Male Sexual Dysfunction

As many as 30 million men in the U.S. experience erectile dysfunction (ED). Often, ED stems from an underlying physical disorder, such as vascular disease, high blood pressure (hypertension), or diabetes, or from side effects of medication or urological procedures. 

The Mount Sinai Sexual Health Program offers a comprehensive approach to the diagnosis and treatment of ED, combining thorough medical evaluation, counseling, and therapeutic interventions. Using the most advanced diagnostic techniques available, our specialists, led by Natan Bar-Chama, MD, Director of Male Reproductive Medicine and Surgery, and Doron Stember, MD, evaluate underlying hormonal, neurogenic, vascular, and psychological causes of your sexual dysfunction. Then we help you navigate the many treatment options available. Once we understand the causes and nature of your difficulties, we develop a personalized treatment plan for you.

Treatments 

The treatments we use most often include:

• Lifestyle changes
• Oral medications
• Hormone replacement therapy
• Counseling
• Intraurethral agents
• Penile injection therapy
• Vacuum Erection Devices
• Penile implants
• Reconstructive surgery 

We understand that deciding on a treatment is highly personal. We provide expert guidance to help you and your partner choose the best option for you. 

Oral medications

Oral medications include Viagra® (Sildenafil), Cialis® (Tadalafil), and Levitra® (Vardenafil). These medications improve blood flow to the penis by working directly on the blood vessels. They allow your arteries to expand, which can produce an erection. 

You usually need to take a pill about one to three hours before planned sexual activity. Sexual stimulation is also necessary to provide an erection. Drug treatments have been found to be successful for 70 percent to 80 percent of men.