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Erectile Dysfunction
If you have a penis, you can fulfil an erection.
Even if previous treatments have proven unsuccessful, ED can always be treated by a professional with the experience to see you through.
I understand the shame, anxiety, desperation, and hopelessness that surrounds ED. I suffered from Erectile Dysfunction in the past, following treatment that I received for a benign tumour. The psychological effects that followed were even worse. I’m able to help you as a trained and experienced counsellor who has personally experienced and beaten ED that was caused by physiological, and then psychological reasons. My knowledge is not only theoretical, but also practical and personal. I have a great passion for helping as many Erectile Dysfunction sufferers heal as I can, because I know how dark it can get.
No matter how old you are, successful treatment plans for ED are based on thoroughly evaluating all contributing causes: physiological and psychological.
Psychosexual therapy is the cornerstone of any Erectile Dysfunction Treatment. It should serve as the foundation and starting point for other treatments – if they prove necessary.
Please take note: this entry is provided to inform you of potential treatment options—for psychosexual therapy and for physiological treatment. This information is not provided to advise you regarding your individual medical situation. If you would like to schedule a free initial telephone consultation with me for psychosexual therapy, please click here.
Psychological factors are either the originating cause, or act as ongoing elements of distress to physiological ED that exacerbates the problem.
I work as an experienced central agent in your treatment. We’ll work through the psychological causes and effects of ED together, until arriving at a point where you feel entirely confident again.
We’ll also investigate any physiological causes together. I’ll refer you to private or NHS medical professionals I know and trust in the way of identifying and treating the physiological aspects. Together, we’ll provide you with a range of options available to you, while eliminating any harm the condition may have done to that point. If you require medical treatment, I’ll work with you to select the correct treatment provider, as well as to counsel you through the process successfully.
In doing this, we’ll achieve a holistic approach and guarantee that your condition is successfully treated – permanently, and without costing you an arm and a leg.
In my view, erectile dysfunction should be defined as: “The inability to achieve and sustain an erection sufficient for sexual function, in line with the frequency and consistency as desired by the individual.”
That means, whatever the cause, that erectile dysfunction could be either acute (temporary) or persistent, but it is erectile dysfunction, nevertheless.
ED can affect anyone with a penis, at any age, for a variety of reasons. There is no shame in suffering from erectile dysfunction, whatever the cause.
In the past, ED was mostly regarded as a problem facing middle-aged or older men. Although it’s incidence does increase with age, today, the rates of younger men suffering from erectile dysfunction are increasing at astronomical proportions.
A recent study conducted in the UK showed that more than a third of men under 30 and more than 40% of men in their 40s and 50s were affected. The numbers even included men in their teens, and of all the men under 50, more than 5% were never able to achieve an erection.
Erectile Dysfunction is caused by either psychosexual or physiological reasons. Even when it is caused by physiological factors, there is always an element of psychological trauma that must be addressed to treat and cure the condition successfully.
It’s important to remember that an erection isn’t something that happens by action, it’s something that happens through relaxation. Emotionally, one needs to be relaxed to sufficiently focus on sex. Physically, an erection occurs when the muscles of the corpora cavernosa relax and allow blood to enter and fill the spaces. The more we ‘try’ to have an erection, the more we become distressed, the less likely it is to occur successfully.
Physiological causes of Erectile Dysfunction may include (but are certainly not limited to) cardiac or circulatory disorders, hormone imbalances, diabetes, obesity, a lack of exercise, prescription medications, alcohol or drug abuse, prostate abnormalities, Parkinson’s disease, nicotine, physical trauma or injuries, and sleep disorders.
Psychosexual causes of Erectile Dysfunction are incredibly complex to decode. Anxiety and stress lead the pack, but pinpointing the exact factors that trigger the specific anxiety or stress can only happen through a process of reflection and counselling. Other causes can include relationship problems, depression, fatigue, feeling inadequate, sexual fears, rejection, sexual/emotional trauma, performance anxiety, low self-esteem, guilt, pornography, and a range of other factors. It takes time and skill to reveal the different layers of the psyche that are affected.
An experienced psychosexual therapist can guide you successfully in the journey to renewed confidence, as the reasons one thinks are the cause, very rarely actually are.
Only through a balanced approach that addresses all causal factors, can you achieve true healing and freedom.
Erection-enhancing medication is now freely available from a variety of sources at vastly reduced costs. However, merely popping pills might work in the short term, but without the correct course of treatment that addresses the underlying cause, it will not only stop working in the longer term but could also make the condition worse.
First, it is vital to begin healing the psychological damage already caused as well as to safeguard against any future psychological damage that would have been done.
During the counselling process, we’ll discover the underlying causes in your past and present, and devise practical strategies to resolve them together. This process may not be instant, but it is certain to work.
Simultaneously, through a process of careful elimination, physiological causes must either be identified or ruled out.
Medical technology today provides a host of options to treat physiological causes of erectile dysfunction. However, it’s essential to ensure that the underlying reasons for the condition are accurately identified. Where possible, we must do our best to find a cure, not just to provide treatment.
I’ll work as a central agent in your treatment. We’ll continue working through the psychosexual causes and effects of Erectile Dysfunction until arriving at a point where you feel entirely confident again. At the same time, we’ll investigate any physiological causes together. I will refer you to medical professionals I know and trust in the way of identifying and treating the physiological aspects. Together, we’ll provide you with a range of options available to you, while eliminating any harm the condition may have done to that point. If you require medical treatment, I’ll work with you to select the correct treatment provider, as well as to counsel you through the process successfully.
In doing this, we’ll achieve a holistic approach and ensure that your condition is successfully treated – permanently, and without costing you an arm and a leg.
Erectile Dysfunction always encompasses a psychosexual element that must be addressed to ensure successful and permanent treatment.
Simultaneously, we must identify whether any physiological factors contribute to the condition, and if so, treat them appropriately.
It is vital to address both aspects to give you back the confidence and pride that you deserve.
Our initial consultation should last around 30 – 45 minutes. We’ll have the opportunity to discuss your primary concerns and reasons for seeking treatment, and what the outcomes are that you’d like to achieve.
I’ll explain more about myself, my professional experience, and how we’ll work to achieve your goals. We’ll go over the costs of treatment and make sure that an option is available to you that is affordable and sustainable. I’ll also explain a little more regarding the technical aspects of online counselling and explain the best ways to set up the software options available.
We’ll consider your full medical history. Below is a sample of the types of questions that we’ll be exploring:
- How long has the erectile dysfunction been occurring?
- Describe what happens when you have intercourse?
- What happens when you try to masturbate?
- Do you have morning erections?
- Do you have equal difficulty achieving and maintaining your erection?
- At which point do you lose your erection?
- What is the level of your libido like at the moment?
- How rigid are your erections?
- Does your penis have a bend, twist, or curve when it’s rigid?
- Have you ever had any serious testicular trauma?
- What medications are you currently taking?
- When last did you have your hormone levels examined?
- How regularly do you check your blood pressure?
- Do you often have palpitations?
- Have you tried any erectile medications before (e.g. Viagra, Cialis, Levitra, Alprostadil, etc.)?
- If so, to what extent were they helpful?
- Have you before, or are you currently using any drugs (including cannabis)?
- Do you take any opiate pain killers (or have you before)?
- How much alcohol do you consume?
- Do you smoke?
- How regularly do you attend a prostate examination?
- Are you currently overweight?
- How would you describe your level of fitness?
We’ll discuss your history and background, along with questions that relate more specifically to ED. A sample of the questions we’ll focus on are:
- How much stress are you currently experiencing?
- Do you have difficulty maintaining a relationship?
- How would you describe your current relationship?
- When did the erectile dysfunction begin?
- How frequently do you have unsatisfactory erections?
- Do you feel your chest tightening when you think of sex?
- How has your relationship(s) been going?
- Are you worried about performing sexually?
- How would your partner respond if they knew you had erectile dysfunction?
- How often do you wake up with an erection?
- Do you have spontaneous erections throughout the day?
- How would you describe the quality of your sleep?
- Do you struggle to achieve or maintain an erection when you are alone?
- How much pornography do you consume?
- Do you have difficulty achieving/maintaining an erection when watching pornography?
- Do you have difficulty orgasming?
- Do you often orgasm prematurely?
- In your opinion, what is causing the erectile dysfunction?
- How would you describe your self-esteem?
- Have you experienced any sexual or emotional trauma in the past?
- Are you worried your partner might find you inadequate?
- How worried are you about rejection in general?
- Would you describe yourself as being depressed?
- How difficult is it to focus during masturbation?
- What are the thoughts/worries that your mind drifts to while masturbating?
- When you are able to orgasm, how would you describe the quality of the orgasm?
We’ll work together to formulate a practical therapy plan for counselling sessions. You’ll very quickly begin to feel better and see a rapid improvement in the quality of your sex life and emotional health in general.
Sexual function is almost always affected by the level of happiness we experience in the rest of our lives. As such, we’ll focus not only on the sexual hurdles you’re facing, but also on improving the rest of your quality of life.
Depending on your circumstances, I may also ask you to conduct a blood test. This test is very affordable, can be done from the privacy of your home, and will remain entirely confidential. The results will show us a starting point for your general physical health. We’ll also find out whether your body is producing a sufficient amount of the correct hormones needed for sexual function.
Our ongoing counselling sessions will continue working on improving the underlying issues that are the true psychological causes or reasons for distress. Our work will also ensure a vast improvement to your life in general, not just restricted to sexual function. There is no limit to the number of sessions we can have, but the process typically takes 12 – 16 sessions. We’ll work to overcome the obstacles you were facing, and explore the goals you’d like to achieve.
If a physiological component was an additional cause to the ED, I’ll continue working with you throughout the counselling process to find the correct medical support, and guide you through any treatment that you may require.
At the end of the counselling process, we’ll review the work we’ve done and the progress you’ve made. We’ll revisit any outstanding issues and discuss methods to ensure that your confidence and success remain in place.
3 – 6 months following the conclusion of your therapy, we’ll schedule a follow-up session to make sure that everything has been going well. We’ll take this opportunity to discuss any new concerns you might have, or conclude our work together.
There are currently four medications mainly used in the treatment of Erectile Dysfunction. They are Viagra (Sildenafil), Cialis (Tadalafil), Levitra (Vardenafil), and Stendra (Avanafil). All four medicines are known as PDE-5 or Phosphodiesterase 5 inhibitors.
When you become aroused, Nitric Oxide is released in your bloodstream. This is responsible for a range of biochemical reactions that include the dilation and relaxation of tissues and blood vessels in the penis. Blood then flows in, which allows you to have an erection. PDE5 is an enzyme in the body that reverses the function of the Nitric Oxide. All four of the medications listed above work (in slightly different ways) by blocking the PDE5 enzyme.
None of these medications works by improving your libido, nor can they make you aroused. They simply work by allowing you to have an erection if the cause of ED was impacted by the blocking of Nitric Oxide.
The general rule is that if you suffer from any health conditions that would make sexual activity dangerous for you, you should not take these medications without specific advice from your doctor.
They are especially contraindicated in men who:
- Suffer from angina
- Have congestive heart failure
- Are either Hypotensive (BP below 90/50) or Hypertensive (BP above 170/110)
- Suffer from prostate problems
- Use Alpha-blockers
- Have had a heart attack, MI, stroke, or arrhythmia in the last 6 months
- Suffer from retinitis pigmentosa
The maximum dose of Viagra is usually 100mg. Most men find this to be the most potent medicine available that also has the best results. It is important to take Viagra on an empty stomach, and especially not with fatty food. Doing so will also reduce the side effects.
Viagra peaks in effects after approximately 1 hour. Half is discarded from use in 4 hours, and most of it has left your system after 8 hours. Unfortunately, it is therefore essential to time the medication quite accurately in line with sexual activity.
The side effects of Viagra include temporary abnormal vision, heartburn, redness in the eyes, sinus congestion, flushing, and headaches.
Speak to your doctor and use extreme caution if the side effects endure beyond 4 hours after taking the medication.
The maximum dosage is usually 20mg. This is often the most popular medication as it has the longest-lasting effects, thus improving sexual spontaneity.
Cialis peaks in effects after about 2 – 4 hours. Half is discarded from use within 18 hours, and most has left your system after 36 hours. Although “the weekender drug” (Tadalafil) does last longer, it is essential to remember that the longer it has been in your blood, the less potent it will be.
Because of the extended half-life, men who have less severe ED may opt to take a lower daily dose of Cialis continuously. Taking 2.5mg – 5mg per day is often enough to produce a strong enough result to treat their erectile dysfunction in the long term.
The side effects of Cialis include headaches, sinus congestion, flushing, heartburn, redness in the eyes, and muscle cramps. Because of the longer half-life, the adverse side effects may also endure for a more extended period.
The maximum dosage is usually 20mg. Levitra peaks in its effects after about 1 hour. Half is discarded from use within 4 hours, and most has left your system after 8 hours.
It may also be available as a sublingual medicine (placed under the tongue), which may result in faster absorption.
The side effects of Levitra include an upset stomach, headaches, sinus congestion, back pain, and flushing.
The maximum dosage is usually 200mg. The benefit of Stendra is that it works quicker than any of the other PDE5 inhibitors. It may begin working as quickly as 15 minutes. Half is discarded from use within 4 hours, and the remainder is usually discarded after 8 hours.
Side effects of Stendra include headaches, back pain, upset stomach, flushing, and sinus congestion.
Counselling will already assist greatly to improve erectile function and quality of life in general. In addition to that, a wide variety of other physiological treatment options–including and aside from oral medications–exist in conjunction with psychosexual therapy.
Hypogonadism, or Testosterone Deficiency Syndrome, is a condition that affects many men of all ages. Most aren’t aware that they have the condition or what the cause is, but all who suffer from it are undoubtedly aware of the symptoms.
In the case of Primary Hypogonadism, a problem exists directly within the testicles, rendering them unable to produce the hormone in sufficient quantities. An example might be men who have suffered from testicular cancer.
With Secondary Hypogonadism, the cause lies outside of the testicles, usually in the hypothalamus or pituitary gland in the brain–the parts of the brain that signal the testes to increase production.
Patients who suffer from a Testosterone Deficiency usually present several, if not all, of the following symptoms:
- Erectile dysfunction (obtaining OR maintaining an erection)
- Desire Disorders (Low Libido)
- Orgasmic Disorders (Premature Ejaculation/Delayed Orgasm/Anorgasmia)
- Difficulty making decisions or concentrating
- Increase in body fat
- No results from exercise regimens
- Loss of lean body muscle
- Loss of bone density
- Depression
- Extreme fatigue
- Poor work performance
- Changes in the cholesterol profile
- Mood swings
The sad fact is that testosterone deficiency is very seldom diagnosed correctly. Most doctors receive little to no training on optimal hormone levels for men unless they specifically opt to specialise in that field.
A common concern I hear from my patients is that their GPs tested their Testosterone (Total) levels, only to find a “normal” result. Yet, their patients present with most/all of the symptoms.
A “normal” testosterone reading means nearly nothing. When I suspect that a client may suffer from a testosterone deficiency, I request that they have the following lab work done:
- Testosterone, Total
- Testosterone, Free
- Testosterone, Bioavailable
- Oestradiol (Sensitive)
- Steroid Hormone Binding Globulin (SHBG)
- Dihydrotestosterone (DHT)
- Full/Complete Blood Count (FBC/CBC)
- Follicle Stimulating Hormone (FSH)
- Luteinising Hormone (LH)
- Prostate Specific Antigen (PSA)
- Metabolic panel
If your GP is hesitant to prescribe the correct tests on the NHS, or if you prefer to handle the testing privately, I work with a reputable laboratory that will conduct the tests for you. Please contact me to order a finger-prick test kit (circa £150) that can be done from the comfort of your own home. Based on the results, I can refer you to a network of physicians I know, trust, and have experience working with.
Even if you aren’t suffering from a testosterone deficiency at the moment, knowing your healthy baseline may be extremely helpful in the future.
Unfortunately, testosterone testing is littered with inconsistencies. Testosterone levels vary throughout the day. The most accurate method would be to collect urine for testing over a 24 hour period, or to hand in blood samples at 3 different times during the day, over multiple days.
However, even if you did that, the information might still not be valuable. The results might indicate that you have ‘normal’ testosterone levels. Except that what’s ‘normal’, might not be normal for you.
Very few men had doctors that were conscientious enough to do the correct tests during their twenties to establish what their individual, healthy, baseline levels were. As such, we should focus on providing treatment based on the symptoms, rather than obsessing about a particular blood level.
Testosterone injections provide the most effective treatment against the effects of hypogonadism. However, some men prefer other methods of application, such as testosterone cream, gel, pellets, or supplements.
Testosterone Replacement Therapy (TRT) causes very few side effects when taken in the correct dosages. TRT is contraindicated for men who currently suffer from prostate cancer. However, TRT will not cause cancer. In rare cases, TRT can also cause a condition that results in the thickening of the blood. Although this poses an increased risk, the condition is very easily detected and even more easily treated.
TRT will reverse almost all of the effects of hypogonadism. However, it is no magic bullet. Only men who genuinely suffered from a Testosterone Deficiency will see results. Although some results will become evident within a few weeks, others may take months or even years to correct.
Men who suffer from hypogonadism and have ED as a symptom usually begin to see results within 3 months, with the benefits gradually incrementing over time afterwards.
When oral medications are not effective in the treatment of physiological ED causes, another option is the self-injection of medication into the penis.
This sounds painful and scary. However, most men who use the injections regularly, report that they feel little to no pain at all. The injection is done with an extremely fine needle onto the side of the penis that has no pain receptors. Injectable options are available in both vials as well as automatic syringes that work by the press of a button.
Three medications are most commonly used for injections. They are Prostaglandin E1 (Alprostadil), Phentolamine, and Papaverine. All three medicines work by relaxing the smooth muscles and cause the arteries to dilate. This makes it possible for the blood to flow into the penis and then be kept there.
Prostaglandin E1 is usually provided as a powder that is mixed with a fluid before use. This is because the medicine is stable at room temperature as a powder, but not in liquid form.
Roughly 30% of patients report discomfort or temporary aching in the penis. The discomfort is not medically concerning and usually passes quickly. Patients who suffer from Erectile Dysfunction caused by neurological effects such as diabetes or post-radical prostatectomies are slightly more likely to suffer from the discomfort.
On the whole, only 3 out of 100 patients stop using the medicine due to the discomfort caused. 5 out of 100 stop using the medication due to disliking the injection mechanism. Using automatic injections can alleviate any concerns in no small degree.
Always remember that although one can use the injections daily, it should never be used more than 3 times a week. This is to prevent any adverse side effects to the penis.
Papaverine works as a smooth muscle relaxant that acts on the blood vessel walls to dilate and activate the trapping mechanism. Phentolamine is an alpha-blocker that results in smooth muscle relaxation through a different action. Both are usually used together to maximise the effect.
The benefits of Phentolamine and Papaverine are that they are available in liquid form, do not need to be kept cold, and cause no aching.
By finding the correct combination and dosage of the three medications, it is usually possible to achieve a rigid erection that lasts up to 2 hours. Unlike oral medications, no manual stimulation of the penis is required, and the medicine takes effect after 5 – 15 minutes.
Two potential complications exist. However, both are extremely rare when patients use the medication correctly.
The first is priapism or a prolonged erection. This is when you have blood trapped in the penis, causing a rigid erection, that lasts for more than 4 hours. If the erection lasts too long, no fresh blood enters the penis and requires an urgent visit to the emergency room to prevent long-term damage. Priapism is, however, extremely rare when the medication is used correctly. We can work together to find an experienced physician who will help you find the correct dose, and show you exactly how the injections should be done.
The second potential complication is developing scar tissue in the lining of the penis. This is also extremely rare, especially when using the correct injection methods. It’s crucial that a different injection site on the penis is selected every time. You should also apply firm pressure to the injection site 5 minutes after the injection. Doing so will prevent bleeding inside the penis, which could cause the formation of scar tissue.
Many medications exist to which our bodies can quite easily build up a tolerance to. However, rest assured that none of the three injectable solutions to Erectile Dysfunction poses this risk. In fact, it is often the case the natural erections improve when they occur alongside the medication use. This is usually because of increased confidence, a more regular increase in oxygen, and healthy stretching and engorgement of the penis. Most men can use the injections for as long as required, across the span of their sexual lives.
Colloquially called Vacuum Pumps or Penis Pumps, VEDs are an alternative option to injection therapy and oral medications. The VED is a cylinder that goes over the penis while a vacuum is created by pumping the air out. Blood is pulled into the penis because of the vacuum, causing an erection, and a band is placed around the base of the penis to hold the blood in.
You must never use a non-medical penis pump / VED. Only high-quality medical VEDs have accurate pressure gauges as well as emergency valves to allow air into the cylinder immediately. Applying too much pressure can be harmful, and you should work with an experienced physician to help you determine the correct pressure and duration for you. It is also important not to let the band stay on the penis too long (usually no longer than 30 minutes) to make sure that fresh blood enters the penis.
Advantages of VEDs
They are a once-only purchase and using them usually does not take very long. Provided you use the correct pressure and do not leave the band on the base of the penis more than 30 minutes at a time, there are no side effects.
Disadvantages of VEDs
Some men dislike the way it feels when the penis is inside the vacuum. Other find the band along the base uncomfortable. However, the biggest reason that some men discontinue use is that they find the erection quality not to be sufficiently rigid. Please note that this is not only dependent on the tightness of the band, but also on the individual. If none of the other therapies works for you, it is still well worth trying VEDs.
MUSE is a pellet form of the medication Alprostadil (similar to the injectable, also known as Caverject). By using a disposable applicator, the pellet can be placed inside the tip of the penis (about 2cm deep) before intercourse. The tip of the penis is then compressed to prevent the medication from exiting prior to functioning.
Advantages of MUSE
Some men prefer this method because it does not require injections and usually produce erections quickly.
Disadvantages of MUSE
Unfortunately, a higher proportion of men do not get sufficiently rigid erections from using MUSE. Others experience an uncomfortable or burning sensation in the urethra after use. In extremely rare cases, it can also cause some patients’ blood pressure to drop.
If oral medications are not effective, and you prefer not to inject, it is still well worth trying this method as it may work well for you.
Unlike the injectable and pellet forms of Alprostadil, Vitaros is a cream application option that may prove much more comfortable and effective than MUSE applications.
Much like MUSE, the medication is applied to the tip of the penis to allow entry into the urethra. However, because Vitaros is in cream form, most patients report little to no discomfort by comparison to MUSE pellets.
The advantages are much the same as MUSE. However, patients less frequently discontinue use due to the improved application form.
Low-Intensity Extracorporeal Shock Wave Therapy (LI-ESWT) is a painless and new technique in the treatment of Erectile Dysfunction. In the past decade, it has proven to be highly effective in the treatment of most men who suffer from physiologically caused ED.
What is particularly wonderful about LI-ESWT is that it is one of the very few treatments that are aimed at curing the condition, not just treating it (as with oral and injectable medicines).
Patients usually attend 6 to 12 sessions. Each session lasts around 20 minutes. A Low-Intensity Shockwave applicator is used on different areas of the penis. The process is non-invasive, does not require any surgery, and there is little or no pain. Patients are able to continue their days as normal after the procedure, and can usually return to sexual activity within a day.
Because LI-ESWT works to provide a curative effect, it may allow patients who undergo the treatment to have spontaneous sexual interactions, without the need to plan medication. In the cases of men where the technique is not curative, it often reduces the amounts of medication necessary and improves the functional effects of the medication.
It is imperative to select an experienced physician to provide the treatment. There are several ‘clinics’ shooting up with wonder-claims, and rushing into the hands of an inexperienced practician could cause permanent damage.
I can work with you to refer you to trusted, experienced physicians who have achieved proven results. It is still essential to continue and complete the psychosexual aspect of counselling to gain the maximum benefit.
Please note that LI-ESWT will best useful patients who have suffered from arterial or circulatory damage to the penis itself. It is vital to identify whether you have suffered arterial damage in the first instance, before embarking on the treatment in blind hope.
Penile implants was one of the earliest treatments for Erectile Dysfunction. Penile prostheses are still used frequently for men who have not seen results using less invasive treatments. This form of treatment is especially useful for men with more debilitating conditions such as advanced diabetes or men who have undergone radical prostatectomies.
Two main types of penile implants are available. Both involve placing cylinders inside the erection chambers of the penis. They allow the patient to have a rigid erection when they are either inflated or bent upwards. The instruments and surgical techniques have made vast improvements over time, and today provide incredibly effective alternatives to other treatments.
Most modern prosthetics are inflatable and provide the ability to achieve a healthy, fully rigid erection. There is usually a reservoir containing saline that is pumped into the penis when an erection is desired. The pump is located inside the scrotum and even partners of men who have had the procedure, report never noticing it without having been told. The sensation and orgasm are identical, and when the erection is no longer needed, the fluid can be released easily through the release valve in the pump.
The surgical procedure is relatively quick, and pain is minimised by providing internal numbing agents that take 3-7 days to deplete. Some patients leave to go home the same day, while most are kept in the hospital overnight by their surgeons.
The treatment provides excellent results for men who want to continue experiencing normal and healthy sex lives, but have no other alternatives to treatment.
I work with a handful of physicians who are experienced at providing this surgery and can both refer and counsel you through the process successfully.
If you’d like more information on the successful treatment of erectile dysfunction, please contact me to schedule a Free Initial Consultation.
Client Feedback:
“It took me a week to build up the courage to text James the first time. I felt ashamed for not being able to keep an erection and I didn’t know how I would survive telling that to another man.
The medications my doctor prescribed me weren’t helping. I decided that I had to do something because the idea of living like this forever was much worst than whatever shame I had to live through in treatment. I was literally shaking when I called but after we chatted for a while I felt like I was safe and respected.
He listened carefully to everything I had to say and in the end said “We WILL fix this together”. His confidence and reassurance helped a great deal to relax me.
I’ve never had such thorough care before. He didn’t make any assumptions. He took a full medical and personal history and arranged for me to get the tests I needed to rule any medical problems out. He helped me to understand that even if a medical issue was the cause, psychological damage happens as a result and needs to be worked on alongside any medical issues.
In my case I didn’t have any medical causes and over the 15 sessions we had together he helped me to get my confidence (and erections) back. I’m no longer single and my sex life has never been this great! I can’t recommend James highly enough.”
Peter, Bournemouth, UK
Premature
Ejaculation
Master the sex you love. Find the causes and learn to control premature ejaculation.
Desire
Differences
Learn to navigate libido in your relationship. Rediscover intimacy and passion.
Porn
Addiction
Heal from pornography saturation. Renew your sensitivity and reset your sexual fantasies.
Premature
Ejaculation
Master the sex you love. Find the causes and learn to control premature ejaculation.
Desire
Differences
Learn to navigate libido in your relationship. Rediscover intimacy and passion.
Porn
Addiction
Heal from pornography saturation. Renew your sensitivity and reset your sexual fantasies.