Erectile dysfunction (ED) is one form of the sexual dysfunction in the male, which is defined as the inability to attain and/or maintain erection during the intercourse. About 5% of men at 40 years, and 15% of men at 70 years suffer from complete erectile dysfunction. Our own research on ED treatments in Houston of 1,135 veterans reveal a prevalence rate of 68% in the 40-70 age group, and that erectile dysfunction correlate positively with age.
ED can be associated with diabetes mellitus, heart disease, hypertension, hypercholesterolemia, low testosterone and alcohol abuse. Rarely penile diseases such as Peyroine’s disease can lead to ED . Stroke, spinal cord disorders, temporal lobe epilepsy, urinary tract symptoms and multiple sclerosis might also lead to erectile dysfunction. Central to this is what we call endothelial dysfunction. Further, medications for other common problems could be causative and cannot be neglected as an important contribution to this malady, for example in out-patient clinics around 25% of ED was diagnosed as drug-mediated. Among these drugs, the prime agent is thiazide diuretics followed by beta-blockers. These drugs either reduce blood pressure or act on the smooth muscles of the corpus cavernosa. Other drugs such as benzodiazepines, serotonin inhibitors, cimetidine, digoxin, metoclopramide would also increase ED.
At the OPAL Medical Clinic, we adopt a comprehensive approach and consider treatment options after a careful evaluation of the possible reversible causes. As ED may be linked to premature heart disease, we will not only treat your ED but also evaluate your cardiovascular status. This may include blood work and EKG. We will advise on lifestyle changes as well, which can affect erectile function. The treatment options can vary from vacuum devices to
• Oral therapy (Viagra, Levitra, Cialis)
• Injectable medications such as Caverjet, Tri-Mix and Quad Mix
• Topical and sublingual medications through compounding
We can prepare customized medications for individual patients based on their needs. All these will be done with the strictest confidentiality. In addition, our Center also treats premature ejaculation.