Erectile Dysfunction

What is Erectile Dysfunction?

Erectile Dysfunction (ED) is the persistent difficulty achieving or maintaining an erection firm enough for sexual activity. While it is often discussed as a physical issue, ED is actually a whole-body condition involving circulation, hormone balance, nerve function, stress response, and emotional health.

 

ED becomes more common with age, but it is not an inevitable part of aging — and it is not something you have to tolerate or feel embarrassed about. At First Call DPC, we approach ED with respect, clarity, and privacy. We recognize that sexual health is a key part of overall well-being and quality of life.

 

Just as important: Erectile Dysfunction is often a signal of deeper metabolic or vascular changes. When treated thoughtfully, ED can be a window into improving not only intimacy, but heart health, confidence, energy, and longevity.

What Causes Erectile Dysfunction?

Because sexual function involves multiple systems working together, ED can have several contributing factors:

Physical Causes

Reduced blood flow to the penis (vascular dysfunction)

High blood pressure or high cholesterol

Diabetes or insulin resistance

Low testosterone or hormone imbalance

Thyroid dysfunction

Pelvic muscle tension or nerve restriction

Sleep apnea or low oxygenation

Medications that interfere with sexual function

Lifestyle or Emotional Factors

Chronic stress and elevated cortisol

Fatigue or burnout

Depression or anxiety

Performance pressure

Relationship stress

Age-related causes

Decline in nitric oxide signaling (needed for blood flow)

Reduced cellular resilience and repair

Natural hormone shifts

ED is not just “in your head,” and it is not just about testosterone. It is a physiological communication issue — and when we identify which system is struggling, we can treat it at the source.

What Symptoms Will I Experience With Erectile Dysfunction?

While the main symptom is difficulty getting or keeping an erection, ED often comes with secondary signs:

Reduced morning erections

Lower libido or reduced interest in intimacy

Difficulty staying firm during intercourse

Longer recovery time between erections

Feeling mentally present but physically unresponsive

Fatigue or low motivation

Confidence loss or performance anxiety

Many men also notice mood changes such as:

Irritability

Decreased emotional resilience

Feeling “checked out” or disconnected

Reduced drive and motivation in other life areas

ED can impact identity, confidence, and relationships — which is why compassionate, proactive support matters.

What Should I Try at Home Before Seeing a Provider for Erectile Dysfunction?

There are a few helpful steps you can begin on your own:

Evaluate Sleep Quality

Poor sleep lowers testosterone and impairs vascular function. Aim for consistent sleep timing.

Limit Alcohol and Smoking

Both reduce blood flow and nitric oxide availability.

Increase Movement

Even 20–30 minutes of walking daily can improve circulation and hormone signaling.

Prioritize Protein and Whole Foods

Stable blood sugar improves hormone and vascular stability.

Manage Stress Levels

Chronic high cortisol disrupts testosterone production and sexual stimulation.

If you’ve made lifestyle improvements and still struggle, that is when clinical evaluation is crucial — because the root cause is likely metabolic, vascular, hormonal, or neurological, not willpower.

Best Treatment Options for Erectile Dysfunction

At First Call DPC, we don’t take a “one-pill-fits-all” approach. Instead, we address the underlying causes through a personalized treatment plan.

Treatment may include:

Hormone Optimization (Testosterone, Thyroid, DHEA)

Supports sexual desire, energy, mood, and vascular function.

Peptide Therapy

Certain peptides enhance nitric oxide signaling, repair blood vessel lining, and improve erection firmness.

Medications When Useful

ED medications (like sildenafil or tadalafil) can be effective when part of a broader support plan — not the only solution.

Shockwave / Acoustic Wave Therapy (if indicated)

Stimulates new blood vessel growth and improves blood flow.

Stress and Cortisol Regulation

Restores the nervous system’s ability to shift into arousal and connection mode instead of survival mode.

Nutrition and Metabolic Support

Blood sugar and insulin resistance deeply impact vascular function and sexual performance.

Our goal is not just to get erections back — but to restore energy, confidence, intimacy, and vitality.

Our Process for Treating Erectile Dysfunction

Our care model is private, respectful, and deeply individualized:

Comprehensive Consultation

We talk about your symptoms, medical history, lifestyle, stress load, and goals — without judgment or pressure.

Lab Testing and Root-Cause Screening

We evaluate hormones, inflammation, metabolic health, liver function, vascular markers, and thyroid balance.
We look for why ED is happening, not just how to mask it.

Customized Treatment Plan

We select the therapies that match your physiology — not a generic protocol.

Ongoing Support & Adjustments

You stay in direct communication with your physician — because progress deserves care, not guesswork.

At First Call DPC, you are not treated as a symptom. You are seen as a whole person with a story, a relationship to protect, and a life to enjoy fully.