Treatment of Obesity-Related ED (Erectile Dysfunction) in Men

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.

New York Urology Specialists offer the most effective treatment options for men with ED caused by obesity, diabetes, and hypertension.

Causes of Obesity in Men

Obesity and EDWith the advancement of technology, men are becoming less physically active, and are spending more and more time in front of computers, cell phones, and televisions.

 While we see a lot of men physically active when they are in their 20’s, the stress of life leads to less physical activity for many men as they age.

Diet high in fat, carbohydrates and fried foods contribute to the obesity epidemic  Obesity is a medical term used to describe people with a BMI (body-mass-index) over 30.

What are the Dangers of Obesity?

Many urological diseases are associated with obesity including hypogonadism (low testosterone), erectile dysfunction, kidney stones, and prostate cancerHeart disease, diabetes mellitus type II, high blood pressure, metabolic disorders, many other diseases all owe a debt of gratitude to obesity.

Erectile Dysfunction and Obesity

Erectile dysfunction has long been associated with obesity.

Obesity generally causes insulin insensitivity in the body which in turn leads to high blood glucose levels, a pre-diabetic state. Over time, high glucose levels (diabetes) causes damage to blood vessels that carry blood to the penis.  Diabetes also causes damage to nerves that innervate the penis and facilitate erections.

Another important mechanism that plays a role is the hyperlipidemia or increased blood cholesterol levels associated with weight gain. Elevated cholesterol is responsible for the deposition of lipids in the walls of vessels, leading to their blockade. This reduces blood supply to vital organs of the body.  In the case of erectile dysfunction, the penile artery or one of the arteries that bring blood to the penile artery gets affected. Blood flow is crucial for erections to occur.

Obesity can also lead to low testosterone levels or abnormal testosterone/estrogen balance which can also affect erection quality.

As important, obesity can be a cause of high blood pressure in men, which damages blood vessels, including penile blood vessels.

How Obesity Leads to Problem with Getting and Keeping Erections (erectile dysfunction)?

Erections in a normal male result from sexual stimulation or visual stimulation.  Erections are controlled directly by the brain. The brain receives a stimulus that can be in the form of visual, auditory or tactile sexual stimulation. These are then processed in the brain, with subsequent impulses sent to the penis where it leads to an erection. So for an erection to take place, the nervous system, blood vessels, and smooth muscles, should all be healthy.

Damage to blood vessels and nerves can lead to erectile dysfunction. Both blood vessels and nerves are involved in getting and maintaining good erections in males.  Obesity can damage blood vessels directly by causing atherosclerosis (high cholesterol), high blood pressure.  It can damage the nerves by increasing the risk of diabetes which damages nerves and blood vessels.

Symptoms of Obesity-Related Erectile Dysfunction

Symptoms of erectile dysfunction or impotence usually start appearing slowly over time. It starts initially as partial dysfunction such as occasional difficulty obtaining or maintaining a sufficiently hard erection. Over time, men can completely lose the ability to obtain an erection.

Treatment Options for Overweight Men with Erection Problems

Obesity-related erectile dysfunction is treated by focusing initially on obesity itself. Research has shown that losing weight can reverse erectile dysfunction during the initial stages.

Obese men with ED often have low testosterone levels. Testosterone replacement therapy can often help with weight loss and can help men get better erections with or without medications such as Viagra or Cialis.  Estradiol levels need to be addressed as well as high estradiol levels are common in obese men with ED who are getting testosterone replacement therapy.

At New York Urology Specialists, we advise simultaneous treatment for ED with medications to help men get adequate erections fast and stay motivated and non-medical approaches such as weight loss and dietary changes, which can take time to work.

Weight loss can be achieved reasonably fast by lifestyle and dietary modification. Regular exercise is important for good health. Similarly, diet modification is also essential. Foods rich in refined sugars, carbohydrates and fats should be avoided. A consultation with a dietician is often beneficial.  Fruits, vegetables, proteins and omega 3 are good dietary options.  Medications that can help men lose weight are also available by prescription.  Few people truly realize what they eat and how many calories different foods in their diet contribute.


To work-off one BigMac meal, you need to run NON-STOP about 1-1.5 hours (1 mile in 10 minutes). You need to run 10 miles to run off a Big Meal.  You burn about 130-150 calories an hour running 1 mile in 10 minutes.

Total Meal calories:  BigMac Meal: 1180 calories   Double Quarter Pounder Meal: 1420 calories

BigMac 540 calories
Double Quarter Pounder® with Cheese 780 calories
Coca-Cola Large 300 Calories
World Famous Fries medium 340 Calories

Recommended Daily Intake Calories:  Around 2,000 calories.

Losing weight is not easy. It takes a lot of motivation and consistency. It usually takes more than 6 months to achieve a target weight. If erectile dysfunction persists after weight loss, then other treatment options can be employed.  If ED is severe, these options can be tried earlier. Physical exercise can help maintain better erections.

Treatment of Testosterone Deficiency in Overweight and Obese Men

Correction of testosterone deficiency, when present, can also help with weight loss.  Studies show that in men with low testosterone and obesity, treatment of low testosterone levels can help with weight loss.  In addition, testosterone replacement therapy can help with improving erection quality.

Help with Getting and Keeping Erections Hard in Men Who are Overweight or Obese

Medications used for treating ED: Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) are effective for men who are obese.  Medications should be used in combination with treatment focused on weight loss, diet modification and control of high blood pressure and diabetes when these diseases are present.

If oral pills such as Viagra or Cialis do not work well, medications may be directly injected into the penis with a tiny needle and minimal discomfort. Prostaglandins such as alprostadil (prostaglandin E) are effective in bringing about smooth muscle relaxation and hence, an erection. It is effective in 70-80% of patients.

Shockwave therapy for ED is another treatment option that is often helpful for men who are overweight.

A Vacuum Erection Device or VED may be useful for some men but the success rate is not high and it may be difficult to use in obese men who often have buried penis.

Effective Surgical Treatment for Erectile Dysfunction

For men who cannot tolerate medications or other non-surgical treatment options, a penile implant is a very effective treatment option.  An inflatable penile prosthesis is another good option for men who cannot take medications.  It has a high success rate and can be done with a small scrotal incision.  Men who are morbidly obese may not be good candidates for an inflatable penile implant as they may have difficulty reaching the scrotum to inflate and deflate the implant.

Weight loss prior to penile implant surgery is helpful to get the penis to appear larger when erect.  Some men may require abdominoplasty to remove excess skin and fat.

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 been 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 a 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.

Patients Reviews

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Urology by Alan on Jul 04, 2022Dr. Alex and all members of his staff are very attentive and professional. They are always willing to adjust to patient requests regarding scheduling and time. I’ve never had a negative experience when visiting the office and would highly recommend Dr. Alex and staff!


Circumcision and vasectomy by Hector Nieves on Feb 22, 2022Todo muy bien con el personal, la cirugia, el seguimiento, etc. Lo unico que podria decir un poquito negativo es el tiempo de espera despues de la hora de la cita fue bastante, pero con relacion a todo lo demas es excelente.


Review by Armando Santos on Dec 16, 2021Great experience

best urology doctor by Winston – via on Feb 14, 2021Dr Alex Shteynshlyuger is the best urology doctor there is. He is attentive, analytical, knowledgeable and skillful. Very confidential with a masterfully professional staff. I would not hesitate in recommending Dr Shteynshlyuger to the world because I am a satisfied patient of his.

solved my problem with ED by via on Jan 29, 2021Dr. Shteynshlyuger helped to solve my problem with ED

100% perfect circumcision by via on Jan 21, 2021Dr. Shteynshlyuger did what I would call an 100% perfect circumcision on me. I can’t even find my scar. He cut the precise right amount of skin. I now feel extremely happy, confident, and proud of how it looks. I am 100% satisfied with my results and I would recommend him to any guy seeking an adult circumcision. I healed in 5.5 weeks but his recommendation is 6 weeks to heal so that means zero “activity” for 6 weeks to avoid damaging the stitching. The surgical glue I pulled off at 5.5 weeks. It is important to not remove it before! The lower posterior of my shaft did not look good at first, especially w/ the surgical glue on it, but over weeks it looked better and better w/ the final results by 5.5-6 weeks being excellent When the doctor injected the anesthetic, it was painful since he must inject it deep ~6-8times. During the surgery my discomfort was maybe a 1/10, so tolerable. Make sure to buy lots of bandages/gauze before/after for daily change for 5-6 weeks

What went well

Appointment scheduling Office environment Staff friendliness Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions

What could be improved

Long wait times 

Very Pleased by A. Pereira via on Jan 21, 2021Very Pleased, I couldn’t have asked for more from Dr. S as well as everyone in the office, The procedure and after was a dream with Dr. S. If you are on the fence, I can tell you, that you will love your experience with Dr. S


treatment from New York Urology by Anthony via on Jan 07, 2021My problem with ED is gone with my treatment from New York Urology!

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions

What could be improved


recommend Dr. Shteynshlyuger by via on Jan 04, 2021Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.

finally able to enjoy life again by Josh via on Dec 16, 2020Dr. Alex absolutely changed my life and restored my faith in doctors. When my condition first started I saw four different urologists over a period of about 6 months. All four either laughed me out of their office saying there’s nothing they could do to help, that my pain was normal, or prescribed me something that did not help or made everything worse. I prepared to live my life (22 years old now) with chronic pain that made participating in every day activities extremely difficult. Finally after getting the courage to start looking for new doctors again I found Dr. Alex Shteynshlyuger and decided to give his office a call. I proceeded to see him shortly after my call, and now a few visits and months later I am finally able to enjoy life again. Dr. Alex took the time to do the tests that other doctors did not even mention. He took different approaches, gave well explained answers to all of my questions, and made me feel like there are some doctors who really do care. On top of all of that he has some of the most helpful and kind staff I have come across. I cannot stress enough how thankful I am for Dr. Alex!

No pain at all by Elson via on Nov 25, 2020This was a very fast and easy process. No pain at all and the job was very well done. He stays on top of your progress and helps to heal faster. I will definitely recommend Dr Alex at all times!!!

Great place by Yannis via on Nov 09, 2020Very friendly staff, A great experience from the front desk to seeing the doctor. Dr.Shteynshlyuger is very professional and makes you comfortable when you’re in the room. He answers every question with detail. Great place..

I would highly recommend it to anyone by Javier – Via on Oct 11, 2020I saw the reviews about this place and was very hesitant to go but something was telling me to go with them and I don’t regret it at all, the doctor did a great job and helped me understand the process plus the staff was amazing I would highly recommend it to anyone! quick story after the procedure I was in soo much pain and called the office on a SUNDAY, the doctor gave me a call back within 15 minutes and prescribed a stronger medication, to me that meant a lot for the doctor to take time from his day on a Sunday to help me.

highly qualified diagnostician by Vladimir via on Sep 23, 2020I have been observed by Dr. Alex for many years and I must say that he is a highly qualified diagnostician, and also several times I have received qualified microsurgical assistance and very useful advice. The only reason I put 4 with a plus is a somewhat long wait for the reception.

successful procedure by Grant via on Aug 20, 2020To Dr. Shteynshlyuger and your assistants and aids, thank you guys for a successful procedure. I’d refer you to others for your compassionate, knowledgeable, attentive service and indepth follow up care.

I am very happy with this doctor. by Maria via on Aug 12, 2020I am very happy with this doctor. He is very patient and he understood all my problems. He also answered my questions and gave me some good advice.

very friendly staff by via on Apr 12, 2020excellent doctor and all very friendly staff

2 years free of any UTI by Lucretia via on Apr 09, 2020This urologist has helped me for my constant UTI’s He gave me a few tests, diagnosed the problem and now I’m 2 years free if any UTI. A kind, intelligent, caring doctor LucretiaLaMura

Doctor Shteynshlyuger provided me with the care I needed by Christopher via on Mar 11, 2020The staff is very professional. Doctor Shteynshlyuger provided me with the care I needed. The wait, visits, and instructions were brief. I followed his instructions and my issue was resolved. As a patient exercise patience. Follow the instructions and be honest about your condition and what you hope to accomplish be visiting. Thanks again Doctor.

Patient review by Jose A La Luz on Jan 24, 2020 

Buen doctor by Marcos perez on Jan 14, 2020Muy buen doctor. Y sobre todo el personal muy amable se preocupan por uno buen servicio

Thank you for your hlep by Ron on Dec 10, 2019Amazing doctor and staff. Thank you!

Shang Ring circumcision by via on Oct 29, 2019Overall, it was a good experience. Dr. Shteynshlyuger (Dr. Alex) was very nice, warm and helpful. He performed a Shang Ring circumcision for me and the procedure went well. I’m pleased with the results and there were no complications. If anyone is interested in the shang ring circumcision in the tristate area, then I’d recommend him. The whole procedure is $1850, which includes the initial consultation (provided that ther are no complications) and every follow up visit up to six months.

What went well

Appointment scheduling Office environment Staff friendliness Wait times Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions

What could be improved


Thank you doc !!! by via on Aug 14, 2019Great doctor, good bedside manner and always felt comfortable talking to him and the staff. Great location and affordable prices. Thank you doc !!!

What went well

Appointment scheduling Office environment Staff friendliness Appointment wasn’t rushed Listened & answered questions Explained conditions well Trusted the provider’s decisions 

Office very convenient location by via on Aug 13, 2019Office very convenient location Don’t have to wait for long Staff very friendly Dr shteynshyuer very experienced I had my serviced done in 3 visits now I feel good now Than you Dr. shteynhlyuger

positive experience by via on Aug 09, 2019Dr. Shteynshlyuger is professional, knowledgeable, and experienced. I had a positive experience with him.

Peronis Disease by Robert Clarke on Aug 04, 2019Dr 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.

Review by Jim on Jul 26, 2019The staff are very friendly and efficient. Appointment ease is excellent. Dr. S. is terrific diagnostician, answers your questions quickly tries to assess how you are doing and focus on the purpose(s) of our visit Treatment alternatives are discussed . The longer you are a patient, the better the experience is.

3P Removal by Karl Henry on Jul 24, 2019Went to get my penile papule remove. Got done same day, it was fast, great staff, and most importantly, pleased with the result.

Recommendation by JOHN on Jul 18, 2019Therefore I would like to recommend you to anyone who need your services.

Urology Visit by Oliver on Jul 18, 2019Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.

Outstanding by Allan B. on Jul 09, 2019Went 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!!!

Dr. Alex Shteynshlyuger MD
33 W 46th St 5TH FL, New York, NY

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Kyle Harris

2 months ago

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 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:

Schedule 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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