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@primeinstitutemiami Note: menMD does not currently offer shockwave therapy solutions. When it comes to optimizing erectile function, there are plenty of tools in our toolbox. Existing treatment options do result in increased blood flow to the penis, but need to be used each time prior to sexual activity. Fortunately, regenerative therapies are now available to restore the most common reason for ED: blood vessel problems. In medicine, regenerative therapies refer to those that don’t just treat symptoms but heal tissues and organs to improve their function. A common example is using platelet rich plasma (or PRP injections) for an injured joint. Within the sexual medicine field, regenerative therapies include shockwave, PRP, and stem cell therapy. While evidence to date does not support the use of PRP or stem cells for ED, research over the last decade suggests shockwave therapy can be a safe and effective way to improve erectile function. Shockwave therapy for erectile dysfunction is a treatment that uses a small wand-like device to deliver low-intensity shockwaves to the penile tissue to improve blood flow to the penis and promote the growth of new blood vessels. Here are some advantages and disadvantages of this treatment: Advantages: - Shockwave therapy is a non-invasive treatment option that does not require surgery or medication. - Treatments are performed in the office. - Shockwave therapy can be effective in improving erectile function in men with mild to moderate ED. This includes men who don’t yet need ED pills, are doing well with ED pills, or recently stopped responding to ED pills. - The most common side effects of shockwave therapy are mild and temporary, such as discomfort or bruising at the site of treatment. - There is no down time after treatment sessions. Disadvantages: - Cost of shockwave therapy for ED can be high compared to other treatment options. - Not all healthcare providers offer shockwave therapy for ED and not all treatment types are considered equal. If you’re exploring your options, research supports the use of “focused shockwaves” for ED and not “radial shockwaves” so be sure to find a clinic that is offering the former not the latter. - Shockwave therapy for ED typically requires a series of sessions over several weeks, which can be inconvenient for some men. - Shockwave therapy may not work for everyone. Men with ED due to nerve injuries especially those with spinal cord injuries or have undergone a prostatectomy may not notice improvement.