I want to write this post differently than most clinic content gets written. Not as a list of treatments. Not as a summary of what we offer. As a physician describing how I actually think about erectile dysfunction what I do in the room, what questions I ask, and why I offer the treatments I do.
I’ve been practicing medicine in Central Florida for over 25 years. I’m ABIM board-certified in internal medicine. I care about men’s sexual health partly because I’ve seen how much it matters to my patients’ overall wellbeing and partly because the care available to most men dealing with ED has historically been limited to pills and the implicit message that if the pill doesn’t work, there’s not much else to offer. That’s changed, and I think more men deserve to know about it.
How I Start Every ED Consultation
The consultation isn’t a treatment menu review. It’s a clinical evaluation.
I take a detailed sexual health history onset and progression of symptoms, presence of morning erections, response to PDE5 inhibitors if tried, any changes in libido, relationship context, and psychological factors. I ask about cardiovascular risk factors: blood pressure, blood sugar, lipids, smoking history. These aren’t bureaucratic checkboxes they’re the diagnostic picture that determines what’s causing the problem and what has the best chance of fixing it.
If a patient brings bloodwork, it matters. Testosterone, HbA1c, lipid panel, PSA if age-appropriate. If bloodwork isn’t available and I think it’s clinically relevant which it often is I discuss what testing would be useful before we finalize a treatment plan.
Why I Offer Regenerative Treatments Alongside Medication
I prescribe PDE5 inhibitors. Viagra, Cialis, and their relatives are effective medications with a strong evidence base, and for many men they’re the right first-line approach. I’m not trying to replace them.
What I’m trying to do is fill the gap the population of men for whom pills aren’t working the way they need them to, or who don’t want to be on medication indefinitely, or whose underlying vascular disease has progressed to the point where enhancing a weak signal can’t produce a satisfying result. That’s a large population, and until fairly recently their next option was surgical implant.
MENZ Wave® (acoustic wave therapy), MENZ Shot™ (P-Shot® PRP), and MENZ Tox Shot™ (intracavernosal botulinum toxin) offer non-surgical, physician-supervised options with published RCT evidence that sit between the pill and the operating room. That evidence matters to me I won’t offer a treatment I don’t believe in clinically.
The Treatments I Offer and Why
MENZ Wave® is usually where I start for men with vasculogenic ED who want a restorative approach. The 2025 meta-analysis of 12 RCTs confirms the evidence base. For men who want to maximize the effect, I combine it with MENZ Shot™ the SMSNA 2024 data showing +8.2 IIEF improvement for the combination is compelling enough that I present it as the standard of care for the right patient.
MENZ Tox Shot™ is my tool for the harder cases men who’ve already tried PDE5 inhibitors and found them insufficient, men with documented vasculogenic impairment on Doppler ultrasound, men who’ve done wave therapy and PRP with partial response. The El-Shaer 2021 RCT specifically enrolled PDE5 non-responders the exact patient who has run out of conventional options and showed meaningful improvement. That’s clinically important.
El-Shaer et al., Andrology, 2021. PMID: 33784020
If bloodwork reveals significant testosterone deficiency, I address that concurrently. The vascular mechanisms all depend on an adequate hormonal environment running regenerative therapy in a hypogonadal patient without addressing the testosterone is like painting a house with bad primer.
What I Tell Patients About Expectations
I tell patients the truth about what the treatments can realistically achieve, including the honest limitations. The P-Shot® has a well-designed RCT Masterson 2023 at University of Miami that found no significant difference from placebo on primary outcomes. That study exists and it matters. I present it alongside the positive data and explain why I still offer the treatment for the right candidate.
I tell patients that MENZ Wave® results develop over months, that maintenance sessions are likely needed at 12–18 months, and that no treatment reverses the underlying vascular aging process permanently. Managing those expectations upfront is part of the clinical relationship.
- Dr. J:
My goal is an honest physician-patient partnership. That means telling you what the evidence actually shows the good and the mixed and making a recommendation that’s genuinely tailored to your situation. I don’t have a single protocol I apply to every man who walks through the door. I have a clinical conversation that produces a plan.
Serving Central Florida Men for 25 Years
Dr. J Anti-Aging Clinic is located in 7300 Sand Lake Commons Blvd Ste 227 L, Orlando, FL 32819 with patients traveling from across the region: Dr. Phillips, Winter Park, Kissimmee, Clermont, Sanford, Lake Mary, Deltona, Daytona Beach, Tampa, Lakeland, Melbourne, and The Villages. More than 1,000 five-star reviews across all Dr. J Anti-Aging Clinic brands reflect 25 years of patients who trusted the clinical relationship enough to share what they experienced.
If you’re dealing with erectile dysfunction and you want a conversation with a physician not a nurse, not a brochure, not an online questionnaire that’s what Dr. J Anti-Aging Clinic is for.
▸ READY TO TALK TO DR. J?
Book a confidential consultation at Dr. J Anti-Aging Clinic. Dr. J will take the time to understand your situation and give you an honest clinical assessment of what’s driving your ED and what can actually be done about it.
Call/Text: (407) 972-1197 | drjantiagingclinic.com