Men's Sexual Health
A six-month, physician-led program for erections, libido and confidence. We look at the whole picture, from hormones and metabolism to blood flow, stress and sleep, and build a plan around you.
Length
6-month program
Includes
Two P-Shot® treatments
Pricing
Discussed at your consultation
You are not alone
Many men have trouble with erections at some point, and it becomes more common with age. It is often linked to blood flow, hormones, blood sugar, medications, stress or sleep. Erection problems can also be an early warning sign of heart disease or diabetes, which is why we start with a full medical evaluation.
Your program is private, judgment-free and tailored to what is driving your symptoms.
Self-check
5 quick questions. Your total, out of 25, gives a rough idea of whether erection problems may be present and how much.
1. How would you rate your confidence that you can get and keep an erection?
2. With sexual stimulation, how often were your erections firm enough for penetration?
3. During intercourse, how often could you keep your erection after penetration?
4. During intercourse, how difficult was it to keep your erection until the end?
5. When you tried intercourse, how often was it satisfying for you?
This questionnaire is for information only. It is not a diagnosis. It covers the same areas as validated erectile function questionnaires, but it is not one of them. Answer based on the past 6 months. Your answers stay on your device. They are not saved or sent to us.
Good to know
Erection problems are a known side effect of many common medicines. Your provider will review your list and look for safer options with you and your other doctors.
Do not stop or change any medication on your own. Many of these medicines are important for your health. If you take one of them, bring a list of everything you take to your visit, and we will work with you and your other doctors to find the safest plan.
Beyond erections, some medicines can affect desire, orgasm and ejaculation. These side effects are common and often manageable, so tell us about any changes you notice.
Never stop or change a prescription on your own. Your provider will review your full medication list and work with your other doctors on safer options when possible.
What's included
Hormones, metabolic health, blood sugar, cholesterol and more.
Testosterone and other hormones optimized and monitored.
Support for weight, blood sugar and blood pressure, which affect blood flow.
Given during the six months, timed by your provider.
A personalized supplement plan, reviewed at each visit.
Pulse wave therapy, peptides, Trimix or a vacuum pump, if right for you.
The program is offered through our membership platform. Pricing is discussed with your provider during your consultation.
Treatment
The P-Shot® (Priapus Shot®) uses platelet-rich plasma (PRP) from your own blood. Platelets carry growth factors that play a role in the body’s natural repair. In the P-Shot, PRP is placed into the penis to support healthy tissue and blood flow.
Dr. Sagar Verma, MD trained with Dr. Charles Runels, who developed the P-Shot®, and is a licensed P-Shot® provider.
1
A small amount of your blood is drawn, like a routine lab test.
2
Your blood is spun in a centrifuge to concentrate the platelet-rich plasma.
3
A numbing cream is applied so you stay comfortable.
4
The PRP is placed with a very fine needle. The visit takes about an hour.
More options
Used when appropriate for you, after a medical evaluation.
Low-intensity acoustic (sound) wave therapy, also called shockwave therapy, delivered to the penis with a handheld device. It may support new blood vessel growth and better blood flow. It is usually given as a series of short sessions over several weeks, with no needles and no downtime. It is not FDA-approved for erectile dysfunction, and results vary.
A compounded mix of three medications (papaverine, phentolamine and alprostadil) that relax blood vessels in the penis. You inject a tiny amount into the side of the penis with a very fine needle shortly before sex. Your first dose is given in the clinic so we can find the right amount and teach you how. Trimix is compounded and not FDA-approved. An erection lasting more than 4 hours is a medical emergency.
A plastic cylinder placed over the penis. A hand or battery pump removes air, drawing blood into the penis. A soft ring placed at the base helps keep the erection. Remove the ring within 30 minutes. It has no medication, but it is not right for some men who take blood thinners or have bleeding problems.
Peptides
Prescribed by your provider and prepared by a licensed U.S. compounding pharmacy.
Core
Works in the brain on pathways linked to sexual desire and arousal. It may support libido and sexual response.
Core
Often called the “bonding hormone.” It may support arousal, intimacy and emotional connection.
Add-on
Encourages your body’s own growth hormone release. It may support energy, sleep and recovery.
About peptides. These peptides are prescribed only after a consultation, when your provider decides they are appropriate for you. Compounded peptides are not FDA-approved, and the FDA does not review them for safety, effectiveness or quality. PT-141 is FDA-approved only for certain women; its use in men is off-label. Availability of some peptides may change as FDA rules change. Possible side effects include nausea, flushing, headache and injection-site reactions. Individual results vary.
Mind and body
Long-term stress may lower testosterone and desire, and make erections harder. We help you spot your stressors and manage them.
Good sleep supports healthy testosterone and blood vessels. We screen for sleep problems such as sleep apnea.
Worry about performing can cause erection problems on its own. It is common and treatable, and we address it openly and privately.
Supplement disclaimer. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. Supplements can interact with medications and are not right for everyone. Talk with your provider before starting any supplement. Individual results vary.
We apply numbing cream first. Most men feel only mild pressure or brief discomfort.
No. PRP is your own blood product, and its use in the P-Shot® is not FDA-approved for erectile dysfunction. We explain what is known and the risks before you decide.
Some men notice changes within a few weeks, and improvement may continue over a few months. Results vary.
Yes. Hormone management is part of the program, and many men benefit from treating both.
An erection lasting more than 4 hours (priapism) is a medical emergency. Go to the nearest emergency room. This is mainly a risk with Trimix and some other medications.
The program is self-pay. Standard lab tests may be billed to insurance. Pricing is discussed at your consultation.
Yes. Your health information is protected by law, and all visits are handled discreetly.
About the P-Shot® and these treatments. P-Shot® and Priapus Shot® are registered trademarks of Dr. Charles Runels, used under license. The P-Shot®, pulse wave therapy and Trimix are not FDA-approved for erectile dysfunction. All treatments are given only after a medical evaluation and may cause side effects. Results vary and are not guaranteed. Medical disclaimer.
