Top 5 Reasons for Erectile Dysfunction in NYC

by Alex Shteynshlyuger MD, Board Certified by the American Board of Urology


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.


ED is a Common Problem Experienced by Younger and Older Men

Erectile dysfunction or ED is very common. The problem seems to be particularly pronounced in NYC due to a number of overlapping factors including stress, prevailing anxiety, new relationships, and a large number of men with medical problems such as high blood pressure, cholesterol who take multiple medications that can affect libido and erectile function.

Erectile Dysfunction Top CausesTop 5 Reasons Men Under Age 45 get ED:

  1. Stress and psychological influences; this includes performance anxiety and situational ED
  2. A side-effect of treatment for other medical problems such as depression, high blood pressure and a number of other conditions; recreational drugs.
  3. Hormonal imbalance: low testosterone, abnormal thyroid levels, diabetes.
  4. Vascular diseases such as hypertension, peripheral vascular disease, high cholesterol.
  5. Neurological problems such as multiple sclerosis, Parkinson’s disease, and many others.

Top 5 Reasons Men Over Age 45 get ED:

  1. Vascular disease – these include high blood pressure, high cholesterol, coronary artery disease (CAD), strokes, heart attacks.
  2. Stress and psychological influences this includes performance anxiety and situational ED
  3. A side effect of treatment for other medical problems such as depression, high blood pressure and a number of other conditions and recreational drugs.
  4. Hormonal imbalances – low testosterone, high sugar levels (diabetes), abnormal kidney function
  5. Neurological problems – peripheral neuropathy, strokes, depression, anxiety, stroke, spinal injury or sciatica (back pain)

Hormonal Imbalances as a Cause of ED

Hormonal imbalances include such conditions as low testosterone levels or high estrogen levels.  Men with severe obesity can have high estrogen levels due to the conversion of testosterone to estrogen by the fat cells.  Men with hyperprolactinemia or high prolactin levels can have secondary erectile dysfunction due to hormonal imbalances.

Men with abnormal thyroid hormone levels due to abnormal thyroid gland function can develop erectile dysfunction.  Erectile dysfunction most often occurs in association with hypothyroidism.

Men with abnormal pituitary gland function may also present with erectile dysfunction.  The pituitary gland is crucial for the regulation of many body processes.  Pituitary gland dysfunction can lead to very low testosterone levels or very high testosterone levels. Diabetes is also a common cause of ED.

Highly experienced, board-certified urologists at New York Urology Specialists possess special expertise in evaluating men with erectile dysfunction.  We also treat abnormal hormonal function when it’s present.

Peripheral Vascular Disease as a Cause of ED

Arterial vascular disease is a common cause of erectile dysfunction.  Men with arterial vascular disease are often unaware that they have this problem.  For many men, erectile dysfunction is the first noticeable sign of vascular dysfunction.  

Yet when we carefully evaluate men with erectile dysfunction we often find that they may have cardiac disease and other signs of peripheral vascular disease.

Common signs of peripheral vascular disease include leg claudication (spasms of the calf muscles, thigh muscles, and occasionally buttocks).  These are known as Horse Charlie’s.  Loss of leg hair is another sign of peripheral vascular disease; legs and feet can often be cold to touch due to poor blood supply; wounds on the feet can take a long time to heal, especially in diabetic men with peripheral vascular disease.

Stress and Psychological Causes of ED: Performance Anxiety and Situational ED

Severe and chronic stress is known to be an important cause of erectile dysfunction in younger men as well as in older men.  Relationship problems can cause significant stress and contribute to erectile dysfunction. This often sets a vicious circle that makes it even more difficult to get good erections.  Anxiety about the ability to perform in bed can often lead to erectile dysfunction through the same biological mechanisms as other sources of stress.

New York City is well-known internationally as the hotbed of stress.  Urologists at New York Urology Specialists are experienced in the evaluation and confidential treatment of men with stress-induced erectile dysfunction.   We have treated men from all walks of life, including young men with ED in their early 20s-30’s who work in stressful jobs in corporate America.

We have also treated college students and graduate students in high-stress environments including law schools and medical schools.  Likewise, we commonly see otherwise healthy men, titans of industry, in their 50’s, 60’s and 70’s experiencing the same problems due to the overwhelming stress and burdens of their positions.ED_shutterstock_113193841

Neurological Problems as a Cause of ED

Neurological problems are less frequent causes of erectile dysfunction, however, multiple sclerosis, spinal cord disruption from accidents or neurological disease can cause severe erectile dysfunction.  Stroke (CVA), dementia, and Alzheimer’s disease are other common causes of impotence in men.

Medication Side Effects as a Cause of ED:

Many commonly used medications can have erectile dysfunction as one of their side effects.  Some of these medications are life-saving such as commonly used blood pressure medications, heart medications and antidepressant medications (SSRI and others).

Fortunately, our highly experienced physicians at New York Urology Specialists are able to help most men with medication-induced erectile dysfunction.

Where to Get Treatment for ED in NYC?

At New York Urology Specialists, we offer specialized treatment for ED for men. Same-day appointments are available.

Call/text today: 1-646-663-5211 or make an appointment online.  

We treat sexual and erection problems and offer comprehensive STD testing for infections.  We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy, vasectomy reversal, cosmetic circumcision, circumcision revision, penile frenuloplasty. We offer confidential appointments.

Our prices are ED treatment prices are affordable with or without insuranceLow-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.  We offer free insurance verification.

Read Real Stories of Men who Underwent Treatment for ED at New York Urology Specialists.

We offer ED treatment to patients within driving distance to our offices as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, and Connecticut, and over 30 countries worldwide.

What do Penile Problems Look Like?

You can find pictures of penile problems including before and after treatment images in our image gallery.

What You Need to Know:

Why Choose New York Urology Specialists for Treatment of Erectile Dysfunction?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of ED, premature ejaculation, and other sexual problems using medical therapy, minimally invasive therapies, lasers, and surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual, and erection problems in men.
  • We offer diagnostic testing in our office which avoids hospital costs.
  • Extensive Experience: Thousands of men have treated successfully using medical therapy, shockwave therapy for ED, penile injections with Trimix, and penile implant surgery.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are one of the few practices in the region to offer a full range of options for the treatment of sexual and erection problems in men.
  • We are conveniently located within 30-60 minute commute to men who are seeking ED treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

Scheduling Appointments for ED Treatment at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable prices with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

We offer weekday, weekend, and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist, who specializes in all aspects of care for sexual problems in men including ED, premature ejaculation, and other sexual concerns.  He has successfully treated hundreds of men with sexual problems including ED and poor libido.


Patients Reviews

Overall Rating:

5

Total Ratings

5

Total Reviews

19

Ratings

Ease of Appointment: Bedside Manner:
Promptness: Spends Time with Me:
Courteous Staff: Follows Up After Visit:
Accurate Diagnosis:

Patient review
by on Jan 24, 2020

Peronis Disease
by on Aug 04, 2019

Dr Alex was both knowledgeable and concise with his diagnosis and advice which was well received. Dr was her knowledgeable in the subject and provided good advice.

3P Removal
by on Jul 24, 2019

Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.

Recommendation
by on Jul 18, 2019

Therefore I would like to recommend you to anyone who need your services.

Urology Visit
by on Jul 18, 2019

Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Outstanding
by on Jul 09, 2019

Went in for a procedure with Dr. Alex and he was very calm and thorough about the the operation and the recovery. From the front desk to his assistants, everyone was very courteous, professional and polite. I highly recommend NY Urologist Specialist. They are outstanding!!!

Friendly , courteous, effiecient and professional
by on Sep 15, 2018

Wyts Wyts recommends New York Urology Specialists via Facebook. September 15, 2018 · Friendly , courteous, effiecient and professional staff members. This office i highly recommend for any and all Urology matters. Dr Alex Shteynshlyuger is very professional and knowledgable easy to communicate with. Thanks Dr Alex

Satisfied Patient
by on Sep 15, 2018

I am very please and satisfied with everything that has been offorded to me by New York Urology Specialist Office.....Dr Alex

Surgical Procedure
by on Sep 01, 2018

Dr Alex and his staff are through professionals in every sense of the word. From initial diagnosis to a period of evaluating and ruling out options, we decided upon a surgical solution, which appears for the most part to have corrected the issue. Thanks to Ana, and the staff, especially Dr. Alex for treating me so well. Best regards, Lee

Review
by on Aug 16, 2018

Outstanding service

A very good doctor
by on Aug 15, 2018

Dr. Alex Shteynshlyugerand is careful, patient, experienced. Uses innovative approaches, that actually yield results. He is indeed a good doctor, in every sense

urology services
by on Apr 11, 2018

I am very satisfied with the treatment I received at new york urology specialist and would recommend them to other patients.they are the very best.

My wife was elated
by on Jan 15, 2018

Well I put it to use last night and man, good job. My wife was elated. u made it much better somehow, so thank u for fixing my penis

Thankful
by on Dec 05, 2017

"Cannot express how thankful I am I found Dr. Shtetnshlyuger. After undergoing surgery to correct a penile torsion I couldn't be happier with the results. A great doctor who is clearly good at what he does. With something as important as your private area, It's nice to be able to rest easy and know you are in good hands.." via HealthGrades.com 12/5/2017

Review
by on Nov 19, 2017

I am writing to thank dr. Alex. He is thorough, professional, knowledgeable, helpful and friendly. I have seen him for ED and prostate issues, and he has explained all my options clearly, and found solutions that have been a great help. thank you! I highly recommend both Dr. Alex and his staff, which I find to be helpful, friendly, knowledgeable and very professional. They are a pleasure to deal with and all have been a great help.

Dr visit
by on Sep 14, 2017

I am very much thankful for meeting Dr Alex .I had a very serious medical problem I visited many doctors but none could not help me it was very difficult for me until I visited Dr Alex after a couple visits my medical problem is no more I feel very great also I felt almost 20 years younger Dr Alex is second to none fantastic doctor. Thanks again Dr Alex from my family.

Excellent doctor
by on Jul 03, 2014

I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.

Thank you for excellent care
by on Jan 07, 2013

Dear Dr. Alex: We want to thank you for the excellent care you provided for George during his emergency operation and the follow up treatment. Your quiet, confident manner was reassuring to us during a very scary time for us. We will never forget you. George Sally R. Date: 2013

We love you!
by on Feb 16, 2012

Dr. Alex Shteynshlyuger and Staff – Thank you so much for taking care of my husband Bob. Dr. Alex: I thank God everyday for you. You were an answer to prayer.

ED is Treatable in Nearly Every Man

Excellence-Urology_Care-banner2At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of erectile dysfunction.  We understand the challenges that ED creates for our patients, their relationships, and their self-esteem.  We help you find a treatment for erectile dysfunction that fits your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with erectile dysfunction. By the virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for ED.  We offer medical and surgical treatment for erectile dysfunction.

We Treat Some of the Most Complex ED Problems Including:

dr alex about banner large Copy 300x176 - Top 5 Causes for ED in MenSchedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-5211 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained board-certified urologist with expertise in the evaluation and treatment of sexual and erection problems in men using modern effective and proven treatment methods.  We offer inflatable penile implant, shockwave therapy for ED, and treatment for Peyronie’s disease.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-5211.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  Low-cost Viagra (sildenafil) and Cialis (tadalafil) are available to our patients.

We offer weekday, weekend, and evening office hours.

 

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