Erectile dysfunction is the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. While occasional erectile difficulties are normal, ED involves persistent problems that worsen over time. Primary symptoms include difficulty achieving erections, inability to maintain erections during intercourse, reduced frequency of morning erections, requiring excessive mental focus to maintain erections, and decreased spontaneous erections. ED can have physical causes (vascular disease, hormonal imbalances, neurological issues), psychological causes (anxiety, stress, depression), or combination factors. Early intervention often yields better outcomes.

We focus on identifying and treating root causes rather than simply prescribing medications that mask symptoms. While we use prescription medications when appropriate, our primary approach emphasizes comprehensive evaluation including vascular health assessment, hormonal testing, lifestyle analysis, and psychological factors. Treatment may involve lifestyle modifications (exercise, nutrition, sleep optimization, stress management), hormonal optimization, regenerative therapies (PRP, shockwave), and targeted supplementation. This comprehensive approach often reduces or eliminates dependence on medications while providing more sustainable, long-term results by addressing underlying causes.

Ideal candidates are men experiencing erectile dysfunction, reduced sexual performance, decreased libido, performance anxiety, or diminished sexual satisfaction who prefer comprehensive root-cause solutions over pharmaceutical-only approaches. Men noticing early signs like reduced morning erections, difficulty maintaining erections, or declining sexual confidence benefit from early intervention. Candidates should be willing to engage in lifestyle modifications and commit to a comprehensive treatment approach. A confidential consultation with diagnostic testing helps determine the most appropriate treatment strategy for your specific situation and goals.

The process begins with a confidential consultation (available in-office or via telemedicine) where medical history, symptoms, relationship factors, and concerns are discussed compassionately. Comprehensive diagnostic testing may include hormone panels, vascular assessment, cardiovascular evaluation, and psychological screening. Based on findings, a personalized treatment plan is developed addressing identified root causes through appropriate therapies. Treatment typically involves multiple modalities and regular follow-up to monitor progress and adjust protocols. Most patients see initial improvements within 2-4 weeks, with progressive enhancement continuing over 2-4 months.

Clinical research demonstrates that regenerative therapies can be highly effective for erectile dysfunction, particularly when vascular or tissue-related causes are identified. Platelet-rich plasma (PRP) therapy uses growth factors from your own blood to stimulate tissue regeneration and improve blood flow. Low-intensity shockwave therapy promotes new blood vessel formation and tissue repair. Studies show 60-75% of patients experience significant improvement in erectile function with these therapies. Results develop gradually over 2-3 months as tissue regeneration occurs, with effects lasting 12-24 months or longer, often reducing or eliminating need for ED medications.

Not necessarily. Our goal is to address root causes so that many patients can reduce or eliminate dependence on medications. While prescription ED medications (sildenafil, tadalafil) are effective symptom management tools and may be used initially or as needed, our comprehensive approach often allows patients to achieve natural erectile function through hormonal optimization, lifestyle changes, vascular health improvement, and regenerative therapies. Some patients continue occasional medication use for optimal results, while others achieve sufficient natural function without pharmaceuticals. The outcome depends on individual factors and underlying causes identified during evaluation.

Absolute confidentiality and privacy are paramount. All consultations, testing, and treatments are conducted with strict privacy protocols. Dr. Winnard understands the sensitive nature of sexual health concerns and provides compassionate, judgment-free care. Initial consultations are available via secure telemedicine from your home if preferred, or in private office settings. All medical records are protected under HIPAA regulations. We create a comfortable environment where you can discuss concerns openly, knowing your privacy and dignity are respected throughout the entire treatment process.