Erectile Dysfunction Treatment in Plano, TX
With extensive OBGYN residency training at Arrowhead Regional Medical Center, she is dedicated to providing expert, patient-centered care.
| Condition | Effect on ED | Additional Considerations |
|---|---|---|
| Diabetes | Damages blood vessels | Tight glycemic control recommended |
| Hypertension | Impairs blood flow | Medications may contribute to ED |
| Obesity | Reduces vascular health | Weight loss can help |
| Heart Disease | Limits blood circulation | Cardiac evaluation required |
Honolulu Award Program Honors the Achievement HONOLULU March 27, 2023 — Wellness OBGYN has been selected for the 2023 Best of Honolulu Award in the Medical Office category by the Honolulu Award Program. Each year, the Honolulu Award Program identifies companies that we believe have achieved exceptional marketing success in their local community and business category. These are local companies that enhance the positive image of small business through service to their customers and Dr. Cheryl Twu talks about endometriosis with Dr Stephanie Han on HPR's The Conversation. Hawaii Public Radio's The Body Show by Dr.
- Avoiding medication side effects that cause ED.
- Managing chronic health conditions effectively.
- Psychological support for emotional factors.
- Consuming a balanced diet rich in flavonoids.
Kathy Kozak: Dr. Cheryl Twu talks about some of the latest updates in Womens Health. Listen for Dr.
What Treatments Might Not Work for Erectile Dysfunction?
In addition, men who take tadalafil or vardenfil should use alpha blockers with care and only as instructed by their physician, as they could result in hypotension (abnormally low blood pressure). Experts recommend that men have a complete medical history and physical examination to determine the cause of ED. Men should tell their doctor about all the medications they are taking, including over-the-counter medications. Men with medical conditions that may cause a sustained erection, such as sickle cell anemia, leukemia, or multiple myeloma, or a man who has an abnormally-shaped penis, may not benefit from these medications. Also, men with liver diseases or a disease of the retina, such as macular degeneration or retinitis pigmentosa, may not be able to take these medications, or may need to take the lowest dosage.
How to Move Forward
These medical treatments should NOT be used by women or children. Elderly men are especially sensitive to the effects of these medical treatments, which may increase their chance of having side effects. Testosterone replacement therapy may improve energy, mood, and bone density, increase muscle mass and weight, and heighten sexual interest in older men who may have deficient levels of testosterone. Testosterone supplementation is not recommended for men who have normal testosterone levels for their age group due to the risk of prostate enlargement and other side effects. Testosterone replacement therapy is available as a cream or gel, topical solution, skin patch, injectable form and pellet form placed under the skin. Cheryl Twu on Hawaii Public Radio's The Body Show by Dr.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Kamagra Polo | 100mg | 12 Pills | 60.21€ 57.34€ | |
| Cialis Generic | 40mg | 120 + 8 Pills | 206.98€ 197.12€ | |
| Levitra Original | 20mg | 22 + 2 Pills | 138.55€ 131.95€ | |
| Levitra Soft Tabs | 20mg | 10 Pills | 52.27€ 49.78€ | |
| Cialis Generic | 40mg | 60 + 6 Pills | 130.98€ 124.74€ | |
| Cialis Generic | 60mg | 360 + 10 Pills | 570.52€ 543.35€ | |
| Viagra Professional | 100mg | 60 + 2 Pills | 146.74€ 139.75€ | |
| Viagra Generic | 100mg | 90 + 6 Pills | 129.02€ 122.88€ | |
| Cialis Generic | 2.5mg | 270 + 10 Pills | 199.64€ 190.13€ | |
| Priligy Generic Dapoxetine | 60mg | 10 Pills | 47.63€ 45.36€ | |
| Kamagra Soft Tabs | 100 mg | 180 + 8 Pills | 425.45€ 405.19€ | |
| Cialis Original | 20mg | 4 Pills | 41.99€ 39.99€ | |
| Cialis Black | 80mg | 360 + 20 Pills | 639.78€ 609.31€ |
Kathy Kozak.
About the Author
At Wellness OBGYN, we empower women with personalized care through every stage of life—from adolescence to menopause. Located in the heart of Honolulu, we provide a welcoming space for informed, holistic wellness Located in the heart of Honolulu at the Ala Moana Building, Wellness OBGYN is dedicated to guiding you through every stage of life from adolescence to adulthood, maternity, and menopause. Our goal is to empower you with the knowledge and care needed to achieve optimal wellness. With a focus on patient-centered care and shared decision-making, we provide a supportive, welcoming environment where you feel confident in your health choices. In today’s world, taking control of your well-being is essential. Dr.
Why trust our experts?
Specific treatment for erectile dysfunction will be determined by your doctor based on: Your age, overall health, and medical history Your age, overall health, and medical history Your tolerance for specific medications, procedures, or therapies Your tolerance for specific medications, procedures, or therapies Expectations for the course of the disease Expectations for the course of the disease Some of the treatments available for ED include: A prescription medication taken orally for the treatment of ED. This drug works best when taken on an empty stomach and many men can get an erection 30 to 60 minutes after taking the medication. Sexual stimulation is required for sildenafil citrate to have the best efficacy. A prescription medication taken orally for the treatment of ED. This drug has a similar chemical structure to sildenafil citrate and works in a similar manner.
Battery-powered penis pump for erectile dysfunction
Studies have indicated that tadalafil citrate stays in the body longer than other medications in its class. Most men who take this medication find that an erection occurs within 4 to 5 hours after taking the pill (slow absorption) and the effects of the medication may last up to 24 to 36 hours. The FDA recommends that men follow general precautions before taking a medication for ED. Men who are taking medications that contain nitrates, such as nitroglycerin, should NOT use these medications. Taking nitrates with one of these medications can lower blood pressure too much. Twu’s practice takes things to the next level when it comes to women’s health. She is incredibly caring and a true expert in her field.
| Level of Alcohol Consumption | Impact on ED | Notes |
|---|---|---|
| Moderate (1-2 drinks/day) | No significant effect | Safe for most men |
| Heavy drinking (>3 drinks/day) | Increased risk of ED | Can impair blood flow |
| Binge drinking | Temporary ED, long-term risk | Immediate impairment |
My wellbeing has increased exponentially since I started working with her and I can’t recommend her enough. This was my first visit to this doctor, a referral from my retiring GYN.
Everything You Need to Know About ED
Let us be your trusted partner on this journey. At Wellness OBGYN, we provide expert, compassionate care tailored to your unique needs. From routine check-ups to advanced treatments, our team is here to support your journey to optimal health and well-being Board-Certified OBGYN 17+ Years of Experience Dr. Cheryl Twu is a Board-Certified OBGYN specializing in minimally invasive surgery, including Da Vinci robotic-assisted procedures. She earned her Neuroscience degree from UCLA, a Master’s in Eastern Medicine & Acupuncture, and completed medical school at Touro University. Updated me on current recommendations for various tests. Took interest in what I told her about my past history. Most importantly, she did not rush through my appt.! So, we had the opportunity to get to know each other and form the basis for a trusting relationship.
About the Reviewer
A lack of communication is the primary barrier for seeking treatment and can prolong the suffering. The loss of erectile capacity can have a profound effect on a man. The good news is that ED can usually be treated safely and effectively. Feeling embarrassed about sexual health problems may prevent many men from seeking the medical attention they need, which can delay diagnosis and treatment of more serious underlying conditions. Erectile Dysfunction itself is often related to an underlying problem, such as heart disease, diabetes, liver disease, or other medical conditions.
10 Men's Sexual Health Questions That Are Too Embarrassing to Ask
Since ED can be a forewarning symptom of progressive coronary disease, doctors should be tadalis sx 20 mg more direct when questioning patients about their health. By asking patients more directly about their sexual function through conversation or a questionnaire during a checkup, doctors may be able to detect more serious health conditions sooner. Dr. Adrian Dobs and her team are interested in finding out whether men could benefit from testosterone replacement therapy as they age. the active pursuit of good physical and mental health. This is the key to good patient care!!!
Frequently Asked Questions (FAQs) About Erectile Dysfunction
Two types of implants are used to treat ED, including: Inflatable Penile Prosthesis (3-piece hydraulic pump). A pump and two cylinders are placed within the erection chambers of the penis, which causes an erection by releasing a saline solution; it can also remove the solution to deflate the penis. Inflatable Penile Prosthesis (3-piece hydraulic pump). Two semi-rigid but bendable rods are placed within the erection chambers of the penis, which allows manipulation into an erect or non-erect position. Infection is the most common cause of penile implant failure and occurs less that 2 percent of the time.
Avoid drugs and limit alcohol
Implants are usually not considered until other methods of treatment have been tried but they have a very high patient satisfaction rate and are an excellent treatment choice in the appropriate patient. Erectile dysfunction can cause strain on a couple. Many times, men will avoid sexual situations due to the emotional pain associated with ED, causing their partner to feel rejected or inadequate. It is important to communicate openly with your partner. Some couples consider seeking treatment for ED together, while other men prefer to seek treatment without their partner's knowledge. Thank you for providing such a pleasant visit & contributing to keeping me well.
What are the common causes of erectile dysfunction?
This may reveal conditions or diseases that lead to impotence and help distinguish among problems with erection, ejaculation, orgasm, or sexual desire. To look for evidence of systemic problems, such as the following: A problem in the nervous system may be involved if the penis does not respond as expected to certain touching. Secondary sex characteristics, such as hair pattern, can point to hormonal problems, which involve the endocrine system. Circulatory problems could be indicated by an aneurysm. Unusual characteristics of the penis itself could suggest the basis of the impotence.
Intraurethral gels
A problem in the nervous system may be involved if the penis does not respond as expected to certain touching. These can include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. Measurement of testosterone in the blood is often done in men with ED, especially with a history of decreased libido or diabetes. This is done to help reveal psychological factors that may be affecting performance. The sexual partner may also be interviewed to determine expectations and perceptions encountered during sexual intercourse. Dr. Twu also instructed me to reschedule my mammogram further out & allow two months after my 2nd COVID vaccine. When researching your options for purchasing erectile dysfunction/ED medication, you’ll often read that tadalafil and sildenafil, the generic versions of Cialis and Viagra, respectively, are interchangeable. Both are PDE-5 inhibitors that relax the smooth muscles of the blood vessels, allowing more blood into the penis to create and maintain a harder erection.
- Testosterone therapy if low hormone levels cause ED.
- Psychological counseling for psychological causes.
- Lifestyle changes: exercise, healthy diet, weight loss.
- Managing underlying conditions like diabetes and hypertension.
However, less discussed are the distinct sexual patterns of a man in a long-term committed relationship with their wife or partner versus the single or divorced man who’s on the dating scene.