Erectile Dysfunction

Erectile dysfunction (ED) refers to the inability to achieve or maintain an erection sufficient for sexual activity. ED can stem from a range of causes, including physical (organic), psychological (psychogenic) or a combination of both. Physical causes often involve vascular, neurological or hormonal issues, while psychological causes may include stress, anxiety or relationship concerns. 

At the LGBTQ+ Urology Program, we understand that ED affects individuals differently. Our program is dedicated to providing compassionate, personalized care to address the unique needs of all members of the LGBTQ+ community.

How Common is Erectile Dysfunction?

Erectile dysfunction is more common than many realize, affecting individuals across age groups and identities. Approximately half of men aged 40–70 experience some form of ED, with prevalence increasing with age. Beyond statistics, ED can profoundly impact emotional intimacy, self-esteem and overall quality of life for individuals and their partners.

We recognize the intersectionality of health, identity and relationships, providing a safe space for open discussions and tailored solutions.

How Erections Work and Why They Sometimes Don’t

Erections are complex physiological events involving blood flow, nerve signals and muscle function. Stimuli—whether physical, emotional, or sensory—trigger brain signals that release chemicals like nitric oxide, which relaxes the smooth muscle of the penile arteries and allows blood to flow.

Causes and Risk Factors for Erectile Dysfunction

When something disrupts this process—such as medical conditions, psychological stressors or certain medications—ED can occur. 

Common causes of ED may include:

• vascular conditions: high blood pressure, diabetes or heart disease
• neurological conditions: long-term effect of diabetes, pelvic surgery, Parkinson’s disease or multiple sclerosis
• hormonal imbalances: low testosterone or thyroid issues
• psychological causes: anxiety, depression or trauma

Understanding these factors is the first step toward effective treatment.

Symptoms of Erectile Dysfunction

Common symptoms of ED include:

• difficulty getting or keeping an erection.
• a decrease in sexual desire.
• premature or delayed ejaculation.

Evaluation and Treatment for Erectile Dysfunction

At our program, we begin with an open conversation about your health, lifestyle and goals.

A thorough evaluation includes:

• personal and relationship history.
• medical history, including current and past medications and/or surgeries.
• assessment of emotional well-being and any stressors.
• physical exam to identify possible physical contributors.
• diagnostic tests, such as hormone levels or vascular assessments.

This comprehensive approach ensures your care is personalized to your needs.

Treatment Options for Erectile Dysfunction

Our program offers a variety of treatment options tailored to your unique situation. We focus on solutions that align with your goals, values and sexual health.

First-Line Treatments

• Lifestyle adjustments: addressing underlying conditions like diabetes or high blood pressure
• Oral medications: options like sildenafil (Viagra®) and tadalafil (Cialis®), tailored to your needs

Advanced Therapies

• Vacuum erection devices: non-invasive devices for improving erectile rigidity
• Injection therapy: effective and customizable for individual needs
• Penile implants: ideal for those seeking a permanent, highly effective solution - we offer state-of-the-art inflatable and malleable prostheses, ensuring functionality and satisfaction

At every stage, we prioritize patient education, realistic expectations and your comfort.

A Holistic Approach to LGBTQ+ Urologic Care

We understand that ED can be a deeply personal experience, influenced by physical, emotional and social factors. Our program provides a safe environment where LGBTQ+ individuals and couples can seek care without fear of judgment. 

Would You Like an Appointment?

To request an appointment or learn more about our program, please call our office at (646) 962-4811. Our phone staff is available Monday through Friday, 9 a.m. to 5 p.m. (EST).

Meet our expert provider who specializes in ED: