Erectile Dysfunction


Erectile Dysfunction


Erectile Dysfunction, commonly referred to as impotence, is the inability to attain and or maintain an erection sufficient to achieve satisfactory sexual performance on a regular basis affecting nearly 50% of men above the age of 40. Although psychological concerns may lead to the occurrence of erectile dysfunction, many cases of impotence are due to organic causes and may ultimately cause negative effects on a patient’s self-esteem, their relationship and their over-all quality of life.


Could in bed


You may have ED if you regularly have:

  • trouble getting an erection
  • difficulty maintaining an erection during sexual activities
  • reduced interest in sex



There are many possible causes of ED, and they can include both emotional and physical conditions. Common causes include:

  • Reduced Blood flow to the penis
  • cardiovascular disease
  • diabetes
  • hypertension, or high blood pressure
  • high cholesterol
  • obesity
  • Hormonal imbalances like low testosterone
  • Chronic kidney disease
  • increased age
  • stress, anxiety or depression
  • relationship problems
  • Prescription medications, such as those used to treat high blood pressure or depression
  • sleep disorders such as sleep apnea
  • drug use
  • consuming too much alcohol
  • using tobacco products


Successful treatment of erectile dysfunction will depend on proper identification of the likely cause. Once the cause is identified or suspected, treatment recommendations may be provided which include:

ED medication


The recommended first-line treatment of erectile dysfunction is the use of oral medications of PGE-5 inhibitors. These medications include:

  • avanafil (Stendra)
  • sildenafil (Viagra)
  • tadalafil (Cialis)
  • vardenafil (Levitra, Staxyn)


What is LI-EWST?

Focused LI-EWST, consists of a short pulse of about 0.5µs duration or a near instantaneous jump to a peak positive pressure, which is referred to as a ‘shock’, followed by a longer-lasting period of negative pressure. Shock wave peak pressure is nearly 1000X greater than the peak pressure in ultrasound waves.

ED flowchart

How does LI-EWST work?

The peak pressure exerts direct mechanical stress. This shear stress sets off a cascade of wound healing responses that induces neovascularization and angiogenesis (formation of new blood vessels) to restore better blood flow and natural function to the treatment site.

Unlike other shock wave technologies Alma Duo’s patented electrohydraulic applicator is designed to reach in deeper depths (135mm) with 3X fewer pulses and lower energy to effectively treat not just the penile shaft but the penile crus – where 50% of the cavernous bodies that comprise the corpora cavernosa is located.

How may treatments do I need?

300 pulses are administered to 5 unique treatment sites, 3 along the penile shaft and 2 directed to the penile crus. Two treatments per week for three consecutive weeks is recommended.

Fit Life MD
10103 West Loop 1604 N, Suite 105A
San Antonio, TX 78254
Phone: 210-343-1155
Fax: 210-892-1211
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