Your sexual health is telling you something.
Changes in your sex drive, erections, or sexual confidence aren’t simply an inevitable part of getting older. They’re often your body’s way of telling you that something else deserves attention.
For some men, it’s declining testosterone. For others, it’s reduced blood flow, elevated stress, poor sleep, diabetes, medication side effects, thyroid dysfunction, or cardiovascular disease. Sometimes it’s several of these at once.
30M+
men in the United States experience erectile dysfunction.
~40%
of men experience some degree of erectile dysfunction by age 40, with prevalence increasing over time.
Millions
of men are affected by low libido, which often has more than one contributing cause.
Early sign
Erectile dysfunction may be one of the earliest warning signs of cardiovascular disease.
We treat the cause, not just the symptom.
This is why we don’t believe every man should walk away with the same prescription. At Encore Health, we start by identifying what’s actually causing the problem and then build a treatment plan around you.
Men’s sexual health care focuses on diagnosing and treating conditions that affect sexual function, desire, confidence, and overall quality of life. Rather than treating symptoms alone, we evaluate the underlying factors that may be contributing to them. These commonly include:
- Hormone imbalance
- Cardiovascular disease
- Stress and anxiety
- Medication side effects
- Sleep disorders
- Reduced blood flow
- Diabetes and metabolic disorders
- Depression
- Thyroid dysfunction
- Lifestyle factors
Because these conditions frequently overlap, successful treatment often requires more than one approach.
Low libido, ED, and Peyronie's disease.
Although many people use these terms interchangeably, they describe different stages of the same transition.
Low Libido
A reduced interest in sex isn’t always caused by low testosterone. Stress, poor sleep, relationship challenges, medications, depression, thyroid disorders, and other hormone imbalances can all affect sexual desire. Understanding why your libido has changed is often the first step toward improving it.
Erectile Dysfunction (ED)
Difficulty achieving or maintaining an erection is one of the most common concerns we treat. While age increases the likelihood of ED, it should never simply be dismissed as “getting older.” Reduced blood flow, hormone imbalance, diabetes, cardiovascular disease, stress, anxiety, medication side effects, and lifestyle factors can all contribute.
Peyronie's Disease
Peyronie’s disease develops when scar tissue forms within the penis, leading to curvature, shortening, narrowing, discomfort, or difficulty with erections. Although many men hesitate to discuss it, Peyronie’s disease is a recognized medical condition with treatment options that may help depending on the stage and severity.
Sexual health concerns rarely have one single cause.
Hormones
- Low testosterone
- Elevated estrogen
- Thyroid dysfunction
Blood flow
- High blood pressure
- High cholesterol
- Cardiovascular disease
- Diabetes
Lifestyle
- Poor sleep
- Obesity
- Smoking
- Excess alcohol
- Physical inactivity
Mental health
- Stress
- Anxiety
- Depression
- Performance anxiety
More common than you think.
Not every case of erectile dysfunction has a physical cause. For some men, stress, anxiety, a new relationship, previous negative experiences, or fear of “not performing” become part of the cycle. One difficult experience can create enough anxiety that it happens again even when everything else is healthy.
If that’s contributing to your symptoms, we’ll discuss it openly and recommend treatment options that address both the physical and psychological aspects of sexual health.
Individualized, not protocol driven.
Hormone optimization
When low testosterone or another hormone imbalance contributes to your symptoms, restoring healthy hormone levels often becomes the foundation of treatment.
Blood flow support
For many men, medications such as tadalafil improve blood flow and erectile function. Your provider may recommend daily low-dose tadalafil, as-needed tadalafil, sildenafil, or combination therapy.
Peptide therapy
For carefully selected patients, certain peptides may be considered to support libido, arousal, or overall sexual wellness alone or combined with hormone optimization.
Acoustic Wave Therapy
For some men with erectile dysfunction or Peyronie’s disease, non-invasive Acoustic Wave Therapy may be appropriate, especially for poor blood flow. Available through our sister clinic, West Coast Men’s Health we’ll coordinate your referral directly.
You may benefit from a men's sexual health evaluation if you:
- Have low libido
- Experience erectile dysfunction
- Have Peyronie's disease
- Notice changes in sexual performance or confidence
- Want to understand why your symptoms developed
- Prefer treating the underlying cause rather than masking the symptom
Our goal isn’t simply to improve your ability to be intimate, but also to improve your confidence, and overall health.
Depending on your diagnosis and plan, benefits may include:
- Increased libido
- Better sexual confidence
- Improved relationship satisfaction
- Treatment of underlying hormone imbalance
- Reduced Peyronie's symptoms when appropriate
- Improved erectile function
- Greater spontaneity
- Better energy and motivation
- Improved cardiovascular awareness
Individual results vary, and not every therapy is appropriate for every patient.
Seven Steps. One Real Person Guiding Each of Them
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Care that continues after the prescription.
No cookie-cutter protocols. Every treatment plan is individualized.
Low libido and erectile dysfunction are often symptoms not diagnoses. We identify the underlying cause before recommending treatment.
If another evaluation, specialist, or treatment would better address your symptoms, we’ll tell you.
Hormone optimization and men’s sexual health are core areas of our practice.
When medication is prescribed, it’s sourced through licensed U.S. pharmacies operating under appropriate regulatory standards.
Treatment doesn’t stop after your prescription is written. We monitor your progress and adjust your plan over time.
Complete your visits from home and receive medication delivered directly to your door.
Questions don’t always happen during appointments. Our team is available by phone, text, and email throughout your treatment.
Every treatment begins with a careful medical evaluation.
Depending on your treatment plan, monitoring may include:
- Testosterone and hormone levels
- Cardiovascular risk factors
- Lipids
- Medication side effects
- Blood pressure
- Blood glucose
- Symptom improvement
Potential side effects vary depending on the treatment being used. Your provider will review the benefits, risks, alternatives, and expected outcomes before beginning therapy.
Frequently asked questions
Is low libido always caused by low testosterone?
No. While testosterone is an important contributor, libido is also influenced by sleep, stress, medications, thyroid health, mental health, relationships, and overall wellness.
Will TRT fix erectile dysfunction?
Not always. If low testosterone is contributing to your ED, TRT may help. If blood flow, vascular disease, or another condition is the primary cause, additional treatment may be needed.
Can I take tadalafil every day?
For many men, yes. Daily low-dose tadalafil provides continuous support rather than requiring you to plan around a pill before intimacy. Your provider will help determine which approach is appropriate.
What causes Peyronie's disease?
Peyronie’s disease develops when scar tissue forms inside the penis, often after minor trauma or injury. Genetics and inflammation may also contribute.
What is Acoustic Wave Therapy?
Acoustic Wave Therapy uses low-intensity sound waves and may help some men with erectile dysfunction or Peyronie’s disease. If appropriate, we’ll coordinate care through our sister clinic, West Coast Men’s Health.
Is everything confidential?
Absolutely. Your consultation, laboratory results, prescriptions, and treatment are protected just like every other aspect of your medical care.
Don't ignore what your body is trying to tell you.
Changes in your sexual health aren’t something you simply have to live with—and they may be telling you more about your overall health than you realize. Whether the answer is hormone optimization, improved blood flow, peptide therapy, Acoustic Wave Therapy, or identifying an underlying medical condition, the first step is understanding what’s actually causing the problem. That’s where we begin.