It’s 2018, and the word impotence has been replaced by Erectile Dysfunction.

And, men are more open to talking about it. The increase in popularity of PDE5 inhibitors like Viagra and Cialis have made them a household name.

Trouble is, not every man responds well to ED medications. Many men report little to no effect on their erectile quality. So why does this happen?

Simply put, if the blood doesn’t flow, the sex is a no go!

Increase blood flow for better erections

Proper blood flow is at the core of pretty much all functions in our body. Free flowing, nicely dilated blood vessels are what we men need to achieve and maintain an erection.

During an erection, blood flows quickly into the penis, which increases its length, width, and firmness. If the incoming blood vessels (arteries) are too narrow or if blood drains too quickly through the outgoing blood vessels (veins), men may have trouble achieving or maintaining an erection. This is where a PDE5 inhibitor like Viagra may help.

How do PDE-5 inhibitors like Viagra work?

A common misconception is ED medications cause a man to be sexually aroused. While they do not cause arousal, they do work when sexual arousal is achieved. This is because sexual stimulation sends a signal to the brain to trigger a release of nitric oxide (NO) in the tissues of the penis.

The nitric oxide stimulates an enzyme that produces something known as a messenger cyclic guanosine monophosphate (cGMP), relaxing the smooth muscle cells. Viagra selectively blocks PDE-5, allowing the erection enhancing cGMP to remain longer and not be broken down. This increased cGMP allows extra blood flow to the penis. The result: Firmer, longer lasting erections.

vasodilation blood flow

Common questions about PDE5 inhibitors

What’s better, Cialis or Viagra?

Both Cialis (tadalafil) and Viagra (sildenafil) are phosphodiesterase-5 (PDE5) inhibitors used for treating erectile dysfunction, or ED. While both increase penile hardness (the ability to obtain an erection) Cialis provides over a longer period than Viagra because it lasts up to 18 hours, where Viagra only lasts for about 4 to 6. Cialis is also often taken daily and helps overall cardiovascular health through the added benefit of increased nitric oxide (NO) in the tissues.

Does Viagra or Cialis make you last longer?

When it comes to stamina, the answer is no. When it comes to maintaining an erection, Viagra can last up to five hours or longer depending on your dosage, your body’s metabolism, and other external factors.

What to do if Viagra or Cialis is not right for you

Taking an ED medication is a short term fix to a chronic problem, and may not work for you. The goal with any ED treatment is to increase blood flow, and that can be accomplished with some excellent treatments which restore your body’s natural blood flow to the penile tissues. We have found two of the best treatments, and through these methods have helped several hundred men to date. They are the GAINSWave™ Procedure and the P-Shot®

The GAINSWave™ Procedure uses pulsating acoustic shockwaves to stimulate the growth of new blood vessels in the penis. This increases the blood flow to the penis and improves sexual function. In addition, the GAINSWave Procedure stimulates the growth of new nerve tissue in the penis. This process, called neurogenesis, enhances sensitivity in the penis. Because this procedure is non-invasive it is referred to as the “extracorporeal shockwave therapy” or ESWT. The GAINSWave Procedure uses a GAINSWave™ approved low intensity shockwave device that has been FDA approved as safe for sale and use in US.

The P-Shot® is a specific way of using blood-derived growth factors to rejuvenate the penis. It is a breakthrough, clinically-proven, safe and effective procedure that can help you increase penis size, sexual performance and overall sexual wellness, without the use of any drugs or surgery. The P-Shot procedure starts with drawing a small amount of blood, then we isolate platelets from that blood giving us the platelet rich plasma, or PRP. The platelets are then “activated” to release at least eight growth factors that would normally be used to heal injured tissue. Then, using a tiny syringe, we inject these growth factors into the penis where they work like magic to cause increased collagen and new blood flow.

Have questions? Call our office today at 937-350-5527 for a private, no obligation discussion on how we can help you with your Erectile Dysfunction.

Related: The Dangers of Gas Station Viagra

Getting the extra edge as we age

bhrt for youthful vitality

Maintaining erectile quality as we age is just one way to keep ourselves feeling young. To learn how to start regaining your vitality start with a free download of Dr. Rob’s book on Bioidentical Hormone Replacement Therapy. Inside you will find the many benefits of BHRT and how to decrease your chances for age related diseases.

You can also contact our office at 937-350-5527 today to speak to us about the many benefits of Bioidentical Hormone Replacement Therapy. No matter what your age or symptoms, we can help you feel like your former self by reclaiming your peak health through Predictive, Preventative and Proactive Precision Medicine!

To look as good on the outside as you feel on the inside, check out the Vampire Procedures! Whether you want to restore your youthful appearance through a Vampire Face Lift or correct Erectile Dysfunction, we have a treatment available to bring back your younger years.

To your health,

Dr. Rob Signature