Wisconsin’s Men’s Sexual Health & Erectile Dysfunction Treatment Center

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.  It should be noted resolving erectile dysfunction is a whole body and mind wellness issue as there is a long list of health benefits that come from frequent healthy sex. It decreases stress, depression, pain, risk of cancer and having sex twice weekly even decreases your risk of having a heart attack by 50%.  Sex betters your sense of well-being, functioning of your immune system, bladder health, sleep quality, self-esteem, and even your longevity.

It’s important to note erectile dysfunction is commonly a symptom of another underlying problem. Because there are many causes of erectile dysfunction, there are also many treatments all related to the causes and an integrative medicine approach optimizes the return of a healthy sex life.  Integrative Medicine is healing-oriented care mindful of the whole person, including all aspects of their lifestyle. It values the therapeutic relationship between practitioner and patient, is driven and supported by evidence, and utilises all appropriate therapies. However before we discuss the treatments, it’s sensible to understand what causes erectile dysfunction. We have this comprehensive overview or you’re welcome to call us for a more personalized insight Click Here To Call Us or dial 1-262-522-8640

What are the Causes of Erectile Dysfunction?

Erections occur due to a complex system of hormones, emotions, 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.  This creates increased blood flow into the penis and the development of an erection. The penis expands in size and maintains its rigidity by preventing the outflow of blood. An erection subsides after orgasm and ejaculation with blood draining out and through the penile veins. A malfunction in any one these processes can produce difficulty with obtaining or maintaining an erection and erectile dysfunction.

Thus any process along the way that can interfere with the nerve signals or the proper function of blood vessels, can result in erectile dysfunction.  The term itself, ‘erectile dysfunction’ describes a variety of conditions: inability to get an erection, dissatisfaction the size or hardness of your erections, and erections that do not last.  Erectile dysfunction can often be an early warning sign to a more serious underlying disease with some of the common causes being:

 • 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 the majority of men the leading physical cause of erectile dysfunction is thought to be 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 a variety of different situations, but they typically relate to not having enough blood flow to the penis – Hormonal imbalances: low testosterone, low DHEA and adrenal fatigue. Reach us for a more personalized conversation. Click Here To Call Us or dial 1-262-522-8640

Andropause / Low T

As men grow older many experience what is referred to as “andropause” (male menopause) or lower levels of testosterone throughout the body – commonly referred to as “Low-T”. Low-T can adversely affect your sex drive, mood, overall health, sense of well-being, and ultimately your ability to be intimate. You may experience a loss of muscle tone, energy, and mental clarity, as well as experiencing mood swings, bouts of depression, and erectile dysfunction.  Though a natural process, Low-T doesn’t mean you have to accept the symptoms and or a marginalized sexual lifestyle. At Serenity we offer treatments for both erectile dysfunction and low T that turn back the clock and allow you to live life to the fullest. Through bioidentical hormone replacement therapy, we can bring your T-levels back into balance, restoring your health and vitality. We have more to share about Low-T, Click Here To Call Us or dial 1-262-522-8640

Your First Visit

Patient history is an important component to treating erectile dysfunction and often the most important part of the patient profile workup. One reason is that it’s essential to differentiate acute erectile dysfunction from chronic cases of erectile dysfunction.   Acute cases are those in which a patient reports only recent problems with function, which commonly reflect (1) a new medication being used, (2) an injury of some sort, or (3) a very commonplace psychogenic component. Chronic erectile dysfunction is more challenging to treat and Amino acid therapy may assist with the symptom picture, but often a trained counselor is required to help a patient work through deeper issues. 

It’s much more likely to discover matters related to an underlying cardiovascular or blood glucose–related issues, in patients with chronic erectile dysfunction.  In these instances our patient examination reflects a typical cardiovascular workup, including a comprehensive lung and heart examination, with multiple readings of blood pressure. The examination will help distinguish vascular-associated erectile dysfunction from other types. 

After a thorough examination we identify any health conditions and nutrient deficiencies and seek to get those issues resolved and heading in the proper direction with a plan prior to starting regenerative therapies.   Common problems identified are:

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

Identifying and treating these things provides your best chance for success for not only curing your erectile dysfunction, but it will also revolutionize your health and impact all aspects of your life.  Many experience improved relationships and a returned vitality that was probably long forgotten. Once the causative factors have been identified and are being treated, then it’s time to approach regenerating the damaged erectile tissue.

Our Erectile Dysfunction Treatment Program Includes:

  • Treatment by a physician  highly trained in Bio-identical Hormone Replacement Therapy
  • Thorough review personal and family medical history
  • Comprehensive review of symptoms and hormone level testing
  • Programs tailored to alleviate precise symptoms based on personal medical history and lab result analysis
  • Compounded hormones and supplements
  • Nutritional and fitness recommendations and support

Contact Serenity to learn more about erectile dysfunction and what you can do to identify your root cause and treat it, in just one office visit. Click Here To Call Us or dial 1-262-522-8640

Bioidentical Hormone Therapy:  Serenity’s Bioidentical Hormone Replacement Therapy (BHRT) Program is individually tailored for each patient, mindful of unique factors including the patient’s current health, lifestyle and ultimate goals with their treatment. Bioidentical hormones are created from natural plant extracts that are biologically compatible with your physiology; they are structural replicas (hence bio-identical) of the hormones produced by your body’s endocrine system. If reduced levels of testosterone are causing you to experience erectile dysfunction, it is likely that bringing those hormones to optimized levels could resolve erectile dysfunction. A simple test to determine your hormone levels will help determine if your erectile dysfunction is caused by low testosterone. If you are found to have “Low-T”, bioidentical hormone therapy may be your ideal treatment.  While Bioidentical Hormone Replacement Therapy may be focused on treating erectile dysfunction, it also comes with numerous health benefits including:

  • Significant Weight Loss & building of Lean Muscle Mass
  • Stronger Joints
  • Improved Energy Levels
  • Improved Libido
  • Relief of Depression
  • Controlled Glucose Levels
  • Improved Confidence

Hormones also help with a variety of wellness functions that can help prevent various diseases and disorders. By keeping your hormones properly balanced you could reduce your risk of developing:

  • Colon cancer
  • Osteoporosis
  • Heart disease and/or heart attacks
  • Strokes
  • Dementia and/or Alzheimer’s
  • Premature aged skin
  • Diabetes due to weight gain

Since bioidentical hormones closely mimic the hormones you already have in your body you can expect an improvement in your symptoms rather quickly as your hormones start balancing out. Within 2 – 3 weeks, your symptoms should start subsiding.  
Reach us for a more personalized conversation on hormone therapy options. Click Here To Call Us or dial 1-262-522-8640

Shockwave Therapy: Serenity’s Shockwave therapy is effective to treat erectile dysfunction, Peyronie’s disease and optimize sexual performance. Shockwave Therapy is an effective because it’s focused 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.

In the natural process of aging a man’s penis experiences decreased blood flow, reduced strength in sensitivity, and the blood vessels themselves turn thin. Through the use of Shockwave Therapy, high frequency low-intensity shockwaves rejuvenate the aged area. This is a relatively 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 that is placed on the penis (in a similar way an ultrasound is performed) to deliver mild shockwaves to the penis. Studies have determined shockwave therapy is associated with new blood vessel growth and (in animal studies) recruitment of stem cells to the penis.  These blood vessels, now new and rejuvenated produce greater blood flow, enabling erections that are longer and more potent. 

Shockwave therapy is a similar technology to lithotripsy, which is 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 but yet strong enough to break up microplaque in the arteries and stimulate regeneration of worn out tissue. In just six to twelve 20-minute sessions, Serenity’s Erectile Dysfunction Shockwave Therapy can get you on the road to enhanced sexual performance.  Reach us to learn more about our Shockwave Therapy program. Click Here To Call Us or dial 1-262-522-8640

Supplements & Herbs: There are studies that support the judicious use of high-quality dietary supplements to treat erectile dysfunction. 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: an amino acid that may help expand blood vessels to 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 elderly men. The study documented with increased zinc consumption, testosterone levels in the elderly population of the study nearly doubled. This evidence supports zinc as having an  impact on testosterone production, essential in treating erectile dysfunction. In 2009, animal research was conducted to test the correlation between zinc and sexual function. The research determined that in men, zinc has a positive effect on arousal and maintaining an erection. Suffice it to say the world of supplement and herbal treatment for erectile dysfunction is vast and guidance on what to consider driven by any existing nutrient deficiencies and other factors. Reach us for a more personalized conversation on the benefits of supplements & herbs. Click Here To Call Us or dial 1-262-522-8640

Wisconsin, Erectile Dysfunction & 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 with Wisconsin’s northerly-latitude winter, days are shorter and the sun’s angle in the sky stays low. That means many people in Wisconsin miss out on the benefits of sunlight.  In fact as a result of low dietary intake and lack of sun, low vitamin D status is endemic in Wisconsin.   

Though vitamin D is primarily known to help bone health, a recent study found it also improves erectile dysfunction.  In the study published in the International Journal of Endocrinology 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 result in the production of nitric oxide, which promotes penile vascular dilation. 

The important takeaway here for men in Wisconsin is understanding how our environment contributes to erectile dysfunction, and that our lives can encompass numerous causative factors, all contributing to varying degrees, to 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. We have more to share on this topic so reach us for a more personalized conversation. Click Here To Call Us or dial 1-262-522-8640

Nutritional Therapy: The human body is complex with the function of one system directly or indirectly effecting 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 along with 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 very well effect how you perform. Because treatments each have possible side effects that come with their benefits, usually a first look to lifestyle changes, such as modifying your diet for a positive impact without the potential side affects is prudent.  We do 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 of us in Wisconsin the only way to get enough is to supplement. From here we’ll work with patients in crafting an optimizied diet to build a robust vascular system and counter erectile dysfunction. Remember, a healthy vascular system means that the heart is working well and pumping blood throughout the body, including to the penis. 

Yes, there are foods that facilitate and foster healthy blood flow.  For example foods such as spinach and other leafy greens are high in nitrates. Nitrates are vasodilators and helpful in opening blood vessels that are constricted thereby increasing blood flow. Pistachios have Arginine, a protein helpful in relaxing blood vessels and improving circulation.  Watermelon contains an antioxidant called phytonutrients, also helpful in relaxing blood vessels and may have a positive effect in relieving erectile dysfunction symptoms.  Dark red fruits like tomatoes and grapefruits contain lycopene, which promotes healthy circulation.  This is just a sampling of foods all which may have an ingredient directly effecting circulation and indirectly erectile dysfunction. Together we can establish diet optimized to return you to your full breadth of vitality so reach us for a more personalized conversation. Click Here To Call Us or dial 1-262-522-8640


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