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The Creekside Difference
Comprehensive Treatment Options
Physician Designed Plans
Individualized Care
Erectile Dysfunction (ED) is a common condition that affects millions of men, impacting not only sexual health but also overall well-being and confidence.
While occasional challenges with erections can be normal, consistent difficulties may signal underlying health issues, such as cardiovascular conditions, hormone imbalances, or lifestyle factors. ED is often a complex condition, involving both physical and psychological elements, which is why a comprehensive, personalized approach to treatment is essential.
With advancements in medical therapies, many effective solutions are available, including medications, innovative therapies, and lifestyle guidance that can restore sexual function, enhance satisfaction, and improve quality of life.
Comprehensive Treatment Options
Physician Designed Plans
Individualized Care
The Creekside Difference
Erectile Dysfunction (ED) is a common condition that affects millions of men, impacting not only sexual health but also overall well-being and confidence.
While occasional challenges with erections can be normal, consistent difficulties may signal underlying health issues, such as cardiovascular conditions, hormone imbalances, or lifestyle factors. ED is often a complex condition, involving both physical and psychological elements, which is why a comprehensive, personalized approach to treatment is essential.
With advancements in medical therapies, many effective solutions are available, including medications, innovative therapies, and lifestyle guidance that can restore sexual function, enhance satisfaction, and improve quality of life.
Erectile Dysfunction
Treatment Options
Custom Medications
ORAL MEDICATIONS
All medications available as individual preparations
Sildenafil, commonly known for its brand name Viagra, is an effective medication used to treat erectile dysfunction by enhancing blood flow to the penis. It works by inhibiting an enzyme called phosphodiesterase type 5 (PDE5), which can restrict blood flow and make it difficult to achieve or maintain an erection. When a man is sexually stimulated, nitric oxide is released, which helps generate a substance called cyclic guanosine monophosphate (cGMP). cGMP relaxes the blood vessels in the penis and allows for increased blood flow. By blocking PDE5, sildenafil promotes higher levels of cGMP, leading to improved erectile ability. This targeted approach helps men regain confidence and enjoy a fulfilling intimate life.
Tadalafil , known by the brand name Cialis,is a popular medication used to treat erectile dysfunction (ED) by improving blood flow to the penis, making it easier to achieve and maintain an erection. Known for its long-lasting effects, tadalafil can remain effective for up to 36 hours, earning it the nickname “the weekend pill.” It works by inhibiting the enzyme PDE5, which helps relax blood vessels and enhances blood flow during sexual stimulation. Tadalafil is also used to treat symptoms of benign prostatic hyperplasia (BPH).
Vardenafil is a proven solution for men struggling with erectile dysfunction (ED), offering a reliable way to achieve and maintain an erection when sexually aroused. As a PDE5 inhibitor, vardenafil works by increasing blood flow to the penis, making it easier to get an erection during sexual stimulation. Known for its effectiveness and quick onset, it typically begins working within 30 minutes and can last for several hours, giving you the confidence to engage in intimate moments.
Apomorphine works by stimulating dopamine receptors in the brain, which play a crucial role in sexual arousal and response. Unlike traditional ED medications that primarily increase blood flow to the penis, apomorphine targets the brain’s pathways involved in sexual function. When used alongside ED drugs, apomorphine can help achieve and maintain erections more effectively by combining both neurological and vascular mechanisms. This dual approach can be particularly helpful for men who may not respond fully to ED medications alone. Apomorphine is not a "scheduled drug" meaning despite the "morphine" in the name, it is not considered to be addictive in the same way that many controlled substances are.
Bremelanotide (brand name Vyleesi) works differently from traditional erectile dysfunction (ED) medications, such as sildenafil (Viagra) or tadalafil (Cialis), but it can complement them in certain cases. While ED medications primarily focus on increasing blood flow to the penis by relaxing blood vessels (via the inhibition of the PDE5 enzyme), bremelanotide acts on the central nervous system. Specifically, it stimulates melanocortin receptors in the brain, which are involved in sexual arousal. By enhancing sexual desire and arousal, bremelanotide can address issues related to low libido, which is sometimes a component of ED.
When used alongside PDE5 inhibitors like Viagra or Cialis, bremelanotide can potentially offer a more holistic approach, targeting both physical and psychological aspects of sexual dysfunction. However, these medications should be used under medical supervision to ensure safety, as combining treatments could lead to side effects or interactions.
Research indicates that oxytocin may enhance sexual function by improving erectile responses and promoting a sense of emotional connection and intimacy, which can be especially beneficial for individuals experiencing ED driven by psychological factors. By stimulating the release of nitric oxide, oxytocin may contribute to vasodilation in the penile tissues, thereby facilitating erections.
COMPOUNDED TOPICALS
Formula 1
Nifedipine 2
Tadalafil 4
L-Arginine 240
Formula 2
Sildenafil Citrate 2.5
Testosterone 4
L-Arginine 60
Formula 3
Sildenafil Citrate 20
Testosterone 1
L-Arginine 60
Formula 4
Aminophylline 30
Ergoloid Mesylate 0.5
Pentoxifylline 50
Sildenafil Citrate 10
Testosterone 1
L-Arginine 60
COMPOUNDED TOPICALS
Trimix is a self injectable medication comprised of papaverine, phentolamine, and alprostadil used as a treatment for erectile dysfunction (ED). Trimix injections can trigger an erection within 5 minutes and result in longer and firmer erections that last through climax. Your Creekside physician will teach you how to inject this medication yourself.
Trimex
INJECTABLES
Alprostadil relaxes the smooth muscle tissue in the blood vessels, leading to increased blood flow to the penis. This enhanced blood flow facilitates the engorgement of erectile tissue, resulting in an erection. Alprostadil works by mimicking the action of prostaglandin E1, a naturally occurring substance in the body that plays a key role in achieving erections. By widening the blood vessels and promoting local circulation, alprostadil is effective in inducing an erection even in men who may not respond to oral ED medications. The onset of action can be relatively quick, making it a useful option for those seeking a more immediate solution for erectile difficulties.
Phentolamine is a long-acting adrenergic alpha-receptor blocker that increases blood flow to the skin, mucous membranes, abdominal organs, and reduces blood pressure.
Phentolamine works by obstructing alpha receptors in the body, which are present in the smooth muscle lining blood vessel walls. When these alpha receptors are blocked by phentolamine, the muscles relax and blood vessels dilate, producing a significant boost in circulation.
Papaverine aids men with ED by enhancing blood flow to the penis, allowing patients to achieve and sustain a firm erection for sexual intercourse. When used alone, papaverine is often prescribed for patients with circulatory disorders to improve blood flow as a long-acting adrenergic alpha-receptor blocker that increases blood flow to the skin, mucous membranes, abdominal organs, and reduces blood pressure.
Platelet Rich Plasma
Platelet-rich plasma (PRP) is a regenerative therapy derived from a patient's own blood, which is processed to concentrate platelets and growth factors, and then injected into areas of injury or degeneration to promote healing, reduce inflammation, and stimulate tissue regeneration.
Platelet-rich plasma (PRP) derived from the patient's own blood to enhance erectile function and
sexual performance.
The procedure involves drawing a small amount of blood from the patient, which is then processed to concentrate the platelets and growth factors.
This PRP is subsequently injected into specific areas of the penis, promoting increased blood flow, tissue regeneration, and sensitivity, which can lead to improved erections and sexual satisfaction.
Many men choose PRP as a therapeutic option for erectile dysfunction, especially when traditional medications may not be effective or suitable.
Additionally, patients often report benefits such as enhanced libido and strengthened sexual desire, making the PRP a promising alternative in male sexual health.