Erectile dysfunction may be the end result of a complex interface between the psyche and the body. Before a specific treatment option is offered, the exact nature of the problems should be thoroughly diagnosed. The effective diagnostic process starts with a complete history of past and present medical and surgical conditions. A focused psychological assessment will often follow.

Next, there should be a diagnostic assessment concentrating on the hormonal, neurological and vascular aspect of penile functioning.

Two diagnostic tests are then usually performed by the attending physician:

• The first, called Biothesiometry studies, assess the nervous supply to the penis.
• The second, called Doppler ultrasound, assesses the blood supply to the penis.

These pain-free and non-invasive steps allow the physician to provide an explanation of the cause and extent of your problem, and to determine what treatment options would be most suitable.

Once this diagnosis is completed, a personalized treatment can be offered so that you can commence treatment privately and immediately. You may experience a resolution to your condition right away; i.e., experience of a strong and lasting erection, regardless of your age or underlying health problems. The treatment is safe, effective and may even be curative.

The successful treatments used by the Boston Medical Group are tailored to suit each patient’s needs, and to provide not only a relatively instant erectile response, but are also designed with a goal of long-term improvement rather than a temporary solution to your problem.

Many of the treatments we recommend aim to improve the penile health by increasing blood flow to the penis, revitalizing the penile tissue and increasing the penile elasticity, consequently improving erectile function. Patients may discover that after using their personalized treatment for the recommended time, they no longer need it or rarely need it again.

	How About Viagra®, Levitra®, and Cialis®
	Learn about Biothesiometry
	Learn About Doppler Ultrasound

HOW Effective is VIAGRA^®, LEVITRA^®, CIALIS^®and other impotence medications?

These medications have worked well for many men with ED, providing a symptomatic relief to the problem at hand. However, these drugs are not for everyone and are not without risks. There is no single treatment for every situation of erectile dysfunction. Many men cannot take these medications due to the presence of certain common health conditions, or other medications they are taking. Many others experience significant side effects or the medications are simply not effective for them.

It is estimated that more than 40% of men do not respond to these drugs, depending on their age and underlying health problems; and at least 15% suffer from undesirable side effects. These drugs belong to the same class and generally speaking if one does not work for you, it is unlikely the others would work.₁

A possible link between these medication and a condition of sudden blindness called NAION (non-arteritic anterior ischemic opti neuropathy) was brough to attention in July 2005₂ Even though there is no evidence to support causaltiy, the FDA has enforced new black box labeling to warn men of possible blindness arising from the use of these drugs.₃

1) http://www.webmd.com/content/Article/57/66227.htm
2) http://www.cnn.com/2005/HEALTH/conditions/05/29/viagra.gupta/index.html
3) http://www.cbsnews.com/stories/2005/05/27/eveningnews/main698328.shtml?CMP=ILC-SearchStories
4) http://www.fda.gov/cder/consumerinfo/viagra/default.htm

If you have tried Viagra^®, Levitra^®, or Cialis^®, unsuccessfully or, if you cannot take these medications due to health problems or side-effects or if you want to improve or restore your sexual health safely and effectively, the Boston Medical Group has the answer.

Our highly experienced physicians can prescribe a personalized treatment that is proven to work in well over 95% of cases.

Should I Seek Impotence Solutions for Male Erectile Dysfunction?

Yes. As with any medical condition, erectile dysfunction can best be treated promptly. The sooner it is diagnosed and treated, the better the outcome, for the following reasons:

First, the underlying problem should be identified and corrected to best help prevent further dysfunction. There is no long-term benefit of treating only the symptoms.

Second, the lack of use of an organ may cause progressive loss of function via progressive loss of healthy tissue. This condition is called “disuse atrophy” and is particularly important in the case of penile health, as explained next.

The penile tissue remains healthy, supple and functional only with a constant and healthy supply of oxygenated blood, which only comes about with regular episodes of erections. Therefore, a lack of erections, for whatever reason may result in progressive loss of healthy penile tissue, leading to progressive loss of function. Once irreversible damage has occurred, treatment options may become more limited or unsuccessful. Therefore, the earlier ED treatment is sought, the better the opportunity for an effective treatment to adequately and promptly restore healthy blood flow to the penis.

Third, erectile dysfunction is more than just a sexual problem, as a fulfilling sex life is reflected in one’s social, family and work environments.

Finally, a healthful sex life may contribute good health and overall well being.

Studies indicate that couples with a healthy sex life are not only affected less by problems such as depression, anxiety, hypertension, diabetes, ulcers, tiredness, virus illness and other ailments, but may also have a greater life expectancy. *

*The Healing Power of Sex, Judith Sachs, 1997

Biothesiometry and Male Impotence Biothesiometry assesses the afferent pathway of sensory innervation to a particular area of the body. It is used as a screening test to effectively determine if there is any neurological deficit, such as neuropathy commonly seen in patients with diabetes, post prostatic or other invasive pelvic surgery. It is also used to confirm the causation of premature ejaculation.

	The Doppler Ultrasound and Erectile Dysfunction Doppler studies are painless and non-invasive tests that reveal the status of blood flow to the penis in response to certain stimulation.
An ultrasonic beam wave is emitted from the Doppler probe, travels through the intervening tissue and bounces back from the blood flow through the Cavernosal Artery of the penis. The arterial wave form as well as the velocity of blood flow allow accurate understanding of the status of the vascular supply to the penile tissue and its integrity.