Patient Library / Men's Health / Erectile Dysfunction
Erectile Dysfunction
Erectile dysfunction is often an early warning sign of cardiovascular disease — it deserves more than a prescription.
Erectile dysfunction affects roughly 50% of men over 40 and is one of the most underreported health concerns in men. More importantly, it's one of the earliest signs of endothelial dysfunction — the same vascular pathology that precedes heart attacks. A prescription for a PDE5 inhibitor addresses the symptom; a thorough investigation addresses what's actually wrong.
A Cardiovascular Warning
The penile arteries are small-diameter vessels where endothelial dysfunction manifests before larger coronary arteries. ED in a man under 50 carries a significantly elevated 10-year cardiac risk and warrants cardiovascular investigation.
Vascular, Hormonal & Neural
Erection requires coordinated vascular, hormonal, and neurological function. Addressing only one driver — say, with testosterone or sildenafil — without investigating the others produces incomplete results.
Reversible in Many Men
When the underlying drivers — endothelial dysfunction, low testosterone, metabolic disease — are addressed directly, many men achieve significant improvement without ongoing medication dependence.
What You Need to Know
Frequently Asked Questions
How I Treat This
These are the services I most commonly draw on when working with erectile dysfunction.
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