Treatment and Therapy Options

 

1. Oral Medications

What They Treat: Erectile dysfunction.

How They Work: Sildenafil (Viagra) and tadalafil (Cialis) enhance blood flow to the penis, making it easier to achieve/maintain an erection.

How They Are Performed: Taken orally. Sildenafil is typically used on demand, while tadalafil may be taken daily or as needed.

Expected Outcomes: Improved erectile function, with effects lasting 4-6 hours for sildenafil and up to 36 hours for tadalafil.

 

2. Compounded Medications

What They Treat: Erectile dysfunction and low libido.

How They Work: Custom-compounded medications like Apomorphine and PT-141 work by stimulating arousal pathways in the brain.

How They Are Performed: Administered as sublingual tablets, oral lozenges, or injectable formulations.

Expected Outcomes: Enhanced sexual desire and improved erectile function, particularly for men who do not respond well to other meds

 

3. Acoustic Shockwave Therapy

What It Treats: Erectile dysfunction, loss of sensitivity, and Peyronie’s disease.

How It Works: High-frequency sound waves stimulate angiogenesis (new blood vessel formation) and break down scar tissue.

How It Is Performed: Non-invasive sessions typically last 15-30 minutes, performed weekly over 4-6 weeks.

Expected Outcomes: Improved blood flow, increased sensitivity, and reduced penile curvature for Peyronie’s disease.

 

4. Testosterone Replacement/Enclomiphene Therapy

What It Treats: Low libido, low testosterone levels, and associated symptoms (fatigue, reduced muscle mass).

How It Works: Testosterone replacement involves supplementing testosterone, while enclomiphene stimulates natural production.

How It Is Performed: Testosterone may be delivered via injections or topical cream. Enclomiphene is taken orally.

Expected Outcomes: Increased energy, improved libido, enhanced mood, and better overall sexual performance.

 

5. Platelet-Rich Plasma (PRP) Therapy

What It Treats: Erectile dysfunction, loss of sensitivity, and Peyronie’s disease.

How It Works: PRP, derived from the patient’s own blood, contains growth factors that promote tissue regeneration and increase blood flow.

How It Is Performed: PRP is injected into specific areas of the penis in a quick, minimally invasive procedure.

Expected Outcomes: Improved erectile quality, sensitivity, and potential penile size (girth) enhancement.

 

6. Botox for Erections and Flaccid Size

What It Treats: Erectile dysfunction and aesthetic concerns about flaccid size.

How It Works: Botox relaxes smooth muscles and blood vessels, allowing for increased blood flow and a fuller flaccid appearance.

How It Is Performed: Botox is injected into specific penile areas during a brief office procedure.

Expected Outcomes: Improved flaccid appearance and enhanced erectile response, lasting several months.

 

7. Dermal Hyaluronic Acid Filler Penile Injections

What It Treats: Loss of size and penile girth enhancement.

How It Works: Hyaluronic acid fillers add volume and structure to the penile shaft.

How It Is Performed: The filler is injected into the shaft under local anesthesia, typically in a 60 minute session.

Expected Outcomes: Immediate increase in girth with results typically lasting 9-12 months or more.

 

8. Hydro Penis Pumps

What They Treat: Erectile dysfunction, Peyronie’s disease, and size concerns.

How They Work: Pumps create a vacuum that draws blood into the penis, aiding erection and promoting tissue expansion over time.

How They Are Performed: Used at home with daily or as-needed sessions.

Expected Outcomes: Improved erections and potential incremental gains in size with consistent use.

 

9. Supplements

What They Treat: Mild erectile dysfunction, low libido, and overall sexual health.

How They Work: Supplements often contain natural ingredients like L-arginine, ginseng, or zinc, which support blood flow and hormones.

How They Are Performed: Taken orally as part of a daily regimen.

Expected Outcomes: Subtle improvements in sexual function and libido, often best when combined with other therapies.

 

Take Control of Your Sexual Health

At Men’s Health of Bowling Green, we are committed to offering personalized, effective treatments to help you address sexual health concerns and regain confidence. We will work with you to develop a customized plan tailored to your specific needs and goals. Contact us today to schedule a consultation and explore your options for optimal sexual health. Schedule your appointment below