David Levy, MD

Online ED Treatment

Board Certified Urology Specialist | David Levy, MD

Do You Need Help with ED?

Erectile dysfunction is exceedingly common in men of all ages, (50% of men aged 40-70). There are a multitude of factors that impact the ability to perform intimately, from physical to psychological. Erectile dysfunction can be treated in a variety of ways, but identification of and a remedy for the main causative factor may not be identifiable.

Erectile dysfunction is the inability to attain and or maintain penile erection sufficient for sexual satisfaction. (NIH Consensus Statement, 1992; 10:1.) The achievement of a useable erection requires sufficient arterial blood inflow and a competent venous occlusive mechanism to “trap” the blood in the penis. Alteration in the normal physiology of these events can impact the quality of the erection.

Causative factors can be multiple and may include:

impaired blood flow, blood pressure and other medication related side effects, cardiovascular in origin, diabetes related, post-surgical related side effects, post radiation related side effects, neurogenic (nerve function related), hormonal (testosterone) related and psychological factors.

Evaluation of men with erectile dysfunction should include a thorough history, a physical exam and appropriate blood work. Use of validated questionnaires can be helpful as well.

Treatments are primarily centered around achievement of a useable erection through medication, erectile aids (vacuum pump devices, constriction rings), and at times psychotherapy when indicated.