, and downtime following the procedure.
To diagnose erectile dysfunction, we recommend a face-to-face encounter and physical examination with our Medical Director and sexual health expert, Dr. Arbuckle. During your appointment, we will obtain a good history of the medications and treatments you’ve used to help with your erectile dysfunction. The doctor will order blood tests and your personalized recommendations will be dependent on your lab results and medical background.
If you’re having difficulty attaining or sustaining an erection, schedule your appointment! Our goal is to help improve your overall health, well-being and quality of life. Dr. Arbuckle is an expert at managing hormones and helping men and women in Virginia Beach reclaim their vitality. Fountain of You MD can help optimize the aging process and reinvigorate your sex life.