Erectile Dysfunction

MedHealth 360


Erectile dysfunction, or ED, affects up to 40% of men by the age of 40 years old according to the Massachusetts Male Aging Study.  This rate can be as high as 70% by the time he reaches 70 years of age.  This is the equivalent of about 30 million men in the United States alone!

These stats tell you that you are not alone with this problem. But we know that erectile dysfunction can have a significant mental affect on a man. It can create low self-esteem and confidence and affect his relationships with partners. It is also considered an embarrassment by many men who find it difficult to open up to doctors and talk about it. But again, look at the stats. There are plenty of men out there in the US going through it too.

Causes of Erectile Dysfunction

  • Low testosterone
  • High estrogen
  • Medical conditions that affect vascular delivery – heart failure, high blood pressure, pelvic surgery, diabetes
  • Medicines that affect vascular delivery – blood pressure and cardiac medications
  • Mental conditions and antidepressants

Causes of Erectile Dysfunction

Some of the common causes for erectile dysfunction, or ED, in men include low testosterone levels, elevated estrogen levels, other medical problems, and some medications.  

Low Testosterone

Testosterone is the so-called male sex hormone.  It is responsible for encouraging male sexual desire in addition to determining a myriad of male sex characteristics.  In men, it is responsible for the sexual response including desire, arousal, erections, and orgasm.   It follows that a low testosterone level can affect the ability to gain and maintain an erection on many levels.

Elevated Estrogen

Estrogen is typically thought of as the so-called female sex hormone.  In contrast to men, it is responsible for determining many female sex characteristics including breast formation and female sexual desire.  Men, however, also have estrogen; for men, it is important for heart and bone health.  Too much estrogen in men can lead to medical problems including sexual dysfunction.

Health Conditions and Medications

There are many medical conditions that can cause erectile dysfunction.  Basically any condition or medication that alters nerve health and physiology, and vascular health and physiology can result in erectile dysfunction.  This is because the physiology of arousal requires the desire ( mental ), the stimulation and feedback ( the nervous system ) and the plumbing ( vascular engorgement of the penis ).  Therefore, high blood pressure, diabetes, congestive heart failure, previous pelvic surgery, high blood pressure, and antidepressants can all result in erectile dysfunction.

Treatment of Erectile Dysfunction

The reasons behind erectile dysfunction are multifactorial. The treatment begins with ruling out or at least acknowledging the many medical and medicinal causes while ruling out hormonal causes. A thorough check of your medical history is begun, followed by lab studies to rule out hormonal causes of erectile dysfunction. Testosterone replacement therapy is effective in a vast majority of patients.

Treatments We Offer

These services treat and often cure prevailing health challenges - try for yourself!

Bioidentical Testosterone

Bioidentical Testosterone Can Help With:

  • Male menopause – Manopause
  • Low energy
  • Weight gain
  • Beer belly
  • Low Libido
  • Poor memory
  • Improved muscle mass

How Does The Program Work?

Complimentary Consultation

Learn more about the benefits of bio-identical hormones and how they can help you

Personalized Programs

Personalized programs and dosing is based on your labs and medical history

Pellet Insertion and Supplements

Pellet insertion is 5 minute procedure with no downtime

Continuing Care and
Our Guarantee

We are confident in our system.  and guarantee that if you follow our program, you will feel healthier

How Do We Test For Low Testosterone?

A simple blood test will help determine testosterone levels. We draw the blood from your arm and recommend a morning appointment because that is when the levels are at their peak. There is no preparation needed, is a very quick and easy blood draw and apart from possible bruising no after effects.

testosterone man
Middle-aged man male menopause

What Are Bioidentical Hormones?

Bioidentical hormones are synthetic hormones derived from plant estrogens that are chemically identical to the hormones produced by your body.  Common hormone treatments include estrogen, progesterone, and testosterone replacement.  Generic forms are available, but compounded hormones can be synthesized to specifically target an individuals needs.  These compounded bioidentical hormones are safer for patients when prescribed by a reputable physician who understands that not all patients are created equal.

Traditional estrogen replacement therapy uses synthetic estrogens that do not completely resemble human estrogen. That is where bioidentical hormones come in.  As the name implies, bioidentical estrogen is identical to human estrogen and the vast majority of scientific findings report that it is safe and effective in treating women who suffer from low estrogen levels. 

How Do We Treat Low Testosterone?

Ours is not a cookie cutter approach. The MedHealth 360 Prescription has a unique system for finding precisely the right dose of testosterone for you based on your symptoms and laboratory studies that can help you feel like you again. 

Testosterone replacement in many men can help restore a more satisfying sex life, improve energy, and improve your ability to lose weight and build strength. The hormone replacement treatment we prescribe will use bioidentical hormones which are synthetic hormones derived from plant estrogens which are chemically identical to the hormones found in the human body. These compounded hormones can be synthesized to specifically target the individuals needs.

Anti-aging and Wellness

Testosterone and Estrogen

Testosterone is not the only hormone that controls men’s emotional and physical state. It is important to test all hormone levels and based on the results, create an individualized treatment program and BHRT pellet. Other hormones that should be taken into account are:

Estrogen is not the first hormone you would expect a man to have but it also plays an important part in the emotional and physical well-being of men. Low estrogen can cause sleep disturbances, depression, muscle loss, hair loss, decrease sex drive, can weaken bones, and cause weight gain. Left untreated it could lead to heart disease, diabetes, Stroke and prostrate cancer or enlargement.


Learn More About Bioidentical Hormones

FAQs about Testosterone Replacement

Lose weight | Increase Energy | Mental Acuity

Living a long life is great but not at the expense of living a healthy and fulfilling life. Traditional medicine can fail because it concentrates on treating problems rather than educating and helping men prevent the problems in the first place.  Our MedHeath360 prescription includes nutritional health, physical fitness, hormonal balance and, programs for mental stimulation.

This prescription is an individualized treatment based on an initial consultation, an extensive questionnaire, nutritional and hormone labs taken and other metabolic testing which are generally ignored in most traditional medical offices.

  • Primary testicular failure ( hypogonadism )
  • Secondary Forms:  Hypothalamic or pituitary dysfunction
  • Combined Forms:  decreased pulsatility of gonadotropins plus decreased leydig cell response
  • Congenital ( Kallman’s syndrome ) or acquired pituitary adenoma.
  • Testosterone will dilate blood vessels.
  • Narrowing of blood vessels can be addressed by testosterone
  • Increases lean body mass including muscle and bone
  • Decreases fat including appendicular and truncal fat ( beer belly )
  • Affects mesenchymal stem cell differentiation
  • Increases protein synthesis
  • Decreases protein degradation
  • Increases the reutilization of amino acids
  • Increases hemoglobin concentration and red cell mass
  • More profound effects in the elderly
  • Increases cortical bone mass
  • Estradiol ( a metabolite of testosterone ) inhibits bone resorption
  • Increasing testosterone can decrease hip and other pathologic fractures
  • Testosterone is a vasodilator and can decrease blood pressure
  • Inverse correlation between testosterone levels and cardiovascular risk
  • Inverse relationship between testosterone levels and visceral fat
  • Low testosterone is associated ( not causal ) with aortic atherosclerosis
  • Low testosterone is associated ( not causal ) with carotid artery narrowing
  • Testosterone replacement improves HDL while decreasing Cholesterol and LDL

There is currently no evidence that testosterone replacement therapy initiates prostate cancer or stimulated subclinical malignancy to become clinically evident.  — Dr. Kelly Carson at Duke University

  • TRT might increase prostate size
  • Serum PSA levels are decreased in patients with low testosterone and
  • Serum PSAs return to normal in patients after TRT
  • Obesity
  • Increased triglycerides
  • Increased glucose
  • Decreased HDL
  • Hypertension
Risk of metabolic syndrome is increased in patients with low testosterone.
Multiple studies have shown the benefits of TRT in treating metabolic syndrome and cardiovascular disease.
  • 5 million men in the US are hypogonadal
  • Only 5% are receiving testosterone replacement therapy
  • Elevated hemoglobin concentrations
  • Prostate and breast cancers are NOT contraindications
  • Decreased testosterone results in decreased libido
  • Decreased testosterone results in decreased spontaneous erection
  • TRT increases the frequency of sexual thoughts and desires
  • TRT increases the response to erotic stimuli
  • TRT increases the frequency of spontaneous moring erections
  • TRT increases the volume of ejaculate
  • TRT increases the frequency of orgasms

Bioidentical hormone Replacement Therapy

Lose weight | Increase Energy | Mental Acuity

Although they are not naturally produced by the body, you body recognizes them as the same, and biochemically reacts to them with the same effect. The many symptoms of menopause can be alleviated with BHRT. You can say goodbye to hot flashes, mood swings, mental fog and more. Using our MedHealth360 program you can also control your weight, increase your energy levels and feel good both inside and out.

Bio-Identical Hormone Replacement Therapy (BHRT) has actually been used in the United States since 1938. Bio-identical Hormones are all natural plant based products made from yams and a small amount of soy. These hormones have the same molecular structure as the hormones produced within our own bodies. There are numerous studies worldwide that document the benefits and safety of BHRT. These studies also report a lower incidence of side effects when compared with prescription drugs. BHRT should not be confused with “synthetic hormones which are typically found in many creams, gels and injectables used for hormone replacement.

BHRT is a short, simple in-office procedure using local anesthesia. Your doctor will insert the pellets into the fatty layer just beneath your skin. In men and women, a small incision is made in the buttocks or in the lower abdomen. The process is painless and takes just a few minutes.

One of greatest advantages of pellet therapy is the low incidence of side effects. Although extremely rare, side effects may include: slight bruising, minor bleeding, infection or extrusion of the pellets.

Your doctor will interpret your blood tests and determine an appropriate dosage specifically designed for your body. Women who receive estrogen can feel significantly better in 24-36 hours. Men and women who receive testosterone will start to feel relief of symptoms in 10-14 days. After your pellet insertion, you should avoid vigorous exercise for a few days as directed by your physician. Your doctor will evaluate your hormone levels on an ongoing basis and monitor any future changes needed.

You can obtain BHRT Pellets by scheduling an appointment with a trained, certified physician who specializes in hormonal therapy. In order to obtain the correct dosage and proper placement of the pellets, the doctor should be knowledgeable and specifically trained in pellet therapy!

Your Complimentary Consultation
Getting to know you

Getting to know you is important to us. Your experience will begin with your consultation. We want to hear about your previous health experiences, your diet, nutrition, and exercise history as well as your thoughts on living a healthier and longer. Getting to know you is the most helpful way to create a treatment plan for you.

Lab Work + Review of Results
Know the problem to identify the solution

Your body will often lose its ability to adequately control normal biologic levels of hormones and electrolytes as we age. Lab work is needed to check for these vital biological components to help us understand how you are aging. Labs can often be performed from or near your home.

Labs and Studies for Low Energy
  • Testosterone
  • Estrogen
  • Thyroid hormone
  • Vitamins and Electrolytes including B Complex, Vitamin D, and Vitamin C
  • Metabolic testing
  • Sleep study referrals
Visit with your MedHealth Doctor
MedHealth 360 expertise

Dr. Chang or one of the MedHealth 360 practitioners will sit down and explain your results.  We welcome your questions and input. Our patients who are fully engaged and understand the reasons behind their treatment program usually get the best results. We want to work WITH you to get those results!

Build Your MedHealth 360 Program Together
Nutritional Counseling | Individualized Fitness | Hormone Replacement

We believe in integrative medicine which involves coordinating health and nutrition, fitness, managing biological hormones and electrolytes and calming the soul. These are the elements that will be emphasized in the creation of your wellness prescription.

Weekly Support and Buddy System
No man or woman should be an island

Our counselors and staff will help you stay on course with weekly or monthly support sessions where you will get feedback on your weight, metabolic tests, and evaluations on how you are progressing in the programs. 

Maintaining a healthy weight doesn’t come naturally to most patients. Healthy living is a combination of many lifestyle habits that many people never learned. Weekly check-ins are an integral part of establishing accountability and obtaining feedback for your new lifestyle habits.

You begin seeing results
Voila !

Our goals are simple.  If you succeed, then we succeed.  Our goal is for you to adopt a healthy lifestyle that is reproducible and easy.  We know that if the program is too complicated, you won’t stay on it.

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