Erectile dysfunction and sexual health
Erectile dysfunction and low libido are common, and they're medical problems, not personal failings. They can also be an early sign of heart disease, diabetes or a hormone problem, which is why they deserve a physician's evaluation.
Common symptoms and concerns
- Difficulty getting or keeping an erection
- Lower interest in sex than you used to have
- Performance worries that affect your relationship
- Side effects you suspect come from a medication
How your physician evaluates it
- A private conversation about your symptoms and history
- Heart and cholesterol risk markers
- Blood sugar and A1c
- Testosterone and other hormones
- A review of medications that can affect sexual function
Treatment
Your physician explains what's likely behind it and the options that fit. That can include prescription treatment when appropriate, addressing heart, metabolic or hormone causes, or a referral to a urologist. All of it is handled privately, by video and secure message.
Every plan starts with your baseline lab panel and a full evaluation with Dr. Chaniotakis. See how care works and what membership costs.
Treatment is always decided by a licensed physician after an evaluation and lab work. Not everyone is a candidate for every treatment, and individual results vary.
Example: how an evaluation works
Illustrative example, not a real patient. It shows how the process works, not a promised result.
A 52-year-old man with gradually worsening erections
The problem has crept up over two years. He hasn't had his cholesterol or blood sugar checked in a long time.
- A private video visit covering symptoms, relationships, stress and current medications.
- Labs that look at heart and metabolic risk: a lipid panel, A1c and glucose, plus testosterone.
- The physician explains how blood vessel health, blood sugar and hormones can each play a part.
- If prescription treatment is appropriate, the physician discusses options and safety. Any heart or metabolic risk found is addressed at the same time, with a urology referral if needed.
- Follow-up continues through secure messaging and quarterly reviews.
Clinical guidelines on this topic
This page draws on published clinical practice guidelines, including:
- American Urological Association. Erectile Dysfunction: AUA Guideline. Journal of Urology, 2018.
Other conditions we treat
Is this a testosterone clinic?
No. Testosterone therapy is one treatment we offer, prescribed only when your symptoms and repeat morning labs confirm it's needed. Many members are treated for something else entirely, like sleep, stress, thyroid or sexual health.
Do I ever have to come in?
Visits happen by secure video, from home or the office, and labs are drawn at a lab location near you. Some treatments may require an in-person exam; if yours does, your physician will tell you and we'll arrange it. Care is available to adults in Florida.
What if my labs come back normal?
Then your physician keeps looking for what's actually behind how you feel, and tells you honestly if medication isn't the answer. You're paying for a doctor's judgment, not a prescription.
Schedule your physician evaluation
Appointments are booked through our secure patient portal. Your health information is collected there, never through this website.