The Healthy Man Clinic


Empowering Relationships: Erectile Dysfunction Medication in Silver Spring, MD

Sex life in need of a recharge? Let THM Clinic provide the surge. Difficulty having/maintaining an erection or premature ejaculation are all symptoms of erectile dysfunction (ED). ED affects about 30 million men in the United States. Some men may be reluctant to receive treatment but a healthy sex life can lengthen life span and improve quality of life. ED could have several culprits including performance anxiety. Often times, chronic illnesses like diabetes and hypertension may lead to development of ED due to their role in damage of blood vessels. 

Treatments range from oral PDE5 inhibitors namely, Cialis, Viagra, Levitra, and Stendra. These medications work by relaxing blood vessels to increase blood flow to specific areas I.e. Penis. The medication is taken 30 to 60 minutes before sexual intercourse. Erection is then achieved during sexual arousal/stimulation lasting until ejaculation. PDE5 inhibitors shorten post-ejaculatory refractory phase, meaning another erection can be achieved shortly after ejaculation to lead to more intercourse sessions.  Men currently on a nitrate therapy are not candidates for oral PDE5 as combination of these medications can lead to drastic drops in blood pressure. There are other scientific proven methods available such as the Priapus Shot, Gainswave Therapy and Trimix Shots.

Priapus Shot

Known as the P-Shot was invented over 10 years ago by Dr. Charles Runels. Patient’s own blood is collected and treated to extract plasma which is then injected into the penis after it has been sufficiently numbed. This in turn stimulates stem cells that improve tissue growth. The result? Longer and harder erections with effects lasting anywhere from 1 to 2 years. Three to four sessions spaced 4 weeks apart may be needed for optimal results. P-shot has proven to be beneficial for Peyronie’s disease and loss of sensitivity. Men with clotting disorders may not be candidates for the P-Shot.

Gainswave therapy

Painless procedure that involves the use of sounds to create shockwaves sent throughout penile tissues to regrow blood vessels. This procedure has little to no side effects; therefore, any man experiencing symptoms of ED qualifies for this treatment. More than one session may be needed. Patients who complete treatment experience significant improvement in erectile function lasting up to 1 year.

Trimix injections

A compounded drug that consists of papaverine, phentolamine and alprostadil. Together, these drugs work to relax smooth muscles thereby opening blood vessels in the penis to cause an erection in as little as 5 minutes. Trimix is sent to the patient at home to be self-injected into the shaft of the penis a few minutes before intercourse. Activation will most likely take place during foreplay. Erections will typically last over 1 hour allowing the man to continue sexual intercourse even after ejaculation. Dosing is spaced once every 3 days. As with oral PDE5 inhibitors, erections lasting over 4 hours require prompt medical attention. Men with blood clotting disorders may not be a candidate for this form of therapy.