top of page

Erectile Dysfuncion

At MetroMed, we understand the sensitive nature of this issue and are here to introduce a comprehensive and discreet treatment service tailored to restore confidence and vitality.


With a focus on personalized care, we offer a range of interventions, that follow the latest medical guidelines , designed to address the unique needs of each individual.


Explore our services and take a step toward reclaiming a fulfilling and satisfying quality of life. Your journey to enhanced sexual wellness begins here.

Erectile dysfuction

What is Erectile Dysfunction?

Erectile dysfunction (ED) is a common condition characterized by the consistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It can be caused by a variety of factors, including physical, psychological, or a combination of both. Physical factors may include cardiovascular issues, diabetes, hormonal imbalances, and neurological disorders. Psychological factors, such as stress, anxiety, or depression, can also contribute to ED. Lifestyle choices like smoking, excessive alcohol consumption, and a sedentary lifestyle may exacerbate the condition.

Erectile dysfunction (ED) can result from a variety of causes, which may be physical, psychological, or a combination of both. The main causes include:

  1. Vascular Issues: Conditions that affect blood flow to the penis, such as atherosclerosis (narrowing of the arteries), hypertension, or cardiovascular diseases, can contribute to ED.

  2. Neurological Disorders: Conditions that affect the nervous system, such as multiple sclerosis, Parkinson's disease, or spinal cord injuries, may disrupt the signals between the brain and the penis, leading to ED.

  3. Hormonal Imbalances: Low levels of testosterone or other hormonal imbalances can impact sexual function and contribute to ED.

  4. Psychological Factors: Stress, anxiety, depression, and other mental health issues can interfere with sexual performance. Performance anxiety related to sexual activity is a common psychological cause.

  5. Medications and Substance Abuse: Certain medications, including some antidepressants and antihypertensives, as well as substance abuse like excessive alcohol or drug use, can contribute to ED.

  6. Lifestyle Factors: Unhealthy lifestyle choices such as smoking, lack of exercise, and poor diet can contribute to ED by affecting overall cardiovascular health.

  7. Age: While not a direct cause, aging can contribute to ED due to the natural decline in testosterone levels and the increased likelihood of underlying health conditions.

What Causes Erectile Dysfunction?

What are the Symptoms of Erectile Dysfunction?

  1. Difficulty Achieving Erection: Inability to attain an erection, even with sexual arousal and stimulation.

  2. Difficulty Maintaining Erection: Inability to keep an erection firm enough for sexual intercourse.

  3. Reduced Sexual Desire: A decrease in libido or interest in sexual activities.

  4. Premature Ejaculation: While not a direct symptom of ED, some men with ED may experience premature ejaculation due to anxiety or heightened sensitivity.

  5. Delayed Ejaculation: Difficulty in reaching orgasm or delayed ejaculation, which may also be associated with ED.

It's essential to differentiate between occasional episodes of difficulty with erection and persistent, recurring issues indicative of ED. Occasional instances of difficulty may not necessarily be a cause for concern, but persistent symptoms warrant attention and evaluation by a healthcare professional. ED can be related to various physical and psychological factors, and seeking medical advice is crucial for an accurate diagnosis and appropriate treatment.

Myth: Only older Men Experience Erectile Dysfunction

Erectile dysfunction (ED) can affect men of all ages, although the prevalence tends to increase with age. It's important to note that occasional difficulty achieving or maintaining an erection is common and doesn't necessarily indicate ED. However, when the problem becomes persistent, it may be a cause for concern.​

In younger patients, even as early as in their 20s - there is a condition called Psychogenic Erectile Dysfunction

Psychogenic erectile dysfunction (ED) refers to difficulties in achieving or maintaining an erection that are primarily related to psychological factors rather than physical causes. While physical factors such as vascular issues or hormonal imbalances can contribute to ED, psychogenic ED is rooted in emotional or mental health aspects. Common psychological factors associated with psychogenic ED include:

  1. Performance Anxiety: Fear of not being able to perform sexually can create stress and anxiety, leading to difficulties in achieving or maintaining an erection.

  2. Stress and Anxiety: High levels of stress, whether related to work, relationships, or other life events, can significantly impact sexual function.

  3. Depression: Mental health conditions, including depression, can contribute to a decrease in libido and sexual performance.

  4. Relationship Issues: Conflicts, communication problems, or emotional distance within a relationship can influence sexual function.

  5. Past Trauma or Sexual Abuse: Previous traumatic experiences, especially those related to sexual abuse, can contribute to psychogenic ED.

  6. Negative Sexual Experiences: Previous episodes of sexual failure or dissatisfaction may create a psychological barrier to achieving or maintaining an erection.

Treatment for psychogenic ED often involves addressing the underlying psychological factors. This may include counseling or therapy to help individuals cope with stress, anxiety, or relationship issues. Open communication with a healthcare professional is crucial for an accurate diagnosis and the development of an appropriate treatment plan.

Several medications are commonly prescribed to treat erectile dysfunction (ED), and they work by increasing blood flow to the penis to help achieve and maintain an erection. The most common ED medications belong to a class of drugs called phosphodiesterase type 5 (PDE5) inhibitors. Here are some well-known examples:

  1. Sildenafil (Viagra): Sildenafil is one of the most widely known and prescribed medications for ED. It is usually taken about 30 minutes before sexual activity and can last for about four to six hours.

  2. Tadalafil (Cialis): Tadalafil has a longer duration of action, up to 36 hours, and is often referred to as the "weekend pill." It can be taken as needed or in a lower daily dose for continuous effectiveness.

  3. Vardenafil (Levitra, Staxyn): Similar to sildenafil, vardenafil is a PDE5 inhibitor that helps increase blood flow to the penis. It is typically taken 30 to 60 minutes before sexual activity.

  4. Avanafil (Stendra): Avanafil is a newer PDE5 inhibitor with a faster onset of action, often within 15 minutes. It can be effective for up to six hours.

It's important to note that these medications may not be suitable for everyone, and their use should be discussed with a healthcare professional. They also come with potential side effects and contraindications, particularly for individuals taking nitrate medications or those with certain medical conditions. A thorough medical evaluation is necessary before starting any ED medication.

Common Treatments

Man with Beard


90$ Consultation


Cost of Medication

We will work with your insurance, our compounding pharmacies to offer you a variety of options at reasonable prices

Get Started Today

Thank you for submitting!

Happy man
bottom of page