Cialis and Generic Tadalafil: Effective Treatment for Erection Problems in Men in NYC

by Alex Shteynshlyuger MD


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.


What You Need to Know About Cialis for ED Treatment.

shutterstock 284570099 300x200 - Cialis for Treatment of Impotence in Men in NYCWhat is Cialis?

Cialis is an oral medication that is used to treat erectile dysfunction in men.  Cialis helps men to obtain better erections; Cialis (tadalafil) can also help men keep the erections longer.  

Tadalafil is the generic name for Cialis.  Cialis works by increasing blood flow into the penis; this helps create strong erections.

In addition to helping with erection problems, tadalafil has also been found to help men with an enlarged prostate to urinate better. As a result, it is often prescribed to men who have both erection difficulties and urinary problems, such as waking up at night to urinate and frequent urination.

Cialis also appears to have some anti-inflammatory or anesthetic properties and it helps some men with penile pain and possibly pelvic pain.

Cialis Can Help Men with Impotence to Obtain and Maintain Erections

The majority of erection problems are caused by either inadequate blood flow to the penis or what is known as a venous leak, i.e., the blood leaves the penis faster than it gets in. 

Tadalafil belongs to a class of medications known as PDE5 inhibitors (phosphodiesterase inhibitors). These drugs work by increasing the amount of nitrogen oxide available in the blood vessels of the penis. Nitrogen oxide is a chemical that improves blood flow to the penis in men of all ages. Cialis is an effective treatment for men with insufficient blood flow to the penis.

However, in men who have venous insufficiency as the underlying cause of erectile dysfunction, Cialis or tadalafil may not effective and other treatment options need to be considered.  A penile doppler ultrasound can help determine if the cause of ED is poor blood supply or veno-occlusive insufficiency (venous leak).

How Fast Does Cialis Work?

Cialis typically works within 30-60 minutes if taken on an empty stomach (fasting); if you take it with food, it might take longer for it to work. It is important to remember that Cialis does not cause you to get an erection in the middle of the street. It helps to get blood to the penis but you still need to stimulated or aroused to get an erection just like you normally do with sexual activity.

How to Use Cialis?

For tadalafil to work properly, it must be taken correctly. Ideally, the medication should be taken on an empty stomach. If it is used on an as-needed basis, Cialis should be taken about one to two hours prior to anticipated sexual intercourse.

There are two ways of using Cialis. Depending on the reason for the use and frequency of sexual activity, men may choose to use it on an as-needed basis just before sex or they may take a smaller dose once a day.

The daily dosing of tadalafil is recommended for men who have urinary problems. The daily dosing of Cialis is also useful in men with erectile dysfunction who want reliable ability to obtain erections without worrying about taking medication an hour before having sex. For many men, regular once-a-day use of Cialis works better than taking it on an as-needed basis because the drug is more reliably present in the body when needed.

Cialis Side Effects

For the most part, tadalafil is a very safe medication. Millions of men have used this drug safely. Some men may experience mild side effects to Cialis, such as headaches, upset stomach, flushing, and stuffy nose. Typically, if men experience side effects with tadalafil, changing the medication to a different PDE5 inhibitor such as Viagra or Stendra often provides satisfactory results. Shockwave therapy for erectile dysfunction may be an effective treatment without side effects.

Is Tadalafil (Cialis) the Best Treatment Option for Me?

Cialis is an effective treatment for a large percentage of men with erectile dysfunction. Most men who start using brand name Cialis or generic tadalafil are very satisfied with it. The medication works well and they experience no side effects.

One benefit of Cialis is that it has a long half-life and remains in the body for over 48 hours. However, this means that men who experience side effects from Cialis may not like to take the drug because the prolonged half-life also causes prolonged side effects. In such cases, there are a few options available. Other medications such as Viagra, Stendra, and Levitra may work well. Changing the dose may make Cialis more effective or reduce the side effects.

For men who do not wish to use oral medications and for men with vascular problems causing ED, shockwave therapy for erectile dysfunction is an effective option. In some men, shockwave therapy for ED used along with tadalafil augments the effectiveness of the oral medication.

What if Cialis Does Not Work?

Cialis does not work well in 15 to 20 percent of men. The reason could be related to an underlying medical problem such as poorly-controlled high blood pressure and/or diabetes or hormonal abnormalities such as low thyroid hormone or low testosterone. Obesity can also decrease the effectiveness of tadalafil.

If tadalafil does not work, medications such as Viagra or Stendra may prove effective in some men. However, typically, if a man has tried two different PDE5 inhibitors and failed to achieve a satisfactory response, it is very unlikely that a third medication will work. Here are some of the treatment options for men with ED when Cialis does not work:

  • In many men, addressing the underlying problems often improves the effectiveness of Cialis.
  • Combination treatment with tadalafil and low-energy shockwave therapy for ED is another effective option.
  • Penile injections with medications such as TriMix are an effective treatment option for men in whom tadalafil does not provide adequate erections. Contrary to initial beliefs, most men find that penile injections are nearly painless and can be easily administered 10-15 minutes prior to sex with very good effectiveness. It is possible to use penile injections for many years with good satisfaction.
  • A penile implant is a surgical procedure that is also very effective in allowing men to resume sexual activity. The benefit of a penile implant is that it allows spontaneity. There is no need to carry medications or worry about taking the medication an hour before sex or inject a medication before sex. The penile implant is always ready to go and is associated with a high satisfaction rate among men and their sexual partners.
  • Other treatment options are available for men if Cialis does not improve erections, including MUSE intraurethral pill and vacuum erection devices (penis pumps).

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 - Cialis for Treatment of Impotence in Men in NYCSchedule 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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