Millions of American men suffer from erectile dysfunction (ED), but embarrassment or denial keeps many from seeking treatment. ED is the inability to obtain or maintain an erection, which can often be an indicator of a more serious medical problem. Diabetes or any other vascular disease can reduce the blood flow to the penis that is necessary for normal erectile function.

ED is a problem that affects couples, not just men. It was once thought that impotence was mostly psychological, but we now know that it is often the result of physical problems. Common causes include diabetes, hypertension or prior pelvic surgery.

EVALUATION AND TREATMENT

If desire is present, then another problem is causing the dysfunction. We provide individualized therapy to solve those problems. Evaluation for ED begins with a complete medical history and physical exam. Additional tests, such as ultrasound, can also be used to assess the blood flow to the penis.

Viagra has revolutionized treatment of ED, but it doesn't cure everyone, and it carries the risk of dangerously low blood pressure in patients taking nitrates. Other treatment options include vacuum erection devices, self-injection of medication into the penis or penile implants. Treatment as severe as a penile prosthesis should only be considered when less invasive methods have failed.