Our Services

Erectile Dysfunction

What is Erectile Dysfunction or ED?

Erectile dysfunction (impotence) is inability to get an erection or problem keeping an erection firm enough for sex and/or a reduced sexual desire that, when on an ongoing basis, it usually affects your self-confidence and causes stress, and relationship problems, frequently creating an issue for you or your partner.

How does an erection occur?

An erection is an emotional event that begins in the brain. Physical and/or mental stimulation cause nerves in the brain to send chemical messages to nerves in the penis telling the penile blood vessels to relax so that blood can flow freely into the penis. Once in the penis, high pressure traps the blood within both corpora cavernosa. This causes the penis to expand and sustain an erection. Erection is reversed when the inflow of blood is stopped and opening outflow channels open, allowing the penis to become soft.

Causes of ED

Male sexual arousal is an intricate process that involves the brain, hormones, emotions, nerves, sexual arousal, muscles and blood vessels. Erectile dysfunction can result from a problem with any of these. In most cases, erectile dysfunction is caused by something physical. Specific causes other are:
  • Diabetes
  • Heart Disease, High blood pressure, neurological disease
  • Metabolic Syndrome
  • Obesity, inflammation
  • Low Testosterone
  • Tobacco; Alcoholism and other drug abuse
  • Peyronie’s disease (development of scar tissue inside the penis)
  •  Surgeries or injuries that affect the pelvic area or spinal cord
  • Medications such as antidepressants, antihistamines, and medication to treat high blood pressure, pain or prostate cancer
  • Emotional or psychological causes can interfere with sexual feelings and cause or worsen erectile dysfunction.
  • Depression, anxiety, or other mental health conditions
  • Problems due to stress, fatigue, relationships, work, chronic fatigue syndrome, fibromyalgia

How is Erectile Dysfunction diagnosed?

A medical history and a physical exam are all that’s needed before a doctor is ready to recommend a treatment. Common tests for possible underlying problems may include:
  • Blood tests to check for signs of heart disease, diabetes, low testosterone, hormone levels and other health problems.
  • Simple urine tests to look for signs of diabetes and other underlying health conditions
  • Ultrasound to check blood flow to your penis. It involves using a wand-like device (transducer) held over the blood vessels that supply the penis. This test is sometimes done in combination with an injection of medications into penis to determine if blood flow increases normally.

What are the different approaches for treatment of ED?

Treatment is often successful when a man involves his partner. Getting the right treatment for any health problems that could be causing or worsening your erectile dysfunction should be your first step. These problems can include:
  • Peyronie’s disease
  • High blood pressure
  • Heart disease
  • Anxiety
In addition, certain behaviors put men at risk for suffering through erectile dysfunction. These include:
  • Alcohol use
  • Smoking
  • Drug use
  • Injuries
  • Certain medications
Common treatment options for Erectile Dysfunction include:
  • PDE5 Inhibitors: Levitra, Cialis, Stendra, and Viagra
  • Intracavernosal Inejctions: Bimix, Trimix, Alprostadil
  • Transurethral Alprostadil
  • Penile Implant
  • Priapus Shot

Weight Management

We provide treatment for Weight Management in Michigan, Nevada, New York, Tennessee and Texas.

A person can also be genetically predisposed to obesity, meaning that they are far more prone to putting on weight and find it even more difficult than most to lose it. Some illnesses and conditions also predispose a person to being overweight, and some medications have the same effect.

Many patients find it extremely difficult to lose weight, and 95% of those who do will have regained all or almost all of the weight lost within five years. By far the most scientifically backed up method of minimizing the economic burden of obesity-related diseases and illnesses seems to be simply to encourage everyone to eat a reasonably healthy balanced diet, to exercise with relative frequency, and not to overly concern themselves with their obesity.

Genetic, socio-economic and environmental factors are by far the most likely reasons for a person to have become overweight or obese, and they are not things that it is possible to treat in a medical setting. Rather, it is important to bear in mind the results of the most recent and up to date studies and concentrate on a patient’s health rather than on their overall body mass.
16100 Cairnway Drive #235, 
Houston, TX 77084
Copyright © Premiere Men's Telehealth
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram