Erectile Dysfunction Evaluation and Treatment Options
Erectile dysfunction treatment Fort Lauderdale patients receive at Concierge Men’s Wellness begins with identifying the factors contributing to ED, which may include vascular disease, diabetes, hormonal abnormalities, medication effects, psychological factors, lifestyle, and changes following prostate surgery.
At Concierge Men’s Wellness in Fort Lauderdale, José V. Coba, MD, MPH provides physician-directed evaluation and individualized treatment for men with erectile dysfunction, including men who have had an inadequate response to standard oral ED medications.
Treatment recommendations are based on each patient’s medical history, potential causes of ED, current medications, laboratory findings when appropriate, and individual treatment goals.
Erectile Dysfunction Treatment Fort Lauderdale: How We Evaluate ED
A comprehensive erectile dysfunction evaluation begins with understanding when symptoms started, their severity, medical history, medications, cardiovascular and metabolic risk factors, sexual health, and previous treatments.
When clinically appropriate, laboratory testing may be used to evaluate testosterone levels and other potential hormonal or metabolic contributors.
Because erectile dysfunction can sometimes be associated with underlying conditions such as cardiovascular disease, diabetes, hypertension, obesity, or testosterone deficiency, identifying contributing factors is an important part of developing an individualized treatment plan.
When to Seek Medical Evaluation for Erectile Dysfunction
Men should consider medical evaluation when erectile dysfunction is persistent, recurrent, worsening, or affecting quality of life or relationships. For additional patient information, see the NIDDK overview of erectile dysfunction.
Erectile dysfunction treatment Fort Lauderdale patients receive should include further evaluation when ED occurs along with reduced libido, fatigue, changes in testosterone levels, diabetes, hypertension, cardiovascular risk factors, or following prostate surgery.
Physician-Directed Erectile Dysfunction Treatment Options
1. Penile Injection Therapy
Intracavernosal injection therapy is an established treatment option for erectile dysfunction and may be considered when oral medications are ineffective, contraindicated, or poorly tolerated.
Medication is injected directly into the erectile tissue to promote an erection. Treatment requires individualized prescribing, instruction on proper injection technique, and medical supervision.
2. Rapid-Dissolve Tablets & Troches
Sublingual or rapidly dissolving formulations may be prescribed for selected patients when clinically appropriate.
- Tadalafil
- Sildenafil
- Avanafil
- On-demand or daily low-dose protocols when appropriate
3. PT-141 (Bremelanotide)
Bremelanotide is a melanocortin receptor agonist. Its FDA-approved indication is for certain premenopausal women with acquired, generalized hypoactive sexual desire disorder; it is not FDA-approved for erectile dysfunction or sexual dysfunction in men.
Off-label use in men should be considered only after individualized medical evaluation and discussion of established treatment options.
4. Oxytocin
Oxytocin is a naturally occurring neuropeptide involved in social bonding and aspects of sexual behavior.
Current human evidence for male sexual dysfunction is limited and inconsistent, and oxytocin is not FDA-approved as a treatment for erectile dysfunction. Any use for sexual-health purposes is off-label.
Erectile Dysfunction Treatment Options
Our erectile dysfunction treatment Fort Lauderdale approach is personalized to each patient’s medical history, symptoms, vascular and hormonal factors, and treatment goals.
Depending on the evaluation, treatment options may include oral medications, injection therapy, acoustic wave therapy, PRP-based procedures, hormone optimization, and other physician-directed strategies.
Tailored Treatment Protocols
Erectile dysfunction treatment Fort Lauderdale patients receive should be individualized according to the potential causes of ED, medical history, cardiovascular and metabolic health, medications, laboratory findings when appropriate, previous treatment response, and personal goals.
Following a physician evaluation, an individualized treatment plan may incorporate one or more appropriate therapies.
- Oral or compounded ED medications when appropriate
- Intracavernosal injection therapy
- Evaluation and treatment of testosterone deficiency when clinically indicated
- Lifestyle and cardiovascular risk-factor modification
- Additional or referral-based ED treatment options when appropriate
Why Choose Concierge Men’s Wellness?
Concierge Men’s Wellness is a physician-led men’s health clinic in Fort Lauderdale, Florida, providing confidential, physician-directed erectile dysfunction treatment Fort Lauderdale patients can access for individualized care and related men’s sexual health concerns.
- Evaluation and treatment directed by José V. Coba, MD, MPH
- Assessment of vascular, hormonal, metabolic, medication-related, and lifestyle contributors
- Treatment tailored to medical history and previous treatment response
- Special attention to men with diabetes or low testosterone
- Evaluation of medication-related sexual dysfunction
- Care for erectile dysfunction following prostate surgery
- Private and discreet physician-led care
- Serving Fort Lauderdale and South Florida
Frequently Asked Questions About Erectile Dysfunction
What causes erectile dysfunction?
Erectile dysfunction can have multiple causes, including vascular disease, diabetes, high blood pressure, hormonal abnormalities, medication effects, neurological conditions, psychological factors, lifestyle factors, and changes following prostate surgery. Some men have more than one contributing factor.
When should I see a doctor for erectile dysfunction?
Medical evaluation is appropriate when erectile dysfunction is persistent, recurrent, worsening, or affecting quality of life. Because ED can sometimes be associated with cardiovascular, metabolic, or hormonal conditions, evaluation may also help identify underlying health factors that deserve attention.
What happens during an ED evaluation?
An erectile dysfunction evaluation typically includes a review of symptoms, medical and sexual history, medications, previous treatments, and relevant cardiovascular and metabolic risk factors. A physical examination and laboratory testing may also be recommended when clinically appropriate.
What treatments are available if ED pills do not work?
Men who do not respond adequately to oral ED medications may have other treatment options depending on the cause of erectile dysfunction, medical history, and treatment goals. Options can include intracavernosal injection therapy and other physician-directed approaches. Additional treatments or specialist referral may be appropriate for some patients.
Does low testosterone cause erectile dysfunction?
Testosterone deficiency can contribute to reduced sexual desire and may be associated with sexual dysfunction in some men, but erectile dysfunction has many possible causes. Testosterone therapy should be considered only when clinically appropriate following medical evaluation and appropriate testing.
Where is Concierge Men’s Wellness located?
Concierge Men’s Wellness is located at 5460 N State Road 7, Suite 108, Fort Lauderdale, Florida 33319. The clinic provides physician-led evaluation and individualized treatment for erectile dysfunction and men’s sexual health concerns.
Private Men’s Health Care in Fort Lauderdale
Concierge Men’s Wellness provides confidential, physician-led care for men seeking individualized evaluation and treatment for erectile dysfunction and related sexual health concerns.
Clinic Address:
5460 N State Road 7, Suite 108
Fort Lauderdale, FL 33319
Call: (954) 513-4646
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