Erectile Dysfunction

Erectile Dysfunction

AI Smart Summary

Erectile Dysfunction (ED) Treatment in NYC

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.

Fast Facts

Services Covered

Diagnostics, Hormone & Testosterone Testing, ED Medications, HRT (if indicated), Erectile Dysfunction Devices, Lifestyle & Integrative Therapy Support.

Ideal For

Men experiencing difficulty achieving/maintaining erections, reduced libido, low testosterone, metabolic or vascular health issues, or age-related sexual function decline.

Treatment Approach

 Personalized — medical, hormonal, and lifestyle evaluation to identify root causes and design an effective, safe treatment plan.

Potential Therapies

Medications (e.g. PDE-5 inhibitors), hormone optimization, injectable or urethral treatments, vacuum devices, lifestyle modification, psychological/partner counselling.

Support Services

Ongoing follow-up, integrative care for associated health issues (metabolic, cardiovascular, endocrine), and comprehensive holistic health oversight.

TREATMENT OPTIONS & PATHWAYS

TOP QUESTIONS ANSWERED

Recommended Next Steps for Patients

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

 

Erectile Dysfunction (ED) Treatment in NYC

Who We Are & How We Practice

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:

Quick Facts About Patients Medical

Our Whole-Person Integrative Care Model

Why Erectile Dysfunction Needs a Holistic Approach?

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:

  • Vasculogenic ED: Poor circulation or vascular disease.
  • Neurogenic ED: Nerve damage from diabetes or injury.
  • Hormonal ED: Low testosterone or thyroid imbalance.
  • Psychogenic ED: Emotional or psychological stress.
  • Mixed ED: Multiple overlapping causes

Common Symptoms of Erectile Dysfunction

Root Causes: Why Are You Experiencing ED?

Our functional medicine approach seeks to uncover the “why” behind ED. Common underlying causes include

Diagnostic Testing We Use

Total and free testosterone

DHEA, cortisol, estradiol, prolactin

Thyroid panel (TSH, Free T3, Free T4)

HbA1C, fasting glucose and insulin

CRP, homocysteine, lipid panel

Vitamin D, B12, magnesium, zinc levels

Sleep apnea and oxygen saturation

Psychological stress evaluation

Integrative Treatments for Erectile Dysfunction

Nutritional Therapy

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.

Nutritional-Support
IV-Nutrient-Therapy-for-Hormonal-Health

IV Vitamin Therapy

 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.

Herbal & Nutraceuticals

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.

Herbal-Nutraceuticals
Stress Management

Stress Reduction

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.

Hormone Balancing

 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.

Hormone-Balancing
Weight-Management

Lifestyle & Fitness Coaching

 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.

How Our Process Works – Step by Step

Step 1: Initial Consultation

A one-on-one visit with an integrative physician to discuss your symptoms, medical history, lifestyle, and goals.

Step 2: Advanced Diagnostic Testing

We create a tailored lab panel, which may include:

  • Testosterone & full hormone panel
  • Thyroid profile
  • Cardiovascular & blood flow assessments
  • Vitamin & mineral panel
  • A1C & metabolic markers
  • Inflammation markers
  • Semen analysis (if fertility support is needed)

Step 3: Personalized Treatment Plan

Your physician outlines a multi-layered approach that may include:

  • Testosterone replacement therapy
  • Peptide therapy (PT-141, Ipamorelin, Kisspeptin)
  • Shockwave therapy for penis blood flow
  • PRP “P-Shot”
  • Nutritional supplementation
  • IV nutrient therapy
  • Stress & lifestyle protocols

Step 4: Follow-Up & Adjustments

Regular sessions to optimize hormone levels, monitor response, and enhance results.

Step 5: Long-Term Performance Optimization

We help you maintain strong erections, energy, stamina, and hormonal balance for life.

Case Study: John's Return to Confidence

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.

Why Choose Patients Medical in NYC

Why Choose Patients Medical in NYC

Testimonials

Meet Our Doctors

Rashmi Gulati, MD

Medical Director of Patients Medical

Stuart Weg, MD

A holistic pain management physician

Dr. Emine Cosar, MD

Consult Dr. Emine Cosar, MD. For Gynecology

Frequently Asked Questions

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.

Begin Your Journey with Patients Medical

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.

Request your consultation today!

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

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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