E.D. Explained

E.D. Explained

There's a freakin elephant in the room and nobody wants to talk about it! It happens to all of us guys as we age. It's nothing to be shy or embarrassed about. It's just one more inevitability. Like death and taxes, erectile dysfunction (E.D.) has made it's way onto the infamous list. Half of all men 50 and older have it. E.D. doesn't discriminate either. It doesn't care if you're black, white, chinese, or hispanic. It is blind to your social status too. Rich, poor, or in between, the majority of us will get it eventually. Some sooner than others. Some as early as their 30’s! So what's going on, because the urge is there but our intellectually and gravitationally challenged “member” seems to not want to rise to the occasion? Why is it? First you have to ask yourself if you're interested, sexually, in your partner. If it turns out that you're not interested in that person, then you need to find another partner. Easy peasy lemon squeezy problem solved. Enjoy all the weird things we do while having sex! But, if you genuinely love your better half and you want to give them an awesome performance but can't, then most likely vasculogenic erectile dysfunction has made you another statistic. Don't feel guilty, it's not your fault. There are several different types of E.D. and several contributing factors. Some of them caused by poor diet. Some of them from an injury. None of the reasons why we have it is because we were intentionally trying to sabotage our “member,” we just weren't made aware of the contributing factors and how to avoid them. But before we get into how we ended up with a limp biscuit, let's see how it goes from twig to oaktree in an unaffected “member” so we can better understand how we got here in the first place.

There's a whole lot going on in our body every time we get an erection, or tumescence as it's referred to by clinicians. The physiologic process during which the penis becomes engorged with blood, usually in response to sexual arousal but sometimes spontaneously, is extremely complex. Sparing you the details of all the chemical reactions taking place throughout your body, there are two things that must happen to achieve an erection:

Arterial dilation and

Venous occlusion

Arteries deliver oxygen rich blood throughout the body to all it's parts and veins send it back after having delivered the oxygen. So, to get your member to stand at attention, arteries must be able to get the blood in there and the veins need to shut tight to not let it out. If there's a blockage in the artery, usually do to poor diet, you're benched before the game even started. If those veins have grown weak, there's no maintaining an erection for any amount of time. This is the point where most men start to do their research, incognito.

Now that we know how it works, how bad is it at not working? When I'm asking my first time patients about the severity of their E.D. I give them 4 categories to choose from:

Is it a lost cause? No activity whatsoever?

Does it get up, but not hard enough for penetration?

Does it get up but then goes away? Slowly or quickly?

Is it a combination of 2 and 3?

There's also a 5 question quiz where you get a score on your “member's” functionality called IIEF, I'll leave a link at the bottom for you men of action. Once you take the quiz, if you're curious about anything, contact me and I will gladly review it with you one on one.

So you find out you're a category 1 patient. Is this the end of your sex life? Not by any means! Stand up and fight for your “member!” You have options! What are your options though? You probably already thought of the first one, Viagra right! Definitely, anyone of your PDE5 inhibitors may work for you. But, what if it doesn't? What if it does but you can't handle the side effects? What if it does but you notice you're becoming tolerant to it very quickly and need a larger dose every other time you use it? There's another option, injections. The injectable E.D. medication usually works very well for most. When you're ready, you inject this medication, in your penis, 5-15 minutes later you have what men describe as a “raging hardon” for the next 45-90 minutes and a very short refractory time! Downsides? You have to stick yourself with a needle in your own penis to get it on! Talk about a mood killer huh! So, let's say you have a phobia for sticking needles in your penis, there are a few other medications that are brand new and work better than Viagra or the shot, but to get trade secrets you have to be a patient of mine. For the very severe cases of E.D. a Dr. might recommend having an implant surgically placed. I would explore all options and get second and third opinions before going ahead with this option. If you're considering an implant just look for a video on YouTube of one being surgically placed and then decide if you want to go through with the surgery. There is one last option for treatment of E D…. radial pressurewave therapy, more commonly known as “Shockwave” therapy. This is where things get exciting! A relatively new and cutting edge treatment is now available in the United States! Where all the other treatments for E.D. are effective in solving your problem temporarily, this pressurewave therapy will actually cure you of this confidence crushing disease! In my clinic I've had 100% success rate so far! So, if you have vasculogenic E.D. my success rate shows that I can actually stop and reverse the process of the disease! What's even better is the treatment is pain free, can be done in under 20 minutes (you need a minimum of 6 treatments), there's no down time, results are seen as soon as the first treatment, and your privacy and confidentiality is of the utmost importance! How does it work and how much does it cost are your next questions I bet. Without boring you with the science behind the treatment, basically, apply radial pressure waves to the penis and it makes your body grow new blood vessels while clearing out the blockages in the existing ones. The result is clean brand new blood vessels that have unrestricted blood flow and since the vessels are new strong ones they can hold the blood in there for a longer period of time. This results in firm, rigid, spontaneous, and long lasting erections, and this is without medications or surgery. Ready to slap down that PPO and have your insurance pick up the tab? Unfortunately, no insurance covers the treatment. They'll pitch in on pills, but something that cures you? Come on, are you kidding me? How is Big Pharma supposed to continue paying those big bonuses to the individuals who need it the least? They give you a “band-aid” and keep you coming back for more. Viagra is their goose that laid the golden egg. They will use all of their unlimited resources to block this treatment from going mainstream. So how much is this going to put you back since it's out of pocket? Each treatment can run anywhere from 100-600. Is the more expensive one better? Not necessarily. You can get a well trained experienced tech with a subpar machine and get good results. The contrary would be true as well. Get a bad tech with a good machine and you can end up hurt pretty bad. Best way to know if you have a good tech, ask him questions relating to the treatment and if he does anything but give you a quick clear response, you may want to go elsewhere. Which brings me to my pitch, contact me! Allow me the opportunity to earn your business. Blessings to all. Thank you.

David Flores, CCMA. 02/04/19

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The IIEF-5 Questionnaire PDF www.croesoffice.org