Erectile dysfunction

Erectile dysfunction, or ED, is the most common sex problem that men report to their doctor. It affects as many as 30 million men.

ED is defined as trouble getting or keeping an erection that’s firm enough for sex.

Though it’s not rare for a man to have some problems with erections from time to time, ED that is progressive or happens routinely with sex is not normal, and it should be treated.

ED can happen:

  • Most often when blood flow in the penis is limited or nerves are harmed 
  • With stress or emotional reasons
  • As an early warning of a more serious illness, like: atherosclerosis (hardening or blocked arteries), heart disease, high blood pressure or high blood sugar from Diabetes

Finding the cause(s) of your ED will help treat the problem and help with your overall well-being. As a rule, what’s good for your heart health is good for your sex health.  One way to treat ED is with the drug Sildenafil, commonly known by its brand name, Viagra.  


Sildenafil (Viagra) is used to treat erectile dysfunction (impotence; inability to get or keep an erection) in men.  Sildenafil treats erectile dysfunction by increasing blood flow to the penis during sexual stimulation. This increased blood flow can cause an erection. 

If you are taking sildenafil to treat erectile dysfunction, you should know that it does not cure erectile dysfunction or increase sexual desire. Sildenafil does not prevent pregnancy or the spread of sexually transmitted diseases such as human immunodeficiency virus (HIV).
We are currently offering Sildenafil for our existing patients, for purchase online, with discreet delivery to your home.  (Order here). Existing patients can also enroll in a Sildenafil subscription.   New patients, please fill out this form to schedule an appointment to determine if Sildenafil is right for you.
For patients where Sildenafil is not an option, a revolutionary new treatment, currently available only in North America, is available,  The Alma Duo laser.   

Alma Duo

The Alma Duo laser treatment is an in-office treatment that uses gold standard shock wave technology, focused low-intensity extracorporeal shock wave therapy (LI-ESWT), clinically validated to stimulate better blood flow and restore his natural sexual performance – bringing spontaneity back to his life.

• Globally, 322MM men is projected to suffer from sexual performance issues due to declining vascular function by 2025
• Alma Duo is a quick, 15-minute in-office treatment
• No topical anesthetic and no downtime required.
• No pills. No needles. No surgery.
• Long-lasting results clinically validated at least 2 years post treatment.Our practice is proud to feature the Alma Duo Laser treatment for men and woman. For more information on Alma Duo, please visit our Alma Duo site, and schedule an appointment to talk to Dr. Pasin or Dr. Chevinky

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