Treating Erectile Dysfunction - A Comprehensive Approach

Erectile Dysfunction (ED) can be caused by a number of factors including a decline in vascular function, corresponding diseases, reaction to medications, other physical ailments, emotional issues, and lifestyle choices. Because there can be so many contributing factors, Dr. Kate Kass believes it is critical to adopt a comprehensive approach to treating ED.

Every patient who meets with Dr. Kass to discuss erectile dysfunction receives a thorough assessment to determine the most effective path to healing. Dr. Kass believes that a multi-pronged approach is often most successful, so she evaluates each case of erectile dysfunction with four treatment options in mind:

Regenerative Treatment


Because the majority of ED cases are caused by a decline in vascular function, employing treatments to stimulate blood flow is often highly effective. GAINSWave therapy, in which low-intensity shockwaves are employed, has proven to be extremely successful in addressing the four key challenges associated with vasculogenic issues:

  • Angiogenesis or neovasculation - the stimulation of new blood vessels

  • Blood vessel dilation - the stimulation of existing blood vessels can address a decline in nitric oxide

  • Neurogenic - the stimulation of new nerve tissue

  • Plaque disintegration - breaks up debris called plaque that can collect in small blood vessels, decreasing blood flow.

Another regenerative solution to be considered is the Priapus Shot, or P-Shot, which harnesses the power of platelet-rich plasma (PRP) to give you improved erectile function, penile sensation, stamina, and health, as well as stronger, more frequent erections. Dr. Kass is one of the few practitioners thoroughly trained and certified in the protocols of the P-Shot.

Obstacle Removal

Pre-existing conditions can be contributing factors to erectile dysfunction. Chief among them - heart disease. Erectile function is a product of overall cardiovascular health. The healthier the heart, the better the blood flow, the more consistent and reliable the erection. Dr. Kass will discuss specific exercise and cardiovascular health goals to optimize erectile function.

Your thyroid will also be evaluated to determine if it is under-functioning. Finally, your current medications will be reviewed. Antidepressants and some blood pressure medication can adversely affect erectile function.

Hormone Treatment

Testosterone can naturally decline with age, sometimes contributing to erectile dysfunction. Dr. Kass will evaluate the need for and discuss the risks and benefits of testosterone therapy when appropriate. She has extensive training and experience in all the safe, effective methods of testosterone delivery, including Bioidentical Hormone Replacement Therapy (BHRT), and is one of the few practitioners trained to offer testosterone via pellet implantation. During this non-invasive, inpatient procedure, time-release pellets of bioidentical hormones are placed under the skin to conveniently deliver healthy hormone levels directly into the tissue. More information about this procedure is available here.


When indicated, medication may be considered as an appropriate, effective treatment for erectile dysfunction. Dr. Kass goes beyond prescribing traditional pharmaceuticals, working with special eurology pharmacies to make sublingual versions for medications including Levitra, Viagra, and Cialis - choosing this approach because they bypass the gastrointestinal tract and work more quickly and predictably.

Regardless of the cause of your erectile dysfunction, your complete health history will be assessed and, following a thorough evaluation, Dr. Kass will devise a treatment plan that will involve one or several of these four approaches. More information about Dr. Kass’s medical approach to sexual health can be found here.