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Treatment Options for Erectile Dysfunction, Low Testosterone

Dr. Ryan Lewis information on Low Testosterone and Erectile Dysfunction at Advanced Urology Associates

As men age, many tend to suffer from low energy and low testosterone, and issues with sexual performance, including erectile dysfunction, become fairly common. These popular men’s health issues can have lasting effects on relationships and lifestyles. At Advanced Urology Associates, board-certified urologists have a variety of safe and effective treatment options for those wanting to correct these issues.

“The most common complaint we hear from patients is regarding erectile dysfunction, where patients can’t obtain or maintain an erection during sexual activity,” said Ryan Lewis, PA-C (Board-certified) with Advanced Urology Associates. “The most common causes of ED are medical conditions like diabetes, cardiovascular disease, and high blood pressure. Additional causes of ED include stress, anxiety, depression, relationship issues, aging, and obesity.”

Lewis makes a diagnosis based on a patient’s history. “We typically don’t order further blood testing or imaging on a patient with ED unless the patient is reporting other symptoms besides ED”, he explained. “We start by prescribing an oral medication like Viagra or Cialis. If that isn’t effective, we can try very tiny, relatively painless, penile injections. A third option is insertion of a permanent inflatable pump. It’s a quick surgical procedure that provides a patient with an “on demand” erection.

Low testosterone is another issue for many men. “Aging is the most common cause of low testosterone, but opioid use, autoimmune disease, and conditions that affect the pituitary gland can cause it too,” said Lewis. “We diagnose it with a blood test, but common symptoms include low energy, weight gain, difficulty adding muscle mass, and a low sex drive.”

Treatment options for low testosterone start with a topical therapy, typically a gel or cream applied daily to the shoulder. “If a higher testosterone level is needed, we switch to weekly or monthly intra-muscular injections,” added Lewis. “The third option involves implanting pellets in the buttocks underneath the skin once every three to four months, which is very convenient.”

Learn more about low testosterone and erectile dysfunction.