Sexual Dysfunction

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Sexual dysfunction encompasses any physical or psychological problem that prevents you or your partner from getting sexual satisfaction. Male sexual dysfunction is a common health problem affecting men of all ages, but is more common with increasing age. Treatment can often help men suffering from sexual dysfunction.

How The Y Factor Can Help

Our goal is to address the underlying problems such as:

The diagnosis begins with a physical exam of the male genitalia. We will also check your blood pressure, testosterone levels, blood sugar and cholesterol levels. If we deem it appropriate, we might send you to get imaging studies with a penile ultrasound to evaluate the blood flow to the penis.

There are medications that can help improve the blood flow to your penis called Viagra, Cialis and Levitra. If needed there is hormonal therapy, which increases your testosterone levels and helps improve your erectile dysfunction.

We are now also offering Shock Wave technology as a treatment option for erectile dysfunction (more information below).

Mechanical aids such as vacuum devices, vasoconstrictive rings, and penile implants can be effective in men, especially when combined with appropriate medications and treatment. A consult regarding this course of treatment would evaluate which option is best for each patient.


Symptoms of Sexual Dysfunction

  • Difficulty getting or keeping an erection.

  • Reaching orgasm too quickly.

  • Delayed orgasm.

  • Reduced interest in sex.

Men's Health Clinic

Shock Wave Lithotripsy (SWL) Treatment for Erectile Dysfunction

We now offer Shock Wave technology as a treatment option for sexual dysfunction at The Y Factor. SWL stimulates new blood flow inside the penis, lessening the severity of your sexual dysfunction and therefore reducing or possibly eliminating the need for medication. This treatment has gained popularity over the last couple of years as a promising new treatment for sexual dysfunction.


Sexual Dysfunction | Frequently Asked Questions


The main types of male sexual dysfunction are: difficulty getting or keeping an erection, reaching orgasm too quickly, delayed orgasm, and reduced interest in sex.

There are a host of causes of sexual dysfunction. They include but are not limited to: low testosterone levels, certain medications, blood vessel disorders such as high cholesterol or high blood pressure, diabetes, smoking, and alcoholism.

Yes, it can be. Some psychological causes might include: concern about sexual performance that leads to anxiety, marital or relationship problems, depression, past sexual trauma, or other forms of anxiety. We do not treat psychological causes but can refer you to the appropriate sex therapist specialist to aid in this condition.

Yes. Problems with ejaculation can be ejaculating too quickly, delayed ejaculation, or dry ejaculation are all considered a sexual dysfunction

The exact cause of premature ejaculation is unknown. Several factors are performance anxiety, certain medications, or hormonal levels, particularly testosterone. There are some studies that show that a breakdown of certain chemicals in the brain could be related.

The reasons can be numerous. Common reasons include: Chronic health conditions, medication side effects, alcohol abuse, certain surgeries, anxiety, stress, or relationship problems.

This is not normal. A common cause of dry ejaculation is retrograde ejaculation and is common in men with diabetes who suffer from nerve damage. However, there can also be other medical conditions and genetic disorders that can be responsible for a dry ejaculation. This is something we have to further evaluate during your visit.

Studies show that about 50% of American men over the age of 40 are affected with erectile dysfunction. However, we have seen many men in their 20s and 30s struggle with this condition.

There are many contributing factors that affect erections in a male. These include but are not limited to: low testosterone, hormonal imbalances, disease of the arteries such as high blood pressure or high cholesterol, nerve disorders, diabetes, stress or performance anxiety, injury to the penis, chronic illness, and unhealthy habits such as smoking, drinking, or recreational drugs. Sometimes men can have an infection in the prostate, and it can contribute to erectile dysfunction.

Viagra, Cialis, and Levitra were originally created to be medications to lower blood pressure, however, over the years they have been marketed for their side effects of improving erections by improving blood flow to the penis. These medications are safe to take if you have been properly evaluated by us and are not on any medications that contain a chemical called nitro in it (e.g Nitroglycerin). Some common side effects are headache, dizziness, nausea, and vomiting.

Yes. This is called low libido and is often linked to low levels of male testosterone. Testosterone helps maintain a man’s sex drive, sperm production, muscle, and bone health. If you have low sex drive it is important to get it evaluated because low sex drive may be linked to depression, anxiety, sleep problems, and relationship difficulties.

The diagnosis begins with a physical exam of the male genitalia. We will also check your blood pressure, testosterone levels, blood sugar and cholesterol levels. Imaging studies are also used to evaluate the blood flow of the penis.

There are medications that can help improve the blood flow to your penis called Viagra, Cialis and Levitra. We use hormonal therapy to increase your testosterone levels which will also help improve your erectile dysfunction.

We offer prescriptions for trimix injections, super trimix, and even quad mix injection but it is only prescribed when we have thoroughly evaluated you and deemed you an appropriate candidate for such treatment.

These mechanical aids we know work effectively in men, especially when combined with appropriate medications and treatment. We would have to discuss with you during your visit which mechanical aid will be best for you and if you would be a good candidate for any particular one.

Yes. This is called Peyronie’s disease and is usually caused by scar tissue, called a plaque, that forms inside the penis. It can result in a bent or curved erection which can affect sexual intercourse. It is usually caused by trauma during intercourse but can have other causes. Treatment depends on the type of penis defect and can range from medical management to surgical options.

While male sexual dysfunction cannot be completely prevented, there are ways of dealing with the causes of dysfunction that will help you better understand and cope with the disease. You can start by scheduling an appointment with us, maintaining a healthy lifestyle with proper diet and exercise, limiting alcohol, quitting smoking, and communicating better and more often with your partner.


Treatment takes place once per week for six weeks. Each treatment session is held in our office.

You will need to come in monthly for a 30-minute maintenance treatment. Maintenance therapy is required to maintain the gains from the initial increase in blood flow. Some patients may benefit from maintenance treatment a bi-weekly (every other week) basis. Results may vary.

The procedure is not currently FDA approved for sexual dysfunction and is used off label.

Yes. This topic has been discussed within the urology community and has been researched for years.

The Y factor uses the leading manufacturer of lithotripsy equipment and applies urologic protocols and best practices to maximize sexual function.

Sound wave treatment for Peyronies Disease, or penile bending, has not proven to be effective for bending, but it does reduce pain at the plaque.

No. Call our office to get more information on pricing.

Yes. We encourage continuing any other forms of treatment we have prescribed to enhance your sexual function.

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