NYC’s Leading Integrative Health Care Center

Anti-Aging and Longevity Treatments Remember when you were in college and stayed up all night drinking beer, eating pizza, and partying; yet you still were able to attend class in the morning? How many of you could do that now?
Patients Medical offers comprehensive, integrative treatments for erectile dysfunction in New York City — combining medical evaluation, personalized therapy (hormonal + lifestyle), modern ED treatments and ongoing support to restore sexual health and vitality. This page outlines common causes of ED, the diagnostic process, treatment options (medication, hormone therapy, lifestyle, devices), and how a tailored plan can address both physical and hormonal roots for long-term results.
Diagnostics, Hormone & Testosterone Testing, ED Medications, HRT (if indicated), Erectile Dysfunction Devices, Lifestyle & Integrative Therapy Support.
Men experiencing difficulty achieving/maintaining erections, reduced libido, low testosterone, metabolic or vascular health issues, or age-related sexual function decline.
Personalized — medical, hormonal, and lifestyle evaluation to identify root causes and design an effective, safe treatment plan.
Medications (e.g. PDE-5 inhibitors), hormone optimization, injectable or urethral treatments, vacuum devices, lifestyle modification, psychological/partner counselling.
Ongoing follow-up, integrative care for associated health issues (metabolic, cardiovascular, endocrine), and comprehensive holistic health oversight.
Schedule a Comprehensive ED Assessment & Hormone Panel at Patients Medical (NYC)
Review Your Overall Health — cardiovascular, metabolic, endocrine & lifestyle factors
Discuss Customized Treatment Plan — medication, hormone therapy, device or combination, based on your needs
Combine therapy with Lifestyle Optimization — diet, exercise, stress management, sleep & wellness support
Plan Long-term Follow-Up & Monitoring to track hormone levels, health markers, and sexual function progress
Contact / Appointment: via Patients Medical contact form or phone number on the ED treatment page
Patients Medical is a functional and integrative medical center in Manhattan dedicated to identifying and resolving the root causes of complex health concerns.
For over 40 years, our multidisciplinary team has helped men restore hormonal, sexual, metabolic, and emotional well-being through a blend of:
Erectile dysfunction (ED) is not just a performance issue—it’s a signal from the body that something deeper is out of balance. Affecting over 30 million men in the U.S., ED can be caused by a complex mix of physical, hormonal, emotional, and lifestyle factors. At Patients Medical in NYC, our integrative doctors go beyond the symptoms to uncover and treat the underlying causes—naturally, safely, and effectively.
What Is Erectile Dysfunction?
Erectile dysfunction is the consistent inability to achieve or maintain an erection firm enough for satisfactory sexual performance. While occasional difficulty is common, chronic ED can significantly affect self-esteem, relationships, and quality of life.
Types of ED include:
Our functional medicine approach seeks to uncover the “why” behind ED. Common underlying causes include
We build personalized nutrition plans focusing on anti-inflammatory, hormone-supportive foods. Zinc-rich sources like pumpkin seeds and oysters are included to support testosterone. Nitrate-rich vegetables like beets and leafy greens are added to improve circulation. We remove sugar, alcohol, and ultra-processed foods that impair endothelial function. We also address timing, digestion, and possible food sensitivities to ensure your metabolism supports optimal performance and recovery.
IV nutrient therapy delivers essential compounds directly into your bloodstream, improving absorption and results. We use infusions with B-complex, magnesium, L-arginine, and glutathione to boost nitric oxide levels, reduce inflammation, and enhance cellular energy. These therapies can improve sexual stamina, circulation, and overall vitality. Each IV is custom-blended based on lab data and tailored to your unique deficiencies or goals.
We prescribe evidence-backed supplements like Tongkat Ali, Maca, Ashwagandha, and Ginseng to naturally support testosterone and reduce stress. Nutrients like zinc, selenium, CoQ10, and L-citrulline are selected to enhance blood flow and endothelial health. Each supplement plan is carefully designed based on your labs to restore balance, reduce dependency on pharmaceuticals, and support long-term function and performance.
Emotional and mental stress can inhibit arousal and affect blood flow. We offer mind-body therapies like acupuncture, guided meditation, yoga, and breathwork. Adaptogenic herbs like Rhodiola and Holy Basil are used to regulate cortisol and restore adrenal balance. Counseling and cognitive-behavioral therapy (CBT) are available if deeper psychological causes or performance anxiety are involved.
Hormonal imbalances are a top cause of ED. We evaluate testosterone, thyroid, adrenal, and estrogen levels, then treat imbalances with bioidentical hormones or natural support. Testosterone therapy is closely monitored and safely dosed. Many men experience a dramatic improvement in energy, libido, and erectile function when hormone levels are restored to optimal ranges.
Excess weight, inactivity, and poor sleep all worsen ED. We create custom fitness plans with strength training, cardio, and stretching routines to improve blood flow and stimulate testosterone. Our lifestyle team provides tools to improve sleep hygiene, manage screen time, and build long-term habits that support vascular and hormonal health.
A one-on-one visit with an integrative physician to discuss your symptoms, medical history, lifestyle, and goals.
We create a tailored lab panel, which may include:
Your physician outlines a multi-layered approach that may include:
Regular sessions to optimize hormone levels, monitor response, and enhance results.
We help you maintain strong erections, energy, stamina, and hormonal balance for life.
John, a 51-year-old executive, came to us after a year of erectile issues affecting his confidence and marriage. Testing showed low free testosterone, insulin resistance, and high cortisol. We initiated bioidentical testosterone therapy, IV nutrient infusions (L-arginine, magnesium), a low-glycemic diet, and stress-reducing acupuncture. Within 12 weeks, he regained full erectile function, improved sleep, lost 14 pounds, and rekindled intimacy with his spouse—without any prescriptions.

Medical Director of Patients Medical

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Consult Dr. Emine Cosar, MD. For Gynecology
Yes. Many men improve naturally with lifestyle changes, hormone optimization, and nutrient therapy. Our goal is to restore your natural function, not rely on short-term fixes.
Testosterone, DHEA, and thyroid hormones directly influence libido, stamina, and performance. We assess and optimize hormone levels with safe, bioidentical protocols tailored to your labs.
Absolutely. Our integrative approach is safe, effective, and age-appropriate. We’ve helped many men in their 60s, 70s, and beyond feel like themselves again.
Hormonal imbalance, vascular issues, stress, metabolic disorders, medications, and nutritional deficiencies are the most common causes.
Yes — but only as a short-term tool. Our goal is to restore natural erections.
Through bloodwork, cardiovascular testing, hormone analysis, and a complete lifestyle evaluation.
Yes, low T is one of the primary reasons men struggle with weak erections and low libido.
BHRT, peptide therapy, shockwave therapy, PRP injections, IV therapy, supplements, detox, and lifestyle medicine.
Some notice improvement within 3–4 weeks. Hormone therapy, IVs, and stress reduction typically yield full results in 8–12 weeks, depending on severity.
Urologists often treat symptoms with drugs. We address root causes like hormones, circulation, stress, and lifestyle—restoring sustainable health and function.
Not right away. We work alongside current medications and taper down as your function improves—always under careful supervision.
Many men notice improvements within 4–8 weeks, depending on severity.
Yes — it improves penile blood flow by regenerating vascular tissue.
Yes. We offer a full male fertility optimization program.
Some lab tests may be covered. Our office can discuss coverage options.
Absolutely. Mental health plays a major role in sexual function.
Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.
To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you
Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128
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All information presented in this website is intended for informational purposes only and not for the purpose of rendering medical advice. Statements made on this website have not been evaluated by the Food and Drug Administration. The information contained herein is not intended to diagnose, treat, cure or prevent any disease. Patients Medical.