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Delivery of the bioidentical hormones  through the skin as a cream or gel has become a mainstay of bioidentical hormone replacement therapy (BHRT) for women and men. A plethora of FDA-approved pharmaceuticals, and  compounded products are available. The popularity of these products lies not only in their ease of use, but in proven clinical efficacy [1-5] in treating hormonal deficiencies mostly brought on by aging of the female (menopause) and male (andropause) reproductive systems.


Pellets are compounded estradiol or testosterone that are made from organic plant materials, which have the exact molecular structure of those hormones found in the body. They are pressed into a solid compound that is about the size of a cooked grain of rice. Using a painless office procedure, they are inserted under the skin in the hip area. The pellets release small amounts of hormone directly into the bloodstream similar to that which the ovaries and testes produced during our younger adult years.


A troche is a small lozenge designed to dissolve between a person’s cheek and gum over a period of time; typically 30 minutes. As the troche dissolves in the patient’s mouth, the medication is absorbed through the oral mucosa and gradually  absorbs into the bloodstream. Troches are commonly used to administer bioidentical hormones in a patient, and can be flavored to mask bitterness, if needed. 


Testosterone can be administered subcutaneously or intramuscular. Discuss with your Provider the preferred route, dosage, and frequency of administration. 


Focused Wave Therapy

Focused Wave Therapy is Low-Intensity Extracorporeal Wave Therapy (LI-ESWT) focused ultrasound that treats erectile dysfunction.

Wave Therapy is a proven and non-invasive method that breaks down plaque buildup that naturally occurs in men to improve erectile dysfunction.

Intra-Cavernous Pharmacotherapy

ICP is  safe and suitable for most men with Erectile Dysfunction, regardless of age or medical condition. It's a highly specialized form of ED treatment and yet simple to apply. ICP treatment has been widely used since the mid 80's. Medical professionals who specialize in this form of treatment use various different combinations of medications.

Oral Agents

Sildenafil (Viagra), vardenafil (Levitra, Staxyn), tadalafil (Cialis) and avanafil (Stendra) are oral medications that reverse erectile dysfunction by enhancing the effects of nitric oxide, a natural chemical your body produces that relaxes muscles in the penis.

Testosterone Replacement Therapy

Testosterone Replacement Therapy aims to restore your testosterone to optimal levels. Sometimes also called androgen replacement therapy, TRT can come in many different forms to help address issues related to low testosterone. 

Benefits of TRT can include:

  • Increased sex drive

  • Increased erectile function

  • Improved hair growth

  • Reduced loss of lean muscle mass

  • Improved focus

  • Improved endurance

  • Improved physical strength

Platelet Rich Plasma Injections

Erectile dysfunction is quite common in older men and is becoming more common in younger men. Whether it is physical or psychological PRP
therapy is recommended by many doctors for male sexual rejuvenation. In addition, many men who lose function in their penis due to prostate cancer opt in to PRP injections for sexual enhancement. The PRP injection will help boost the sensation with blood circulation to achieve your patient’s expectations.


What are the benefits of PRP shots for men?

● Ability to achieve and maintain erection
● Heightened sexual pleasure
● Improved blood flow and circulation
● Increased sensitivity and pleasure
● Increased sexual stamina
● Improved libido

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