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The inability to keep an erection strong enough for fulfilling sexual engagement is known as erectile dysfunction (ED). Even though having trouble keeping an erection on occasion is common, if it frequently interferes with your sexual life, you should go to your doctor, who may formally diagnose you with Erectile Dysfunction. Erectile dysfunction can be a highly embarrassing performance issue, yet it is rarely discussed. In reality, over 30 million men in the US are affected by Erectile Dysfunction. Furthermore, although the likelihood of developing erectile dysfunction rises with age, it is still possible for young men to develop the condition. So what precisely happens? The muscles in a man's penis relax when he experiences sexual arousal, and blood flow to his penis rises. The two spongy tissue chambers called corpora cavernosa, which run the length of the penis, are filled with blood. When there is an issue with this process, Erectile Dysfunction develops.
Reduced blood supply to the penis, which can be the result of a variety of underlying medical issues including scar tissue, existing illnesses, nerve damage or psychological issues, is what causes Erectile Dysfunction. Several other risk factors that might cause Erectile Dysfunction include: age, anxiety, cardiovascular disease, depression, diabetes, drugs, excessive alcoholic beverage use, high blood pressure, high cholesterol, kidney disease, low-t (low testosterone), multiple sclerosis (MS), obesity, Parkinson's disease, pelvic injuries from accidents or operations, Peyronie's disease, relationship problems, sleep disorders, stress, and tobacco use.
Treatment for erectile dysfunction will depend on what is causing it. A board-certified practitioner will need to do a thorough exam to find out what's really causing Erectile Dysfunction and make sure it's not the first sign of heart disease. In general, the first step is to make changes to your lifestyle, such as exercising, especially aerobic exercise. Diabetes, high cholesterol, and high blood pressure can all be prevented by losing weight. If you smoke, stop. Counseling can help if the problem has an emotional cause, like how to deal with sexual stress or anxiety. Next, practitioners try pills, injections of different drugs or stem cells, or recommend the use vacuum devices. These treatments don't solve the problem; they just cover up the symptoms and help in the short term.
AUA Playbook for the treatment of ED.
If the above treatments don't work or their side effects are not tolerated, many practitioners will send their patients to a urologist who treats erectile dysfunction according to the guidelines set by the American Urological Association (AUA). The AUA recommends, after trying the above, invasive vascular reconstruction or implant surgery to treat the "root cause" of Erectile Dysfunction because it is their body of knowledge, FDA approved, and is typically covered by insurance. Even though government studies, case studies, and patient testimonials suggest otherwise, most urologists won't recommend low intensity extracorporeal shock wave therapy (Li-ESWT) (and we don't blame them because “There are a lot of imitation non-shock wave acoustic sound waves that are being scammed and sold to patients who are desperate,” said Dr. Goldstein) because it doesn't work in all cases, it hasn't been approved by the FDA to specifically treat Erectile Dysfunction, is considered "experimental", off-label, or compassionate Erectile Dysfunction treatment, and isn't covered by insurance. Urologists are trained to do surgery, however, once they scrape out the soft spongy tissue of the penis to put in a piston, semi-rigid, or inflatable device...it's gone! There's no turning back! Mountain River IV, Health, & Wellness doesn't perform invasive Penile Implant Surgery...we prevent it!
Before undergoing such an invasive procedure, wouldn't it make more sense to at least try the SoftWave® Erectile Dysfunction treatment that mimics lightning and thunder instead of a magnifying glass causing microtraumas. “Real shock wave therapy...has been shown to activate endogenous stem cells. This specific device is FDA cleared now in the U.S. for increasing blood flow, connective tissue activation, and amelioration of pain, and the FDA has classified this device a non-significant risk (NSR) to humans,” said Dr. Goldstein. It also FDA classified to heal diabetic foot ulcers, and 2nd degree burns, and tendonitis. Other potential SoftWave® Indications include: Swollen Prostate, Back Pain, knee pain, shin splints, plantar fasciitis, jumper's knee, stress fractures, overuse injuries, foot ulcer pain, non-unions bone fractures, shoulder pain, neck injuries, nerve pain, ligament sprains, disc injuries, arthritis, Bursitis, Carpal Tunnel Syndrome, Fibromyalgia, Tarsal Tunnel Syndrome, Tennis elbow, joint pain, sciatica, post-surgery, scar tissue treatment, elbow pain, hamstring pain, Achilles tendinopathy, knee sprains, muscle sprains, frozen shoulder, Morton's neuroma, peripheral arterial diseases, venous leg ulcers, pressure ulcers, chemo induced peripheral neuropathy and so much more. Since 2015, the European Association of Urology (EAU) has been using ESWT as a method of first choice for the treatment of erectile dysfunction in addition to PDE-5 inhibitors. At Mountain River IV, Health, & Wellness we feel it's a simple choice. Get the Li-ESWT SoftWave® ED treatments! After all, invasive surgery is still a choice.
Just in case your still on the fence, consider these benefits of SoftWave's Li-ESWT ED Treatments.
Dr. Goldstein has been involved with sexual dysfunction research since the late 1970s. He's authored more than 350 publications as well as multiple book chapters and edited six texts books in the field. His interests included penile microvascular bypass surgery, surgery for dyspareunia sexual health management, post-cancer treatment, genital dysaesthesia, persistent genital arousal disorder, physiologic investigation of sexual function in men and women, and the diagnosis and treatment of sexual dysfunction in men and women. Dr. Goldstein is director of sexual medicine at Alvarado Hospital, clinical professor of surgery at the University of California, San Diego, and practices medicine at San Diego Sexual Medicine. He is also editor-in-chief of Sexual Medicine Reviews and a past editor of the Journal of Sexual Medicine. He's a past president of the International Society for the Study of Women's Sexual Health and of the Sexual Medicine Society of North America. He holds a degree in engineering from Brown University and received his medical degree from McGill University. The World Association for Sexual Health awarded the Gold Medal to Dr. Goldstein, in 2009, in recognition of his lifelong contribution to this field. In 2012, he received an award for distinguished service in women's sexual health. In 2013, he received the Lifetime Achievement Award for Sexual Medicine, and in 2014, he received the Lifetime Achievement Award from the International Society for Sexual Medicine.
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