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Erectile Dysfunction

With men seeking to optimize their health, one of the most frequent complaints is a declining sex drive coupled with a measure of erectile dysfunction.

Find answers to your questions with these useful articles

What is Erectile Dysfunction?

Please remember that resolving erectile dysfunction is a whole body and mind wellness issue, and a long list of health benefits come from frequent healthy sex. 

Sex decreases stress, depression, pain, and risk of cancer. Having sex twice weekly even reduces your risk of having a heart attack by 50%. Sex also increases your sense of well-being and improves your immune system, bladder health, sleep quality, self-esteem, and even longevity.

The term itself, ‘erectile dysfunction, describes a variety of conditions: inability to get an erection, dissatisfaction with the size or hardness of your erections, and erections that do not last.

Erectile dysfunction is commonly a symptom of another underlying problem. Because there are many causes of erectile dysfunction, there are also many treatments. Depending on the reasons, an integrative medicine approach optimizes the return of your healthy sex life because the healing-oriented care is mindful of the whole person, including all aspects of your lifestyle.

Serenity values the therapeutic relationship between practitioner and patient, we are driven and supported by evidence, and we utilize appropriate custom therapies.

What are the Causes of Erectile Dysfunction?

Erections occur due to a complex system of hormones, emotions, and vascular and neurological systems all working together. 

An erection starts with cerebral or sensory stimulation, and sometimes both. The brain produces impulses, and local nerves trigger the muscles of the penis to relax, allowing blood to flow through the arteries.

A malfunction in any of these processes can create difficulty obtaining or maintaining an erection and erectile dysfunction.

Any process along the way can interfere with the nerve signals or the proper function of blood vessels and can result in erectile dysfunction.

Erectile dysfunction is often an early warning sign

You should not ignore erectile dysfunction because it might indicate a more serious underlying disease. Some of the common causes are: 

  • Diabetes
  • Heart and vascular disease
  • Kidney disease
  • Neurologic disorders
  • Medications (medications for depression and blood pressure are the most common)
  • Smoking and alcohol use
  • Low Testosterone
  • Certain treatments for prostate cancer and enlarged prostate
  • Peyronie’s disease (curvature of the penis)

Among most men, the leading physical cause of erectile dysfunction is a microvascular disease (inflammation of the small blood vessels in your body) caused by heart disease, high cholesterol and diabetes. 

Secondary physical causes of erectile dysfunction can include various situations, typically related to insufficient blood flow to the penis – Hormonal imbalances: low testosterone, low DHEA and adrenal fatigue.

Common erectile problems are also caused by:

  • Low testosterone
  • Low vitamin D
  • Low B vitamins
  • High cholesterol and triglycerides
  • Pre-diabetes
  • Obesity
  • Hypertension
  • Stress (excessive working hours, relationship or financial difficulties).
  • Sedentary lifestyles
  • Toxicity (excessive prescriptions, tobacco, alcohol, drugs, poor food quality)

Identifying and treating these things provides your best chance for success – not only curing your erectile dysfunction but also revolutionizing your health and impacting all aspects of your life.  

Our patients experience improved relationships and a long-forgotten vitality. 

Once the causative factors are identified and treated, it is time to regenerate the damaged erectile tissue.

Our erectile dysfunction treatments

Count on Serenity to provide the necessary resources for maximum effectiveness:

  • Treatment by a highly trained physician in Bio-identical Hormone Replacement Therapy
  • A thorough review of personal and family medical history
  • A comprehensive review of symptoms
  • Hormone level testing and a cardiometabolic panel
  • Programs tailored to alleviate precise symptoms based on personal medical history and lab result analysis
  • Compounded hormones and supplements
  • Ultrasound Therapy
  • Amino acid Therapy
  • Platelet-Rich Plasma (PRP) & Exosomes
  • Nutritional and fitness recommendations and support
  • Erectile dysfunction ultrasound therapy

    Serenity’s Ultrasound Therapy effectively treats erectile dysfunction, Peyronie’s disease and optimizes sexual performance. Ultrasound Therapy is effective because it focuses on the root cause of erectile dysfunction for many men – poor blood flow. Treatment is non-invasive, all-natural and produces long-term patient results.

    The natural aging process for a man’s penis results in decreased blood flow, reduced strength, less sensitivity, and the blood vessels turn thin.

    Ultrasound Therapy uses new technology that uses low-frequency high- amplitude sound waves to remove “Micro-plaque” clogging the arteries that deliver blood to the genitals.  

    The treatment involves using a small handheld wand-like device placed on the penis (in a similar way an ultrasound is performed) to deliver mild shockwaves to the penis.

    Studies have determined Ultrasound Therapy is associated with new blood vessel growth and (in animal studies) recruitment of stem cells to the penis. These blood vessels, now rejuvenated, produce greater blood flow, enabling more prolonged and more potent erections.

    Ultrasound Therapy is similar to lithotripsy technology, the standard treatment protocol for breaking up kidney stones. However, in this case, the energy output has been reduced, making it safe for sensitive erectile tissue – yet strong enough to break up micro plaque in the arteries and stimulate regeneration of worn-out tissue. 

    In just six to twelve 20-minute sessions, Serenity’s Erectile Dysfunction Ultrasound Therapy can get you on the road to enhanced sexual performance.

    Contact us to start your treatment

  • Supplements & herbs to resolve ED

    Studies support the judicious use of high-quality dietary supplements to treat erectile dysfunction. The world of supplements and herbal treatments for erectile dysfunction is vast. Your existing nutrient deficiencies and other factors will guide us to find the right combination.

    According to the Mayo Clinic, the following supplements may help treat erectile dysfunction:  

    • Some evidence shows that dehydroepiandrosterone (DHEA) increases libido in women and helps erectile dysfunction in men.   
    • L-arginine is an amino acid that may help expand blood vessels and increase blood flow. Ginseng showed to improve sexual function in men with erectile dysfunction. 
    • Beyond this, a popular supplement is zinc with copper, considered an essential component of many erectile dysfunction treatment plans for men. 

    A 1996 study examined zinc supplementation in older men. The study documented that with increased zinc consumption, testosterone levels in the elderly population of the study nearly doubled. This evidence supports zinc impacting testosterone production, essential in treating erectile dysfunction. In 2009, animal research tested the correlation between zinc and sexual function. The investigation determined that zinc positively affects arousal and maintaining an erection.

    Shop for supplements

  • Erectile Dysfunction and Vitamin D

    Vitamin D is an essential ingredient supporting your health and known for strengthening your bones. You get a significant amount of your vitamin D from the sun: The sunlight stimulates your body’s natural production of vitamin D, which in turn supports your metabolism and strengthens your bones. 

    But winter days are shorter in northern latitudes, and the sun’s angle in the sky stays low. Unfortunately, that means many people miss out on the benefits of sunlight. In fact, due to inadequate dietary intake and lack of sun, low vitamin D status is endemic in Serenity’s home state of Wisconsin.   

    Though vitamin D is primarily known to help bone health, a recent study found it also improves erectile dysfunction. The International Journal of Endocrinology published that men who received vitamin D supplements showed increased testosterone levels and improved erectile function (after vitamin D replacement therapy).

    The study proposed several possible mechanisms for vitamin D’s effect on combating erectile dysfunction. For example, vitamin D could improve endothelial integrity, and vitamin D may directly protect endothelial cells against oxidative stress. Alternatively, the activation of vitamin D by the antioxidant pathway may produce nitric oxide, which promotes penile vascular dilation. 

    The important takeaway here for men is understanding how our environment contributes to erectile dysfunction and that our lives can encompass numerous causative factors, all contributing to varying degrees of erectile dysfunction. 

    The good news is our integrative medicine approach is designed to surface all that may be hindering your sexual vitality, end erectile dysfunction, and optimizes your return to a healthy sex life. 

    Serenity’s virtual dispensary – Shop for Vitamin D

  • Nutritional Therapy for erectile dysfunction

    The human body is complex, with the function of one system directly or indirectly affecting other systems. 

    Erectile dysfunction can involve numerous parts and processes of the body, including the brain, nervous systems, muscles, blood vessels, and hormones. 

    In the Massachusetts Male Aging Study, a diet focused on natural foods like fruit, whole grains, vegetables, and fish — while minimizing red and processed meat and refined grains — decreased the likelihood of erectile dysfunction.  

    So while there’s no miracle food to prevent erectile dysfunction, there is some evidence that certain foods may help in that what you eat may affect your performance. 

    Because treatments have possible side effects (in addition to their benefits), we usually first look at lifestyle changes, such as modifying your diet for a positive impact because of the minimal potential side effects.   

    The first step is to order blood tests to screen for nutritional deficiencies. Even with a healthy diet, deficiencies arise because of genetics, absorption issues, or environmental factors. 

    One example is vitamin D. For those in northern latitudes, the only way to get enough vitamin D is to supplement. We will work with you to craft an optimized diet to build a robust vascular system and counter erectile dysfunction. Remember, a healthy vascular system means that the heart works well and pumps blood throughout the body- including the penis. 

    Yes, some foods facilitate and foster healthy blood flow.  

    For example, foods such as spinach and other leafy greens are high in nitrates. Nitrates are vasodilators that help open constricted blood vessels, thereby increasing blood flow. 

    Pistachios have Arginine, a protein helpful in relaxing blood vessels and improving circulation.  

    Watermelon contains an antioxidant called phytonutrients, which are also helpful in relaxing blood vessels and may positively relieve erectile dysfunction symptoms.  

    Dark red fruits like tomatoes and grapefruits contain lycopene, which promotes healthy circulation.  

    This is just a sampling of foods that may have an ingredient directly affecting circulation and indirectly erectile dysfunction. Together we can establish a diet optimized to return you to full vitality. 

    Contact us for nutritional guidance

First visit. Your next steps for treating erectile dysfunction

Serenity’s team of experience ED physicians successfully personalize a combination of treatments and innovative technologies to address your case. Our holistic approach by caring experts will put you on the path to recovery to reach your health goals. 

The first step is to diagnose the cause of your ED using testing. 

We will test your heart, hormone levels, vitamin and mineral levels and anything else we deem necessary to get to the root cause of your ED. In fact, many causes are reversible.

Then, we will begin the prescribed treatments that are right for you. Your progress will be monitored and the treatments adjusted according to your results. 


If you sense you have symptoms of erectile dysfunction and want help finding the root cause or would like to develop your personalized treatment or prevention plan for erectile dysfunction, make an appointment at Serenity, we’re here to help.

Simply reach out, Click Here To Call Us or dial 1-262-522-8640

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Treatment Options for Erectile Impotence

What is Erectile Impotence?

Erectile impotence, commonly known as erectile dysfunction (ED), is the inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It can be a temporary or chronic condition and affects many men at some point in their lives.

Symptoms of Erectile Impotence

  • Difficulty Achieving an Erection: Inability to get an erection when desired.
  • Difficulty Maintaining an Erection: Inability to keep an erection long enough for sexual activity.
  • Reduced Sexual Desire: Decreased interest in sex.

Causes of Erectile Impotence

  1. Physical Causes:
    • Cardiovascular Disease: Poor blood flow due to clogged arteries or other heart conditions.
    • Diabetes: Can damage blood vessels and nerves that control erection.
    • Obesity: Linked to vascular disease and diabetes, both risk factors for ED.
    • High Blood Pressure: Can damage blood vessels and reduce blood flow.
    • Hormonal Imbalances: Low testosterone or other hormonal issues.
    • Neurological Disorders: Conditions such as multiple sclerosis or Parkinson’s disease.
    • Medications: Drugs for blood pressure, depression, or other conditions.
    • Substance Abuse: Alcoholism, smoking, and drug abuse.
    • Sleep Disorders: Conditions like sleep apnea.
  2. Psychological Causes:
    • Stress: Emotional or psychological stress.
    • Anxiety: Performance anxiety or generalized anxiety disorder.
    • Depression: Can reduce sexual desire and lead to ED.
    • Relationship Issues: Poor communication, conflict, or lack of intimacy.
  3. Lifestyle Factors:
    • Sedentary Lifestyle: Lack of physical activity.
    • Poor Diet: Nutrient deficiencies or unhealthy eating habits.
    • Excessive Alcohol Consumption: Can impair erectile function.

Treatment Options

Bio-identical hormone replacement therapy (BHRT) is a treatment used to address hormone imbalances in men, particularly as they age and experience a natural decline in hormone levels. Unlike synthetic hormones, bio-identical hormones are chemically identical to those the human body produces, which can lead to better compatibility and fewer side effects.

What is BHRT?

BHRT involves the use of hormones that are identical on a molecular level to the endogenous hormones in the body. For men, the primary hormones involved are testosterone and, in some cases, other androgens and hormones like DHEA (dehydroepiandrosterone).

Symptoms of Hormone Imbalance in Men

  • Fatigue: Persistent tiredness and lack of energy.
  • Low Libido: Decreased interest in sexual activity.
  • Erectile Dysfunction: Difficulty achieving or maintaining an erection.
  • Mood Changes: Depression, anxiety, irritability, and mood swings.
  • Muscle Loss: Reduction in muscle mass and strength.
  • Increased Body Fat: Particularly around the abdomen.
  • Cognitive Decline: Memory issues and difficulty concentrating.
  • Sleep Disturbances: Insomnia or poor-quality sleep.

Benefits of BHRT

  • Improved Energy Levels: Reduction in fatigue and increased overall vitality.
  • Enhanced Libido and Sexual Function: Increased sex drive and improved erectile function.
  • Better Mood and Mental Clarity: Reduced symptoms of depression and anxiety, and improved cognitive function.
  • Increased Muscle Mass and Strength: Improved ability to build and maintain muscle.
  • Reduced Body Fat: Particularly in the abdominal area.
  • Improved Sleep Quality: Better sleep patterns and quality of rest.
  • Bone Health: Reduced risk of osteoporosis and improved bone density.

Bio-identical hormone replacement therapy (BHRT) offers a natural and effective way to address hormone imbalances in men, improving overall health, well-being, and quality of life. If you suspect you have a hormone imbalance, consulting with a healthcare provider experienced in BHRT can help determine if this treatment is right for you. Call 262-522-8640 to schedule an appointment today!

What Every Man Should Know about his Hormones

Hormones play a crucial role in nearly every aspect of a man’s health and well-being. When they’re in balance, you feel energetic, strong, and emotionally stable. But when they’re out of whack, they can cause a host of issues that can significantly affect your quality of life. Here’s how to recognize when your hormones are balanced and what it means for your overall health.

Testosterone Hormones Production

  • Location: The testes are the main source of testosterone production in men.
  • Leydig Cells: Within the testes, specialized cells called Leydig cells are responsible for producing testosterone. These cells are stimulated by luteinizing hormone (LH) from the pituitary gland.
  • Function: Testosterone plays a crucial role in the development of male secondary sexual characteristics, such as muscle mass, facial hair, and a deeper voice. It is also vital for sperm production, libido, and overall male reproductive health.

Estrogen Hormones Production

  • Small Amounts: The testes produce small amounts of estrogen in addition to testosterone.
  • Sertoli Cells: Within the testes, Sertoli cells are involved in the conversion of testosterone to estrogen through a process called aromatization.
  • Function: Estrogen in men helps regulate libido, erectile function, and spermatogenesis. It also plays a role in bone health and modulating the effects of testosterone.

Estrogen works alongside testosterone to maintain bone density and prevent osteoporosis. It helps regulate the bone remodeling process. Estrogen has protective effects on the cardiovascular system, helping to maintain healthy cholesterol levels and blood vessel function.

Both hormones must be in balance for optimal health. An excess of estrogen relative to testosterone can lead to conditions such as gynecomastia (development of breast tissue) and reduced libido, while low levels of estrogen can affect bone density and cardiovascular health.

If men are estrogen deficient, they will have heart problems.

Healthy Sleep: Melotonin Production

Melatonin is a hormone that plays a crucial role in regulating sleep and wakefulness. Melatonin in men, as well as in women, is primarily produced in the pineal gland. Here’s a detailed look at melatonin production:

Melotonin Hormones Production

  • Location: The pineal gland is a small, pea-shaped gland located near the center of the brain, between the two hemispheres, in a groove where the two halves of the thalamus join.
  • Function: The pineal gland is responsible for producing and regulating melatonin, a hormone that controls sleep-wake cycles.
  • Melatonin Production: Melatonin production is influenced by light exposure. When it gets dark, the retina in the eyes detects the decrease in light and sends a signal to the suprachiasmatic nucleus (SCN) in the hypothalamus. The SCN then signals the pineal gland to start producing melatonin. Melatonin levels typically rise in the evening, remain high during the night, and decrease in the early morning.

Weight Gain: Insulin & Stress Production

Insulin is a crucial hormone in the human body that plays a key role in regulating blood glucose (sugar) levels. Our insulin promotes the storage of fat by stimulating the conversion of excess glucose into fatty acids, which are then stored in adipose (fat) tissue.

Insulin Hormone Production

  • Produced By: Pancreas
  • Function: Insulin is produced by the beta cells in the pancreas. It regulates blood sugar levels by facilitating the uptake of glucose into cells for energy. Excess glucose is stored as glycogen in the liver and muscles, and when these stores are full, it is converted to fat.
  • Impact on Weight: High levels of insulin (hyperinsulinemia) can promote fat storage and contribute to weight gain, especially if you consume a diet high in refined carbohydrates and sugars.

Cortisol Hormones Production

Cortisol is a steroid hormone produced by the adrenal glands, which are small glands located on top of each kidney. It belongs to a class of hormones called glucocorticoids and plays a crucial role in the body’s response to stress.

  • Produced By: Adrenal Glands
  • Function: Cortisol is produced in the adrenal cortex of the adrenal glands, located on top of the kidneys. It is released in response to stress and has various functions, including regulating metabolism and controlling the body’s use of fats, proteins, and carbohydrates.
  • Impact on Weight: Chronic stress can lead to elevated cortisol levels, which can increase appetite and cravings for high-calorie foods, leading to weight gain, particularly in the abdominal area.

Achieving hormonal balance is a significant step towards improving overall health, but maintaining and leveraging this balance to restore libido, improve sleep, and lose weight requires ongoing effort and lifestyle adjustments. Here’s a comprehensive guide on how men can optimize their well-being once their hormones are back on track.

1. Restoring Libido

Balanced hormones, particularly testosterone, play a crucial role in maintaining a healthy libido. Here are strategies to enhance your sex drive:

  • Healthy Eating: Consume a balanced diet rich in essential nutrients. Include foods that boost testosterone levels, such as lean meats, fish, eggs, nuts, and seeds. Omega-3 fatty acids, found in fish and flaxseeds, are particularly beneficial.
  • Stress Management: Practice stress-reducing techniques like yoga, meditation, or deep-breathing exercises. Chronic stress increases cortisol, which can negatively impact testosterone levels and libido.
  • Quality Sleep: Ensure you get enough sleep. Poor sleep can lower testosterone levels and reduce sex drive. Aim for 7-9 hours of uninterrupted sleep each night.

2. Improving Sleep

Balanced hormones are essential for good sleep, and quality sleep is vital for overall health. Here’s how to improve your sleep:

  • Create a Sleep-friendly Environment: Make your bedroom conducive to sleep. Keep it cool, dark, and quiet. Use blackout curtains and consider white noise machines if necessary.
  • Relaxation Techniques: Develop a pre-sleep routine that includes relaxation techniques such as reading, taking a warm bath, or practicing mindfulness meditation.
  • Healthy Eating: Avoid large meals, and caffeine close to bedtime. These can disrupt sleep patterns and decrease sleep quality.

3. Losing Weight

Balanced hormones, particularly insulin, cortisol, and thyroid hormones, play a key role in weight management. Here are strategies to help lose weight effectively:

  • Healthy Eating: Focus on a nutrient-dense diet that includes a variety of fruits, vegetables, whole grains, lean proteins, and healthy fats. Avoid processed foods, sugary snacks, and excessive carbs.
  • Hydration: Drink plenty of water throughout the day. Sometimes thirst is mistaken for hunger, leading to overeating.
  • Portion Control: Be mindful of portion sizes. Eating smaller, more frequent meals can help maintain steady blood sugar levels and prevent overeating.

Restoring hormonal balance is a vital step towards better health, but maintaining this balance through lifestyle changes is key to long-term success. By focusing on a healthy diet, regular exercise, stress management, and quality sleep, men can boost their libido, improve sleep, and effectively manage their weight. Always consult with healthcare practitioners before making significant changes to your routine, especially if you have underlying health conditions.

Erectile Dysfunction: From 30s to 70s

Erectile dysfunction (ED) or a lymp penis is a common condition that affects men of all ages, but its prevalence and causes can vary significantly across different stages of life. From the vibrant energy of youth to the seasoned wisdom of older age, understanding how ED manifests and evolves is crucial for men’s overall health and well-being. In this blog, we’ll explore the phases of erectile dysfunction from the dynamic 30s to the seasoned 70s, shedding light on the factors that contribute to this condition and strategies for managing it effectively.

The Vigor of Your 30s:

In their 30s, men often enjoy robust physical health and vitality, but this decade isn’t immune to erectile challenges. Psychological factors such as stress, anxiety, and performance pressure can impact sexual performance, leading to occasional instances of ED. Lifestyle factors like excessive alcohol consumption, smoking, and poor diet can also play a role. Addressing these underlying issues through stress management techniques, healthy lifestyle habits, and open communication with partners can help alleviate ED symptoms in this phase.

While in your 30s, your manhood should rise to the occasion effortlessly without any stimulation, a testament to the vibrant energy and vitality of youth. In your 30s, the readiness of your desire is just a matter of shedding your pants, to ignite your flames of passion.

Navigating Changes in Your 40s:

As men progress into their 40s, physiological changes and lifestyle factors can contribute to a higher prevalence of ED. Hormonal fluctuations, particularly a gradual decline in testosterone levels, may affect libido and erectile function. Additionally, underlying health conditions such as hypertension, diabetes, and obesity become more prevalent in this age group, further exacerbating ED risk.

Andropause becomes more noticeable as testosterone levels gradually decline. This phase is often characterized by a decline in energy levels, increased body fat, and changes in sexual function. Men may experience symptoms such as decreased libido, erectile dysfunction, and mood swings, which can impact both physical and emotional health.

In this stage you might need extra stimulation! Your penis is half grown, you will need to watch x-rated videos, masturbation, and or oral sex to achieve maximum strength.

Adjusting to Your 50s and Beyond:

By the time men reach their 50s and beyond, ED becomes increasingly common due to age-related changes in vascular health and hormonal balance. Reduced blood flow to the penis, often associated with conditions like atherosclerosis and hypertension, can impede erectile function. Moreover, the presence of chronic health conditions and medications used to manage them can further complicate ED management.

In this stage your penis isn’t getting or staying erect.

Embracing Each Phase:

While ED may present unique challenges at different stages of life, it’s essential to approach each phase with compassion, resilience, and a proactive mindset. Recognizing the multifaceted nature of ED and addressing underlying factors through lifestyle modifications, medical interventions, and open communication fosters a sense of empowerment and control.

Shockwave Therapy: Alternative Erectile Dysfunction Treatment

While traditional treatments like medication and injections have been mainstays in ED management, a newer and promising approach is gaining traction: shockwave therapy. Shockwave therapy, also known as low-intensity extracorporeal shockwave therapy (LI-ESWT), involves the use of acoustic waves to stimulate blood vessel growth and improve blood flow to the penis. During a typical session, a specialized device delivers low-energy shockwaves to targeted areas of the penis, promoting the regeneration of blood vessels and nerve tissue. This non-invasive and painless procedure is performed in an outpatient setting, with each session typically lasting about 15 to 20 minutes.

How Does it Work?

Acoustic waves stimulate the release of growth factors and promote the formation of new blood vessels, a process known as neovascularization. By improving blood flow to the penis, shockwave therapy can enhance erectile function and restore sexual performance. Think of shockwave therapy for erectile dysfunction as a boost for your manhood. It pumps blood to your penis. Much like how resuscitation pumps blood through your heart. Shockwave therapy is a non-invasive approach that rejuvenates blood flow to your penis, fostering tissue regeneration and enhancing your sexual vitality.

Benefits of Shockwave Therapy:

One of the primary advantages of shockwave therapy is its non-invasive nature and minimal side effects compared to other ED treatments. Unlike medications, which may cause systemic side effects, shockwave therapy targets the underlying cause of ED by promoting tissue regeneration and blood vessel growth. Additionally, shockwave therapy is suitable for men who have not responded to or are unable to tolerate other forms of treatment, offering a promising alternative for those seeking relief from ED.

Conclusion:

Shockwave therapy represents a promising frontier in the treatment of erectile dysfunction, offering a non-invasive and effective solution for men seeking relief from this common condition. By harnessing the power of acoustic waves to promote tissue regeneration and improve blood flow to the penis, shockwave therapy holds the potential to transform the lives of men affected by ED.

Call 262-522-86440 to schedule your shockwave therapy for your Erectile Dysfunction appointment today!