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Our blood draws are twice as intensive as seen at typical urology practices and five-times more detailed than at a family physician or men’s health center. Simple: Remember this is not an “ending” diagnosis – but a symptom of another problem. Tracking down that underlying cause starts with blood work. Our urologists provide a unique and detailed Doppler ultrasound of the penis to unlock the keys to healing plus we perform an endothelial test to evaluate healthy blood flow throughout the rest of your body. Most issues are sourced from problems within the penis. However, 40% are rooted from challenges outside the groin area. What happens without this tandem of detailed analysis? Doctors are just guessing – throwing out treatment ideas on what might be wrong. This uncertainty leaves the patient facing less than ideal treatment paths, a lifetime of dependency on treatments like injections or pills – or even worse: overlooking a life-threatening health issue. We will be looking at how the blood flows through the penis and how quickly – defined as peak systolic velocity. Most men recall life at 16 years of age – when mere thought of sexual excitement could cause immediate arousal. That was because the blood flowing into and through the penis was working perfectly. Our urologists also closely analyze bilateral symmetry – checking if the two main arteries that “fill” the penis flow at the same level: that’s important. Problems in this regard are classified as Arterial Insufficiency – and we can now fix that without surgery! After all that blood pumps into a penis: we need it to stay in order to maintain an optimal engorged erection. If there’s a leaky-valve from disease, aging or damage? Blood seeps out and the erection weakens – like a tiny pinhole slowly deflates a balloon. In these situations, a man can get excited and erect – but somehow – keeps losing erection. This is known as Venus Leakage – we can now non-invasively repair that if faulty. Built-up plaque is a common challenge in penile health. In severe cases, you could be dealing with Peyronie’s Disease – which requires an exclusive treatment paradigm. However, it’s not uncommon to have bits of hardened plaque in spots around the penis or an inordinate amount of “diffuse plaque” hampering blood flow & performance within your penile tissue. Diffuse plaque can be likened to heavy salt water – the plaque has not scaled and hardened to edges of the penis – buts its density and weight and causing the pipes to operate less efficiently and more cumbersome. Endothelial analysis provides a detailed analysis of blood flow rates throughout your body. It doesn’t do any good to improve blood flow within the penis if the providing resource isn’t offering adequate pressure and quality to support penile function. We can’t begin to tell you the number of patients we treated who had seen countless doctors who found nothing wrong with their penis and suggested they pursue a lifetime dependency on penile injections or an implant when in reality – the erection problems was actually stemming from the body vs. After a review of findings with the urologist, our clinical director shares our proprietary 65-point patient scorecard that exhibits all the results, how they fare against the norm with other men of the same age – and what our urologists can do to overcome deficiencies – without any surgery or prosthetic, We do our best to offer solutions regardless of available time, health insurance coverage or financial resources. Each treatment plan is custom based upon all factors relating to a patient’s personal health. Receive a discreet reply from the Morganstern Health patient care team. We are here to help and will answer your questions discretely. Complete the form below and we will contact you as soon as possible. 5 Best Herbal Supplements to Boost Your Sexual Health. It is quite common for men and women to have sexual problems. The reasons behind the problems can be many, ranging from medical problems to emotional disconnect. As you know, sexual activity is a very important activity in any person’s life. Many relationships end due to dissatisfactions caused by poor sexual performance. In fact, poor sexual performance can make or break relationships. However, you can work on such problems through different processes, exercises, medications and changes in diets. Reasons for Poor Sexual Performance: Stress and anxiety issues are two of the most common reasons for poor sexual performance. People now have a very stressful life due to work pressure and family issues. Sex is something that people look forward in their life and stress can hamper your performance. Fear of failure regarding performing well in bed can cause anxiety issues. The inability to prolong ejaculation can be a major disappointment for your partner. The amount of time you indulge in intercourse is important and prolonging it is necessary to improve your performance in bed. After an age, males tend to lose the ability to produce enough testosterone and that is a worrying thing. This hormone plays very vital role in increased masculinity and production of the male gamete, sperm. Erectile dysfunction or ED is a situation when a male’s penis does not erect when required. Not able to get an erected penis before sex is not at all appealing and can be an embarrassing situation. If not psychological, there can be medical reasons behind this problem and can be treated with medications as well. Some of the reasons for poor sexual performances can be psychological or due to unhealthy lifestyle with bad habits and poor dietary patterns. Smoking influences the sperm count negatively and leads to poor erection. Drinking can cause you to pee in between sex or force an early ejaculation. The diet which you follow can affect your performance negatively if there is lack of intake of necessary nutrients. There are some cases where taking medicines or supplements is the only way to improve the sexual health. Medlife offers the following 5 best herbal supplements to boost your sexual health: Medlife Essentials Shilajeet Capsules: Shilajit is a sticky herb found in mountains and offers many health benefits due to its multiple micro and macro nutrients. One of the health benefits of Shilajit is that it boosts your energy levels and help you perform well. Medlife Essentials Shilajeet Capsule is a 100% natural, high-quality extract of Shilajit resin. A scientifically proven potent dietary supplement like Shilajit helps you get rid of any kind of weakness. The presence of fulvic acid and humic acid gives it anti-ageing properties and helps you rejuvenate with your physical activities. The capsule can also benefit if you suffer from sexual weakness, semen deficiency and low sperm count. Many people lose interest in sex after an age due to many reasons and it leads to poor sexual performance. The aphrodisiac nature of Shilajit helps you increase your sexual desire. It has mind calming properties that decrease your stress levels. It strengthens your immune system and enhances strength to improve your sexual performances. Patients using these capsules see significant improvement in their sexual life, giving them a satisfied lifestyle and making the capsules ideal for better male sexual health. Dabur Stimulex Capsules: It is an Ayurvedic Medicine for penile enlargement. The capsule comprises of many Indian natural herbs and active ingredients like Manjistha, Kantakari, Brahmi, Guduchi, Draksha, Chitrak, Amalaki, Bala and Madhu. These herbs work together and energize the penis veins by increasing the blood flow and helping in its enlargement. Many males have problems related to the slow or low release of the male hormone testosterone. The capsule balances the release of testosterone and increases the sex drive. The many major benefits of Dabur Stimulex Capsule include increase in male libido, self-confidence, stamina and the length of intercourse. All these factors play a key role a much better sex life. It is helpful in satisfying your partner and in turn getting satisfied. Himalaya Tentex Forte Tabs: The trusted brand of Himalaya has come up with an ayurvedic proprietary medicine that improves sexual desire and performance in men. It is a comprehensive tablet with key ingredients like Ashwagandha, Shilajeet, Kapikachchu and Gokshuru. The tablet helps in improving the testosterone levels in males, thus increasing the sex libido. It increases the sexual desire in men by reducing the emotional stress level. The natural ingredients help in alleviating male sexual dysfunction and supporting the production of hormones associated with ‘pleasure system’ of the brain. Himalaya Tentex Forte Tabs strengthen the penile tissue and help in maintaining the erection for a longer time. Hashmi Hard Rock Capsules: These capsules help in providing a hard erection and boosting your stamina. Hard Rock capsule is a Unani Herbal medicine that benefits people with erectile dysfunction (ED)/ impotence. The capsule focuses on the secretion of your hormones and strengthening the penile muscles. The amount of testosterone released is a major factor in one’s sexual performance. The hormone is responsible for production of male gamete sperm. It is important to have a natural flow of testosterone throughout the body to increase your overall stamina as well. The capsule ensures you will last longer in bed by maintaining the erection and delaying the ejaculation. The increased blood flow in penile tissues helps in the enlargement of the male organ. The capsule balances the sex hormones, thus increasing the sex drive. Organic India Ashwagandha: Organic India Ashwagandha is an exclusive ayurvedic medicine that aids in relieving stress and building vitality. The natural herb effectively increases cognition and muscle strength, and helps maintain immunity. This is important to increase your stamina levels and perform well in your sex life. The capsule helps in improving your sleep patterns and mood swings. All these are important for your sex life and enhancing the performance. Ashwagandha works as an aphrodisiac to enhance sexual power in men. It enhances your vigor and vitality and rejuvenates you to perform well. The neuroprotective nature of the capsule helps in increasing the blood flow and activating all nerve endings. It is excellent in relieving stress, which is a major cause for lower sexual performance. Choose from our wide range of body tests such as CBC test, ESR test, Widal test, Liver function test and Kidney function test and more. You don’t have to visit a diagnostic centre because Medlife brings it to your home. Get a free home sample collection done by and results will be sent via email within 24 hours. Conclusion: Many factors can hamper your sexual performances. Working on them is important, as sex is a major aspect of your life. Herbal supplements are the best solution since they have little to no side effects. It may take time to achieve your desired goals but these medications can help you boost your performance largely. When you take any new supplements, consulting a doctor is always important as he/she will guide you the right way and help you achieve better results. There is a possibility of getting side effects if you take other medicines while having these herbal medicines. Therefore, it is important to consult a doctor to avoid such uncalled situations. Medlife offers a range of organic supplements that improve sexual health. Order them today to begin a new chapter in your sex life! If you are suffering from any Urology, Andrology or Sexual illness you can consult Dr. TeleOPD is available only to help patients during the COVID 19 crisis. Raman Tanwar, MCh is a leading Urologist and Andrologist of Gurgaon with expertise in kidney stone treatment, prostate enlargement treatment and solution to male fertility such as penile implant surgery and treatment of Varicocele. Raman Tanwar is a internationally renowned author who was been awarded by the British Medical Association, Indian Medical Association, International Society of Sexual Medicine, Urological price of sildenafil at costco Society of India, Council of Sex Education and Parenthood International, Men’s Health Society of India, Indian Association of Urogenital Surgeons, World Science Congress and many other state level organisations such as the Delhi Medical Association, Haryana Chapter of the Association of Surgeons on India and many more. Associated with depression, fatigue, memory difficulties. Worsening cholesterol profile, increased risk of heart disease. Muscle loss, body aches, and prolonged recovery time from exercise. Diminished sexual desire, decreased sildenafil without rx erectile function, and decreased penile size. Male Testosterone Replacement Therapy (TRT) The benefits of low T treatment and therapy include increased energy and strength, increased muscle mass, decreased osteoporosis, improved cholesterol profile, lowered blood sugars, improved sexual function, and increased longevity. A decrease in sex drive or erectile dysfunction suggests low T. Other symptoms include decreased energy or strength, decreased enjoyment of life, sadness or grumpiness, falling asleep after dinner, or a recent loss in work performance. The Adam Questionnaire is a sensitive tool used to screen for low T. Yes, when prescribed and managed by a licensed physician. Testosterone is a controlled substance which must be appropriately prescribed by a medical professional. Your clearance may require you to disclose prescribed medications to your agency. Do I need to go to my regular doctor for a referral first? VanAntwerp performs all necessary screening and exams. You will receive an order for comprehensive blood work when you book your consultation. Results will be reviewed at your complimentary history and physical. My doctor told me that my testosterone levels are fine but I show some of the symptoms of Low T. All complaints require a detailed history and physical. We frequently see patients who have been told that they have a “normal” testosterone level who in fact have Low T. To have have a complete understanding of male sex hormones the following tests must be performed: albumin, total testosterone, free testosterone, bioavailable testosterone, sex hormone binding globulin, estradiol, luteinizing hormone, and follicle stimulating hormone. In the past, physicians rarely even checked testosterone levels in men ages 35-50, but times have changed. TRT MD frequently provides low T treatment and therapy for men between the 35-50 years old. The reasons for this shift can include a variety of reasons that are not all completely understood. However, some of them include environmental toxins, opioid prescriptions, marijuana use, and sedentary lifestyles. Low T results in weight gain, muscle loss, depression, sexual dysfunction, and body aches. The onset of symptoms is often subtle, and men tend to ignore them and press on with life. Testosterone therapy and treatment can restore the zest and drive we knew as younger men. Dual Board Certification in Internal Medicine and Clinical Preventive Medicine Professor of Medicine at Philadelphia College of Osteopathic Medicine Clinical Fellow at Johns Hopkins University. At TRTMD Health Clinic we can boost your immune system with Thymosin Alpha 1. It is FDA cleared to support the immune systems of certain cancer and hepatitis patients with suppressed immune systems. This medication maximizes T-Cell and Natural Killer (NK) cell production, which search out and destroy viruses. Thymosin Alpha 1 down regulates inflammatory messengers in viral illnesses potentially relieving viral symptoms. We provide this medication along with others to boost immunity and to promote disease resistance. Testosterone Replacement Restores Vitality and Improves Health. The maxim that men are like wine, the best improve with age is true regarding many aspects of manhood including financial stability, confidence, and wisdom. Unfortunately, this upward curve does not apply… Testosterone Replacement Therapy Reverses Low T Symptoms. We’re asked frequently “Does Testosterone Replacement Therapy Reverses Low T Symptoms?” We commonly associate the changes that our bodies go through with being “normal aging”, as if these changes are… Testimonials. I found that I had reached a plateau in my physical conditioning, was generally tired, and had reduced levels of energy. After careful consultation with me and in review of my lab work, Dr. VanAntwerp started me on a course of testosterone treatment. I have found that I wear my belt on the 4th hole, instead of the first; I have lost fifteen pounds, and have leaned up greatly; and that my energy levels are on the rise again. In addition to the physical benefits described, I have found my mood to be more positive, and have seen phenomenal changes in my blood work - my lipid numbers are significantly better, there has been no change in my PSA score, and overall my blood chemistry is much closer to normal than it has been in a long time. The staff is great, I trust their medical advice and care, and they treat me like family. It is well worth looking in to this course of treatment if you are in a rut, work in a stressful occupation, or find yourself a half-step behind how you used to be. Bio-Functional Medicine… Bio-Identical Hormones, Functional Medicine, Anti-aging. Bio-Identical Hormones, Men's health, Weight Loss, Anti-aging. Bio-Identical Hormones, Testosterone Replacement, Weight Loss, Functional Medicine, Anti-aging. Our Raleigh Bio-Idential hormone doctors, Alvin Antony, MD and Jennifer Yap, DO place a strong emphasis on natural solutions, nutritional counseling, hormone balancing, stress price of sildenafil at costco reduction and weight loss to achieve energy, vitality and optimal functional performance. Dr Antony has completed additional training on the management of erectile dysfunction and testosterone pellet therapy in men and women. Dr Yap has provided bio-identical hormone replacement therapy (BHRT) and pellet therapy care to countless women around the Raleigh, Durham and Cary areas. Our team believes in using the highest grade medical supplements to maximize your body's functional performance and achieve wellness. Aging is optional with the right balance of hormones, nutrition and exercise. Bio-Functional Med is a functional medicine practice with a core mission to break from the traditional symptom based model of medicine. The Bio-Functional Med team restores health and vitality with use of bio-identical hormones, medical grade supplements, hormone and genetic testing, regenerative anti-aging medical techniques, life-style modifications with a de-emphasis on the use of traditional medications. Traditional medicine does not take the time to address the root causes of illness. Without addressing the underlying cause of illness and low energy, symptoms will reoccur. Additionally, traditional medicine has a strong emphasis on pharmacology to treat symptoms. This pharmacological approach leads to more symptoms and the addition of more drugs to treat the drug side effects. It is the use of hormones to help resolve symptoms related to hormonal imbalance or decline in hormone production tied to aging. It is weight management based on medical scientific evidence that targets the root causes of obesity and weight gain. Erectile dysfunction can be a sign of a physical or psychological condition. It can cause stress and relationship strain along with low self-confidence. Come talk to our doctors about proven solutions and treatments. This treatment is all about giving women and men more confidence and restoring sexual function. The PRP-SHOT is a treatment that uses your body’s own platelets, cells that form new tissues. Restore your hair with a non-surgical solution that fits your lifestyle. Our exclusive non-surgical hair loss solutions enable you to enjoy natural looking results and keep your normal routine. Pellet therapy is a long-acting sustainable delivery method for bio-identical hormone therapy. Our physicians have years of experience and training treating menopause and andropause with the use of bio-identical hormones such as testosterone and estrogen. Correcting underlying hormonal imbalances will dramatically improve low energy, mental fog and fatigue issues as well as improve menopause and andropause issues such as loss of sex drive, vaginal dryness, erectile dysfunction to name a few. Our team of providers love to discuss your unique issues and partner with you toward a customized solution that allows you to enjoy health and vitality. Simple Solutions Can Help Providers Manage Side Effects. In managing side effects associated with psychotropic drugs, prescribers need to arm themselves with a menu of strategies and opt first for simpler solutions over adding or switching a medication, Rajnish Mago, MD, said at Psych Congress 2020 . In a virtual session he termed as a “call to action” on an often neglected component of prescribing, the editor of SimpleandPractical.com said that for each common side effect, strategies should be classified based on intensity as Level 1, 2, and 3 approaches. The most intensive Level 3 measures should be used only if side effects persist but stopping the offending medication would be problematic, said Dr. Mago, who teaches at SUNY Upstate Medical University, Syracuse, New York, and the University of Pennsylvania, Philadelphia. Mago added that medical professionals often do not focus enough on common everyday side effects such as nausea, dry mouth, and excessive sweating. These might not be as medically serious as extreme side effects, but often are the issues that lead patients to stop taking a medication or fail to take an effective dose. He reserved time at the end of the session to address the prevalent and much-discussed side effects of sexual dysfunction and weight gain. There is an approximately 25% prevalence of sexual dysfunction associated with antidepressant use where there is no other known cause. The problem may be more severe in women, but prescribers will need to ask women because they are less likely than men to report sexual side effects, Dr. Only about 10% of patients experiencing sexual dysfunction will see improvement simply by waiting 6 to 18 months. “Please don't keep telling patients it will get better, because usually it will not,” Dr. More productive approaches, he suggested, might include drug holidays (effective for sertraline and paroxetine in 50% of cases, according to research), switching to a drug such as bupropion or mirtazapine with fewer sexual side effects, or adding for men a drug to treat erectile dysfunction where appropriate. Mago had one primary message: “Those of you who are not prescribing metformin for metabolic side effects, please consider this. This is a greatly underutilized strategy.” For weight gain associated with second-generation antipsychotics, metformin has demonstrated even greater effectiveness than topiramate, he said. A 2016 study found that for patients who had gained more than 10% of their baseline weight, metformin resulted in an average weight reduction of 7.5%. Metformin should be considered in the first few months of antipsychotic treatment where indicated, but it should not be used in the elderly or the medically ill, Dr. Doses of extended-release metformin can start at 500 mg once a day, with increases to an optimal dose of 1000 mg twice a day.
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