Erectile dysfunction affects over half of all men at some point in their lives — and it's one of the most under-treated conditions in medicine. At Optimize 360, we take a comprehensive approach that goes beyond simply prescribing a pill. We identify and address the hormonal, vascular, and psychological factors contributing to your ED.
ED is often an early warning sign of underlying health issues — low testosterone, cardiovascular disease, diabetes, or metabolic syndrome. Treating the symptom without addressing the cause means you're managing a problem instead of solving it.
Our Approach
We start with comprehensive lab work including total and free testosterone, estradiol, prolactin, thyroid, metabolic panel, and cardiovascular markers. Based on your results, we build a protocol that may include:
PDE5 Inhibitors: Tadalafil (daily low-dose or as-needed) and sildenafil for immediate erectile support.
Hormone Optimization: If low testosterone is contributing to your ED, TRT can restore natural erectile function over time — often reducing or eliminating the need for PDE5 inhibitors.
Peptide Therapy: PT-141 (bremelanotide) works through a completely different mechanism than Viagra/Cialis — it acts on the central nervous system to increase arousal and desire, not just blood flow.
Understanding Erectile Dysfunction
ED affects over half of all men at some point, and it's one of the most under-treated conditions in medicine. It's not just an inconvenience — it's often an early warning sign of underlying cardiovascular disease, diabetes, hormonal imbalance, or metabolic syndrome. Treating the symptom alone without addressing the root cause means you're managing a problem rather than solving it.
Our Comprehensive ED Approach
We start with detailed lab work: total and free testosterone, estradiol, prolactin, thyroid panel, fasting insulin, HbA1c, lipid panel, and cardiovascular markers. Based on your results, we build a multi-layered protocol: PDE5 inhibitors (tadalafil daily or as-needed, sildenafil) for immediate support. Hormone optimization — if low testosterone is contributing, TRT can restore natural erectile function over time. PT-141 (bremelanotide) — works through the central nervous system to increase arousal and desire, not just blood flow. A completely different mechanism than Viagra/Cialis.
Can Low Testosterone Cause ED?
Yes. Testosterone is essential for both sexual desire (libido) and the physiological mechanisms of erection. Many men with ED have undiagnosed low testosterone — treating the hormonal deficiency often improves or resolves erectile function, sometimes reducing or eliminating the need for PDE5 inhibitors over time.
What If Viagra/Cialis Doesn't Work?
PDE5 inhibitors don't work for everyone, especially when the root cause is hormonal rather than vascular. We offer multiple treatment pathways: hormone optimization, PT-141 peptide therapy, combination protocols, and lifestyle interventions. The key is diagnosing the underlying cause — not just adding stronger medications.
Available Treatments
How It Works
Schedule & Complete Intake
Book online. Fill out health history and intake forms digitally.
Lab Work
Comprehensive labs at a facility near you. Results reviewed by our team.
Provider Consultation
Personalized treatment plan built from your data, symptoms, and goals.
Treatment & Monitoring
Medications shipped to your door. Regular follow-ups and adjustments.
Find Erectile Dysfunction (ED) Treatment Near You
We serve patients nationwide via telehealth. Select your city below to learn more about erectile dysfunction (ed) treatment in your area.
Ohio Valley
Indiana
Midwest
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Northeast
Frequently Asked Questions
Is ED just a normal part of aging?
No. While ED becomes more common with age, it's not inevitable. Most cases have treatable underlying causes — hormonal imbalance, vascular issues, or metabolic dysfunction. Age-related ED is often the result of declining testosterone, which is highly treatable.
Can low testosterone cause ED?
Yes. Testosterone is essential for both sexual desire (libido) and the physiological mechanisms of erection. Many men with ED have undiagnosed low testosterone — treating the hormonal deficiency often improves or resolves erectile function.
Do I have to come in person?
No. We offer discreet telehealth consultations for ED. Labs are drawn locally, and medications are shipped directly to your door in unmarked packaging.
What if Viagra/Cialis doesn't work for me?
PDE5 inhibitors don't work for everyone, especially when the root cause is hormonal. We offer multiple treatment pathways including TRT, PT-141 peptide therapy, and combination approaches that address the underlying cause.