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What Is Erectile Dysfunction?

Erectile dysfunction (impotence) is the inability to get and keep an erection firm enough for sex. ED is commonly confused as noting being able to get an erection at all, but getting anything short of a healthy erection falls under the category of erectile dysfunction as well. In addition, the persistent or recurrent inability to achieve or maintain an erection good enough to complete your chosen sexual activity satisfactorily, whether that’s masturbation, oral sex,  vaginal or anal intercourse.

The symptoms of ED may include:

  • Trouble getting an erection
  • Trouble keeping an erection
  • Reduced sexual desire
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You may be at a greater risk for erectile dysfunction for a number of reasons. Aside from being part of the aging process, other reasons for erectile dysfunction (also known as ED) include but are not limited to:

  • Having a psychological condition like anxiety, depression, or stress,
  • If you suffer from medical conditions such as a heart disease or diabetes
  • Use of tobacco, drugs and alcohol
  • Obesity
  • Are undergoing medical treatment such as radiation treatment for cancer
  • Taking medications such as antihistamines, high blood pressure medications, or antidepressants
  • Have an injury that might damage the nerves or arteries that contribute to erections.

Looking for Erectile Dysfunction Treatment in Miami? Healthy Me Medical Therapies realizes that aging well often involves some lifestyle changes. We have a variety of testing that will help us get to the root of your Erectile Dysfunction (aka ED Treatment). If you are experiencing a decline in sexual, physical and mental functions, it is important to check your sexual & and thyroid hormone levels. Set an appointment with Dr. Carlos Sanchez to see which ED Treatment modality is right for you.

The penis is much like a barometer for the rest of the body. A measure that something more serious exists or is on the way. On a related note, ED can also stem from an unhealthy lifestyle, including smoking, alcohol and drug use, and obesity. These can all lead to more serious health issues down the road. A younger man with ED may be suffering from some kind of mental block. That being said he should get checked for physical causes as well. ED at a younger age could actually indicate an even more serious underlying case of heart disease than in an older man with ED. Furthermore, we have seen hormone imbalances in men as early as their late 20’s and early 30’s.



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What Are The Causes of Erectile Dysfunction?

There are many possible causes of ED.  They can include both emotional and physical conditions. Common causes include but are not limited to:

  • Cardiovascular disease
  • Diabetes
  • Hypertension, or high blood pressure
  • High cholesterol
  • Obesity
  • Low testosterone levels or other hormone imbalances
  • Kidney disease
  • Increased age
  • Stress, anxiety or depression
  • Relationship problems
  • Certain prescription medications such as those used to treat high blood pressure or depression
  • Sleep disorders
  • Drug use such as consuming too much alcohol, using tobacco products,
  • Certain health conditions such as Parkinson’s disease or Multiple Sclerosis (MS)
  • Damage to the pelvic area through injury or surgery
  • Peyronie’s disease which causes scar tissue to develop in the penis
  • ED can be caused by only one of these factors or by several of them

The main psychological causes of ED are Relationship conflicts, Stress and anxiety, Depression (90% of men affected by depression also have complete or moderate ED), Unresolved sexual orientation, Sexual boredom

How Does Healthy Me Medical Therapies Treat Erectile Dysfunction?


Men can take a group of drugs called PDE-5 (phosphodiesterase-5) inhibitors. Most of these pills are taken 30 to 60 minutes before sex – the best known being the blue-colored pill sildenafil (Viagra). Other options are: vardenafil (Levitra), tadalafil (taken as a once-daily pill called Cialis), avanafil (Stendra)

PDE-5 inhibitors are only available through a doctors prescription. Dr. Carlos Sanchez and the ED Treatment experts at Healthy Me Medical Therapies in Miami Shores will check for heart conditions and ask about other medications being taken before prescribing PDE-5 inhibitors.

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Testosterone Optimization

At Healthy Me Medical Therapies in Miami Shores, we take a holistic approach to patient health. That is why if you are suffering from symptoms of ED, Dr. Carlos Sanchez will order a rigorous blood panel and physical examination. This is in addition to a medical questionnaire. After you are taken through the process, it may be revealed that low testosterone (low T) may be the culprit of your erectile dysfunction difficulties. Whether it is the root cause or part of it, a proper testosterone replacement therapy program with Healthy Me Medical Therapies can be just what the doctor ordered to reverse your symptoms.


Also known as bremalanotide or Vyleesi, it is created from from Melanotan 2 (a synthetic version of alpha-Melanocyte stimulating hormone). PT-141 has been used to enhance sexual function in both men and women.


Commmonly referred to as “The Sex Peptide”, PT-141 binds to melanocortin receptors. PT-141 peptide therapy elicits the release of dopamine hormones. This enhances your sexual performance and may aid in stimulating sexual motivation.

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What Are The Symptoms of Erectile Dysfunction (ED)?

Men may not always successfully achieve an erection, and if this rarely happens, it is not considered a medical problem. However, ED does not only refer to a complete inability to achieve an erect penis. Symptoms can also include struggling to maintain an erection for long enough to complete intercourse or an inability to ejaculate.

There are often also emotional symptoms, such as embarrassment, shame, anxiety, and a reduced interest in sexual intercourse. A man is considered to have ED when these symptoms occur regularly.

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Frequently Asked Questions for Erectile Dysfunction Treatment in Miami

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It’s hard to know. Health providers now realize that most men have an underlying physical cause of ED. For most patients, there are both physical and emotional factors that lead to Erectile Dysfunction. It is very difficult to prove that there is no psychological part to a man’s ED problems.

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If I worry about being able to get an erection, can I make a bad condition worse?

Nothing happens in the body without the brain. Worrying about your ability to get an erection can make it difficult to get one. This is called performance anxiety and can be overcome with education and Miami Erectile Dysfunction treatment at Healthy Me Medical Therapies.

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Is Erectile Dysfunction a Normal Part of Aging?

No. ED doesn’t have to be a part of getting older. It may be true that older men may need more stimulation (such as stroking and touching) to achieve an erection. That being said they should still be able to get an erection and enjoy sex.

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How Successful Are Medications Such as Viagra at Treating ED in Diabetics?

Medications such as avanafil (Stendra), sildenafil citrate (Viagra), tadalafil (Cialis), and vardenafil (Levitra, Staxyn) are often successful therapy for erectile dysfunction in men, with a minimum of side effects. They are referred to as PDE5 inhibitors.

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Can ED be cured with Miami Erectile Dysfunction Treatment?

If we are able to find the underlining cause of the problem, it is possible to find a solution and reversing symptoms of Erectile Dysfunction. Therefore, sexual therapy treatment –in erectile dysfunction cases of a psychological origin or promoting healthy lifestyles regarding vascular erectile dysfunction– can be effective. We have reversed many cases of ED with our Miami Erectile Dysfunction treatment.

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Can Erectile Dysfunction Be Prevented?

ED Can be prevented in a number of different ways. Firstly, by reducing the following risk factors for heart disease the chances of erectile dysfunction may lower dramatically. This includes but is not limited to:

  • Getting to or maintaining a desirable weight
  • Eating a healthy diet
  • Quitting smoking
  • Drinking less or no alcohol
  • Keeping your cholesterol and blood pressure in check

Lasatly, by getting more physical activity, you will also be reducing your risk factors for ED.

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I have ED, do I give up?

Many men believe that when erection problems appear, sex life is over. However, this does not only include erection and penetration practices. On the other hand, in addition to exploring other sexual methods, it is possible to successfully identify and treat erection problems and restore your sex life.

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How often is ED a sign of something more serious?

ED may or may not be a sign of something more serious. That being said, because obtaining an erection involves healthy blood flow, erectile dysfunction  means that cardiovascular disease, high blood pressure, or high cholesterol could be the culprit. At Healthy Me Medical Therapies in Miami Shores, our Miami Erectile Dysfunction treatment involves rigorous testing. This includes a full check up by our ED Specialists and a blood panel testing your hormone levels. A hormone imbalance such as low testosterone can very well be the culprit to your erectile dysfunction. If the root cause is found and addressed, the chances of reversing your erectile dysfunction symptoms may increase dramatically.

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