Erectile Dysfunction

The American Journal of Medicine says that erectile dysfunction (ED) impacts over 18 million American men, making it a common and often misunderstood health concern. At Pacific Coastal Men’s Clinic LLC, certified physician associate Jerome Siegel, PA-C, provides concierge men’s health services through secure telehealth visits to identify the root cause of ED and determine the most effective course of treatment. Book your virtual evaluation online today.

How can I tell if I have erectile dysfunction (ED)?

Common symptoms of ED include:

• Difficulty achieving or maintaining an erection
• Erections that are less firm than they used to be
• Reduced sexual confidence or performance anxiety
• Decreased morning erections

In some cases, ED may be an early warning sign of underlying concerns.

What are the different types of ED?

Common types of erectile dysfunction include:

Vasculogenic ED (blood flow-related ED)

Vasculogenic ED results from reduced blood flow to the penis. This can be due to high blood pressure or cholesterol, diabetes, obesity or smoking. Because penile arteries are smaller than coronary arteries, ED can be an early indicator of cardiovascular risk.

Psychogenic ED

This type of ED is typically driven by psychological factors rather than structural or vascular problems. You may benefit from mental health support and counseling referrals to address mild depression or anxiety, stress, relationship strains or struggles at work.

Hormone-related ED

Hormone-related ED is linked to low testosterone but may also involve thyroid dysfunction or broader hormonal imbalance. Jerome provides thyroid optimization and hormone replacement therapy (HRT), including testosterone replacement therapy (TRT), when clinically appropriate.

When should I seek care for ED?

Consider medical evaluation if:

• Erectile issues last more than a few weeks
• Symptoms are worsening
• You have risk factors such as diabetes or hypertension
• You notice low libido or other signs of hormonal imbalance
• ED is affecting your confidence or relationship

Early treatment leads to better outcomes and may prevent or address health risks before they worsen.

How is ED treated?

Effective ED treatment begins with a comprehensive telehealth evaluation and lab testing completed at a local accredited laboratory near you. After reviewing your results, Jerome develops a personalized treatment plan tailored to your needs.

A personalized approach may include:

Oral medications

Medications such as sildenafil and tadalafil improve blood flow to the penis and are often first-line treatments for vasculogenic or mild psychogenic ED. Prescriptions are sent electronically to your preferred pharmacy.

Cardiovascular risk reduction

If your ED is vascular, improving heart health can help. Treatment may include:

• Blood pressure management
• Lipid optimization
• Weight loss
• Exercise planning
• Blood sugar control

Treating ED and reducing long-term cardiovascular risk often go hand in hand.

Hormone optimization

For men with low testosterone or thyroid imbalance, hormone replacement or optimization may restore libido, energy, and erectile quality. Careful monitoring through follow-up virtual visits and labs ensures therapy is safe and effective.

Stress and performance anxiety support

Jerome provides education, guidance, and referrals for counseling support when appropriate.

Schedule your telehealth appointment with Pacific Coastal Men’s Clinic LLC online today.