Treatment of Obesity-Related ED (Erectile Dysfunction) in Men
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
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 cancer. Heart 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.
Example:
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 insurance. Low-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.
- Read RealStories: 31-year-old man with erection problems
- Read RealStories: 52-Year-Old Man with Erection Problems Caused by Venous Leak (Veno-occlusive insufficiency).
- Read RealStories: 61-year-old Shockwave Therapy for ED for a Diabetic Man
- Read RealStories: 56-years-old diabetic treated with testosterone replacement therapy and Trimix
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:
- Erectile Dysfunction in Young Men
- No scalpel vasectomy: Who is a good candidate?
- Why Cialis No Longer Works for You: Top 5 Reasons
- How Does Shockwave for ED Work? – Mechanism of Action
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.
Add Reviews
by virginia on May 12, 2022
Today is the happiest day of my life, because problems I have been battling with over the years are now solved. My wife almost left me because she was unable to put in (pregnant) as result of my weak erection and premature ejaculation, I looked everywhere for a solution all to no avail, I have even been scammed severally before I met a Man called dr Austin who put an End the problem. If you are having erectile dysfunction contact him with this email doctoraustin3@gmail . com call or what-apps him through +2349155032399 . .he also specialize on the following thingsPENILE/PENIS ENLARGEMENT Hidradenitis Suppurativa Trust diabetes Cure HIV Cure GENERAL BODY Herpes cure Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,
by Winston - via Healthgrades.com on Feb 14, 2021
Dr 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.
by via HealthGrades.com on Jan 29, 2021
Dr. Shteynshlyuger helped to solve my problem with ED
by A. Pereira via Vitals.com on Jan 21, 2021
Very 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
by Luis via Google.com on Jan 11, 2021
THEY TAKE GOOD CARE OF YOU AND THEY TREAT YOU LIKE FAMILY AND LOOK OUT FOR YOU
by Anthony via Healthgrades.com on Jan 07, 2021
My 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 decisionsWhat could be improved
by via HealthGrades.com on Jan 04, 2021
Yes I would recommend Dr. Shteynshlyuger . Effective physician at all levels.
by Javier - Via Google.com on Oct 11, 2020
I 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.
by Vladimir via Google.com on Sep 23, 2020
I 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.
by via HealthGrades.com on Apr 12, 2020
excellent doctor and all very friendly staff
by Christopher via Google.com on Mar 11, 2020
The 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.
by Jose A La Luz on Jan 24, 2020
by via HealthGrades.com on Oct 29, 2019
Overall, 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 decisionsWhat could be improved
by via HealthGrades.com on Aug 13, 2019
Office 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
by Robert Clarke 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.
by Karl Henry 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.
by JOHN on Jul 18, 2019
Therefore I would like to recommend you to anyone who need your services.
by Oliver on Jul 18, 2019
Staff were all very welcoming. Dr. Alex Shteynshlyuger was very knowledgeable and attentive during my time spent with him.
by Allan B. 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!!!
by Wyts 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
by Winston 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
by Lee St. James 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
by Christopher cato on Aug 16, 2018
Outstanding service
by Andrei 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
by juanito creque 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.
by JD 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
by Jacob 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
by Bob Brown 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.
by Clarence Brown 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.
by Michael on Jul 03, 2014
I am feeling better now after visiting clinic New York urology specialists. Excellent staff and appointment on time.
by George & Sally R 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
by Joyce T 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
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:
- Erectile dysfunction in men with prostate cancer after radical prostatectomy
- Impotence in men with diabetes.
- Erectile dysfunction in men with Peyronie’s disease
- Erectile dysfunction in men for whom Viagra and Cialis do not work.
- Erection problems in men with low testosterone.
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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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