Erectile Dysfunction (ED)
Erectile dysfunction is common—and treatable. If you’re having trouble getting or keeping an erection firm enough for sex, a physician-led evaluation can identify contributing factors and guide a plan that fits your goals and health history.
What causes erectile dysfunction?
ED can be influenced by blood flow, nerve signaling, hormones, medications, and mental health factors like stress or anxiety. It may also be associated with conditions such as diabetes, high blood pressure, high cholesterol, obesity, and smoking.
- Vascular factorsBlood flow is essential for erections; cardiovascular risk factors can contribute.
- Hormonal factorsLow testosterone or other endocrine issues may play a role for some men.
- MedicationsSome prescriptions can contribute—your history review helps identify this.
- Stress & mental healthAnxiety, depression, stress, and relationship factors can worsen ED or be primary drivers.
Discreet, physician-led assessment
Your visit starts with a clear conversation: symptoms, goals, medical history, medications, and lifestyle factors. When appropriate, evaluation may include labs or additional assessments based on your individual needs.
- Root-cause mindsetWe identify likely contributors and build an actionable plan.
- Shared decision-makingWe review options, benefits, and risks so you can choose confidently.
- Follow-up supportED care is often improved with monitoring and adjustments over time.
ED treatment is personalized—because causes differ
Treatment depends on the cause, severity, and your health profile. Many men benefit from a staged approach—starting with foundational improvements and progressing to medical therapies when appropriate.
Sleep, stress management, exercise, tobacco cessation, and cardiovascular risk reduction can meaningfully impact sexual health for many men.
Oral PDE5 inhibitors (like sildenafil/tadalafil) are common treatments—when safe for your medical history and medications.
Depending on needs: vacuum devices, injectable therapies, counseling/sex therapy for psychogenic contributors, and referral for advanced options when needed.
Medication safety note
PDE5 inhibitor medications are contraindicated with nitrates (and certain other medications) due to risk of dangerous blood pressure drops. Your evaluation reviews all medications to keep treatment safe.
What to expect
Our process is calm, private, and direct—designed to get you answers and a plan you can trust.
We discuss symptoms, goals, medical history, medications, and lifestyle factors.
When appropriate, we consider labs or other assessments to clarify contributors (vascular, hormonal, medication-related, or psychogenic).
We outline options, expected outcomes, and safety considerations. Your preferences matter.
We monitor response and adjust thoughtfully for comfort, confidence, and results.
Erectile dysfunction FAQs
Answers to the most common ED questions we hear from men in Edmond and the greater Oklahoma City area.
Is ED common?
Can ED be caused by stress or anxiety?
Is ED ever a sign of another health issue?
Are ED medications safe?
How fast do treatments work?
What should I bring to my appointment?
Evidence-informed patient education
For additional reading on ED causes, evaluation, and treatment safety, these references are a strong starting point: