Erectile Dysfunction Treatment in Miami


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One in five men experience erectile dysfunction (ED), defined as difficulty sustaining an erection that affects the ability to have sexual intercourse. Most men who have ED have a healthy libido, but the body always doesn’t respond to these feelings of desire. Although it can be embarrassing to discuss this problem even with your doctor, it’s important to understand that ED is common and treatable.

Do I Have Erectile Dysfunction?

Some men don’t realize they have ED because they can get an erection, but it does not remain throughout intercourse. Other men with ED can get an erection but are unable to ejaculate, and some cannot achieve an erection at all. All of these symptoms can be related to a medical issue that is making it difficult for you to have intercourse. Instead of chalking it up to age, talk with your doctor to see if treatment could improve your sex life.

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Causes of Erectile Dysfunction

Even though ED increases with age, it’s as treatable for men in their 70’s as it is for those in their 40’s. Most often, the erectile dysfunction cause is an issue with:

  • The blood vessels or nerves of the penis
  • An imbalance in hormone levels
  • Psychological / Stress

This condition is more common among men who have diabetes or high blood pressure, smoke, are obese or are of Hispanic origin. Other causes of ED can include:

  • Multiple Sclerosis
  • Kidney Disease
  • Atherosclerosis
  • Heart Disease

ED is also impacted by lifestyle choices that contribute to cardiac issues that affect the blood vessels, such as:

  • Smoking
  • Drinking Alcohol
  • Eating a high-fat diet
  • Prescription pill use

Additionally, if you’ve been treated for bladder or prostate cancer, nerve damage to the area can result in temporary or permanent ED.

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Types of ED Treatments

Depending on the cause of your ED, a range of erectile dysfunction treatment options may be available. Seeking medical treatment can resolve the problem and restore your confidence. It can also correct underlying health conditions such as high blood pressure that can lead to serious complications when left untreated.


Lifestyle Modifications

  • Diet and Exercise: Improving cardiovascular health through a balanced diet and regular exercise can enhance erectile function.
  • Smoking Cessation: Quitting smoking improves blood flow and reduces ED risk.
  • Reducing Alcohol Consumption: Excessive alcohol can contribute to ED.
  • Managing Stress: Stress and anxiety can affect sexual performance; techniques like mindfulness and therapy can help.

Oral Medications • Phosphodiesterase Type 5 (PDE5) Inhibitors:

These are the first-line treatment for ED and include:

  • Sildenafil (Viagra)
  • Tadalafil (Cialis)
  • Vardenafil (Levitra)
  • Avanafil (Stendra)

These medications enhance the effects of nitric oxide, a natural chemical the body produces to relax muscles in the penis and increase blood flow.

Vacuum Erection Devices (VEDs)

  • Mechanism: A VED is a plastic tube that is placed over the penis. A pump, either manual or battery-powered, creates a vacuum that pulls blood into the penis, causing an erection.
  • Use: Often used when medications are not effective or suitable.

Injection Therapy

  • Intracavernosal Injections: Medications such as alprostadil, papaverine, and phentolamine are injected directly into the penis to induce an erection.
  • Self-Administration: Patients can be taught to self-inject before sexual activity.

Urethral Suppositories

Medicated Urethral System for Erection (MUSE): A tiny pellet of alprostadil is inserted into the urethra using an applicator. This medication dissolves and increases blood flow to the penis.

Hormone Therapy

Testosterone Replacement: For men with low testosterone levels, hormone replacement therapy can improve erectile function. This can be administered via injections, patches, gels, or implants.


Priapus Shot is done utilizing platelet rich plasma from your blood. The blood is drawn and processed to concentrate platelets and then the serum with Platelets is reinjected into the corpus Cavernosa into the shaft of the penis. The growth factors released help regenerate the repair the tissue.

Click to learn more about the P-Shot

Shockwave Therapy

A device is used to deliver low intensity acoustic waves to stimulate new blood vessel growth and improve blood flow within the penis.

Click to learn more about Shockwave Therapy

Psychological Counseling

  • Therapy: ED can have psychological causes such as anxiety, depression, or relationship issues. Counseling or sex therapy can be beneficial.
  • Cognitive Behavioral Therapy (CBT): Effective for managing performance anxiety and other psychological factors.

Surgical Treatments

  • Penile Implants: Surgical insertion of devices into the penis. Types include:
    • Inflatable Implants: Cylinders are placed in the penis, and a pump is placed in the scrotum. Squeezing the pump inflates the cylinders to create an erection.
    • Malleable Implants: Bendable rods that allow the penis to be positioned as needed.
  • Vascular Surgery: For men with blood flow issues, procedures to improve blood flow to the penis or to repair veins that cause blood leakage.

Alternative Treatments

  • Herbal and Natural Remedies: Some men try supplements such as ginseng, L-arginine, or yohimbine. However, their efficacy and safety are not well-established.
  • Acupuncture: Some evidence suggests it may help with ED, particularly when there’s a psychological component. Choosing the Right Treatment The best treatment for ED depends on the underlying cause, the severity of the condition, and the patient’s overall health and preferences. Consulting a healthcare provider is crucial to identify the most appropriate and effective treatment option. Regular follow-up is important to adjust treatment as necessary and to address any potential side effects or complications.


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Start ED Treatment in Miami Today!

Arviv Medical Aesthetics provides discreet and effective treatment for erectile dysfunction, tailored to your health status and lifestyle. Our doctors will work closely with you to create a treatment plan that fits your needs and addresses the medical issues causing your ED.  To learn more about the P-Shot® and our other ED treatments contact us to schedule an appointment at our convenient location in Miami.


Prices are subject to change and personalized prices will be provided upon consultation.