Low testosterone and erectile dysfunction get treated as the same problem, but they are usually not. One is a hormone issue that blunts desire; the other is a blood flow issue that affects the mechanics of an erection. Here is how to tell which one you are dealing with — and why testosterone therapy often disappoints men who expected it to fix their erections.
Continue readingHARD FLACCID SYNDROME (HFS)
Questions asked by every Peyronie’s Disease patient?
Why Viagra/Cialis don’t work for you
Regaining Intimacy After Prostate Surgery – A Natural Option Many Men Are Choosing
Kitchen sink model: Shockwave + Pelvic floor physio + Training for reversing premature ejaculation
How Shockwave Therapy Works for Peyronie’s Disease
Premature Ejaculation (PE) and 13 minutes
After speaking with more than 5,000 men in the last few years about their sexual dysfunctions, here’s what I’ve learned about Premature Ejaculation (PE):
Premature Ejaculation (PE) is defined as ejaculation during sex EARLIER than a man or his partner would like.
It is a common condition affecting about 1 in 3 guys during their lifetimes.
(yes – women can get PE, too. For now, let’s focus on the dudes).
Often, PE is strongly associated with other forms of sexual dysfunction, including ED, low libido, and sexual anxiety.
Many men (and their partners) suffer frustratingly in silence with this condition.
PE is often considered a problem that afflicts younger, sexually inexperienced patients – but surprisingly, prevalence doesn’t vary significantly across most age groups.
It can affect anyone at any time.
And it IS a problem.
It can lead to serious relationship difficulties, divorce, and depression.
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WHY does PE happen?
There are a variety of different reasons.
Here’s the list. Pick your poison.
- Anxiety & Stress
- Genetics
- Hypersensitivity of the Penis
- Abnormal Serotonin Levels
- Erectile Dysfunction
- Hormonal imbalances
- Lack of Sexual Experience
- Relationship issues
- Prostatitis or other infections
- Medications
- Performance Pressure
- Hyperactive Ejaculatory Reflex
- Early Sexual Conditioning
- Depression
- Low self esteem
- Lack of sexual communication
- Physical fatigue
- Substance Abuse
- Porn
- Aging
- Circumcision
- Injury
There’s more – but you should be able to narrow it down.
It’s worth it to chat with a sexologist or naturopath who can help you figure it out if you can’t.
PE is divided into 2 categories: LIFELONG vs. ACQUIRED.
Just as it sounds – lifelong means you have always popped off too quick; acquired means it has developed over time, for whatever reason.
PE is then further divided into severity:
Mild, moderate, or severe.
This is based on your IELT – intravaginal ejaculatory latency time.
How long can you stay fully penetrated inside your partner until ejaculation?
(Similar data exists for homosexual partners as well)
Severe PE = IELT of 1 minute or less.
Moderate PE = IELT of 3 minutes or less
Mild PE = IELT of 5 minutes or less

So what it the RIGHT AMOUNT OF TIME that you should be able to maintain your erection before ejaculation?
How quick is too quick?
According to a recent survey of women about IELT, the ranges of intercourse activity times were defined as:
1-2 minutes: “too short”
3-7 minutes: “adequate”
7-13 minutes: “desirable”
13-30 minutes: “too long”
My wife and I have a super romantic code for whenever we want to get off.
It goes: “Hey, you got 13 minutes?”
Expectations for sexual intercourse should be well defined between couples.
Are you in it for a quickie?
Or do you want it to go long and sweaty?
Understanding your partners’ wishes and desires will go a long way towards defining your own.
But you need to be realistic.
Some patients will come into our clinic with severe PE and have totally bonkers notions about being able to last 30 minutes, shooting footlong ropes, and having multiple orgasms over several hours.
Guys – this is ridiculous.
You are watching too much porn.
What this IELT survey (and several others) tells us is that MOST partners DO NOT WANT you banging away at them for half an hour.

This isn’t to say that there aren’t some thirsty people out there who want to be pounded deep into the mattress – all the time, every time, for a really long time.
If that’s you – ok! Go for it!
No one is stopping you.
Power to you (and an ice pack).
But for regular, active, and normal sexual relations, a solid 10-15 minute session is all that’s needed for both partners to achieve their desired level of gratification.
So the big question is, and why you made it this far: HOW can I fix my PE?
There’s several answers here and you should consider them all.
1) Basic PE Training
There are a few physical training techniques which you can try at home, safely and carefully, to keep you from popping too quickly.
I’m not a fan of most of them, but they have some efficacy.
i) Condoms: Yes, they suck. But worth a try if you find yourself overly sensitive to a nice moist hole.
ii) Start & Stop: This is really the best move you can try. Stimulate yourself towards orgasm, then stop before you pop. Then start again. Start & Stop can be practiced via masturbation (think of it like banging a tennis ball against the wall), and eventually graduating to sexual activity with a partner. This is training for your cock.
iii) Squeeze: I’m not a fan of this move. Squeezing the head of your penis when you are about to orgasm is like covering your mouth when you are about to puke. It’s going to come out somewhere (this is a joke, of course). As well, if done improperly, the ‘Squeeze’ could lead to penile injury (yes, we’ve seen this before).
iv) Drugs: Pde5i medication, antidepressants, topical numbing agents. Horrible. Avoid like the plague. These are just masking the problem.
2) Change your Masturbation Technique
If you are one of the 92% of men who have masturbated regularly at one point in their lives, you have to consider that you may be doing it all wrong.
And by wrong, I mean: you are overstimulating yourself.
One of the first questions I ask PE patients: Are you a stroker – or a tugger?
Strokers do the old 5 knuckle shuffle by gliding their hand up and down their penis with (or without) lubrication, which closely simulates the act of sex.
Tuggers, on the other hand, tend to pull their penis, which most sex acts do not simulate.
In our clinic, we have noticed, that patients with acquired PE tend more likely to be strokers. If you are a stroker, and you ejaculate quickly during masturbation, how do you think this will translate to an actual sex act?
Likely not well.
Either learn to take your time while masturbating (Start & Stop) and practice lasting longer, OR change your technique.
If you can last longer while tugging, try sex positions that are like tugging.
3) Change your Ejaculation Frequency
While the science is somewhat mixed on what is deemed a healthy rate of ejaculation (a recent study showed that you should be blowing your load 21 times per month for the sake of your prostate), it’s far from settled as to what is the correct frequency for optimal health.
Sex is healthy and increases your testosterone levels.
Excess masturbation has been shown to reduce testosterone levels.
So it’s best to save your seed for your partner, always, but when in doubt, it’s safe to ‘take care of yourself’ to ‘get the poison out’.
But in excess, it’s likely to be detrimental.
If you or your partner feel that your masturbation is affecting your relationship, then it’s likely that you have a problem.
4) Pelvic Floor Physiotherapy
Training and Strengthening the Pelvic Floor is shown to improve PE and ED conditions
https://pubmed.ncbi.nlm.nih.gov/30979506/
Awareness and timing of pelvic floor muscle contraction, pelvic exercises and rehabilitation of pelvic floor in lifelong premature ejaculation: 5 years’ experience
5) Focused Shockwave Therapy (FST)
Patients with PE who underwent Focused Shockwave Therapy saw a nearly 100% increase in intravaginal ejaculation latency time (IELT) from 38 seconds to 75 seconds. Efficacy and Safety of Extracorporeal Shock Wave Therapy in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome and Acquired Premature Ejaculation Patients – PubMed
https://pubmed.ncbi.nlm.nih.gov/37611558/
FST is painless, side effect free, and requires no medications or downtime.
Conclusion
Here’s some straight dope.
You may not like this, but: You really just need to learn how to fuck.
Much like toilet training – where you train your body to not piss yourself – you have to teach yourself to NOT come too quickly.
Maybe you developed some bad habits over the years.
It’s OK – these can be overcome.
Getting your mental game on point is critical.
You know how in the old comedy movies there was the old joke about a guy trying not to blow his top and he’s distracting himself ‘baseball, grandma crouching in a sundress, if train A leaves Chicago at 9am going 100 miles per hour, etc.).
This is real. If all you are thinking about is not coming too quickly, then you will come too quickly. No different than if I tell you to NOT think about a pink elephant…what are you going to think about??
Let your mind seek peace during the pleasure. Enjoy the moment. Don’t worry about the ending.
In combination with physical techniques and mental strategies, our goal is to get you lasting into the ‘desirable’ range (between 7-13 minutes) within just a few months.
No pills, no pain, and no surgery.
So give us a call – 888-558-9283 – and schedule a consultation with our team.
We specialize in the treatment of Erectile Dysfunction, Peyronie’s Disease, Chronic Pelvic Pain Syndrome, and BPH/Bladder Incontinence, as well.
There’s never been a better time to conquer this very solvable problem.
Anxiety, Depression & Men’s Sexual Health
Anxiety, Depression & Men’s Sexual Health
Depression and/or anxiety disorders in men is much more common than the statistics suggest.
Although only 5% of adult men annually report clinical depression in the Western world, approximately 20% admit to experiencing some form of anxiety disorder each year.
These numbers are rising, and alarmingly so.
In recent polling, the percentage of U.S. adults who report having been diagnosed with depression at some point in their lifetime reached 29% in 2023, nearly 10 percentage points higher than in 2015.
In fact, all of these datapoints are likely to be vastly underreported due to social stigma associated with these disorders.

Weakness
Without getting too deep into the clinical definitions and biopsychology of these conditions, we can confidently say that both depression and anxiety are weaknesses.
And EVERY SINGLE ONE OF US have moments of weakness.
Some moments of weakness can last minutes.
Some can last days and weeks.
No one is immune.
Acknowledging this is CRITICAL.
So….
What’s eating at you?
What’s your problem?
WHAT IS YOUR WEAKNESS?
These are rhetorical questions because, here’s the thing:
It doesn’t really matter.
It doesn’t matter if your environment is toxic (bad partner, crap boss, shitty job, no friends),
And it doesn’t matter if you are not motivated to do what you NEED to do (exercise, eating well, sleeping well, etc)…,
And it doesn’t matter if you are blowing it with your lifestyle (Smoking, drinking, being a lazy fuck).
What matters is: you are feeling weak now.
And THAT is what needs to change.
Take it Easy
It’s OK if you are feeling down and struggling.
EVERYONE SUFFERS.
The pain you experience, however, is OPTIONAL.
So when I see a patient coming in with anxiety, or stress, or extreme sadness, the first thing I do is to put my hands up and tell them: “Take it Easy!”
And I often repeat it “….Take it Easy….”.
I know ‘taking it easy’ is sometimes easier said than done, but this is the simplest advice you can receive when it’s clear you are mentally exhausting yourself.
You need to REST and TAKE IT EASY.
I’m not telling you to lay down and quit.
I’m telling you to STOP, BREATHE, REST and TAKE IT EASY…so you can come back stronger and carry on.

Sex Starts in the Brain
Men take a lot of shit – we are expected to have more agency and control than women.
The former are usually seen as victimizer while the latter is often seen as a victim.
Nowadays, we hear more about the downsides of the ‘Patriarchy’ than we do the ills of ‘Feminism’.
When it comes to our health, unfortunately, we aren’t very good at admitting, or working to repair, what is ailing us.
It’s different for everyone as to the what, and the why; but generally speaking, men struggle to take charge and make changes to both their physical and mental health (as compared to women)
The effect of mental health issues on a man’s sexual wellness is significant.
And in like manner, a man’s sexual wellness can directly affect his mental health.
It’s a 2-way street filled with potholes, pedestrians and peril.
Here are 5 ways your depression or anxiety can impact your sexual wellness:
1. **Erectile Dysfunction (ED):** Men with depression or anxiety are at a higher risk of experiencing erectile dysfunction. The psychological stress associated with these conditions can interfere with the brain’s ability to send the necessary signals to trigger an erection. Sex ALWAYS starts in the brain.
2. **Reduced Libido:** Both depression and anxiety can lead to a decrease in sexual desire or libido. The emotional and physical fatigue associated with these mental health conditions often dampens sexual interest and enthusiasm.
3. **Premature Ejaculation (PE):** Anxiety, particularly performance anxiety, can contribute to premature ejaculation. The pressure to perform well can create a cycle of anxiety and rapid ejaculation.
4. **Difficulty Achieving Orgasm:** Depression and certain antidepressant medications can make it challenging to reach orgasm, contributing to sexual dissatisfaction.
5. **Relationship Strain:** Mental health issues can strain intimate relationships, leading to decreased emotional and physical intimacy. This strain can further exacerbate sexual health problems.
Addressing the Connection
Given the strong link between mental health and sexual wellness, it is crucial to address both aspects in treatment.
Men experiencing symptoms of depression or anxiety should consider seeking professional help, be it a therapist, sexologist, naturopath, or allopath.
Addressing these mental health issues can lead to improvements in sexual health and overall well-being.
At FocusWave Clinic, we are committed to providing comprehensive care that addresses both mental and sexual health. Our approach includes a combination of tailored treatment plans, where we can integrate mental health support, natural sexual health treatments, and a holistic solution to overall improve well-being and quality of life.
If you are experiencing symptoms of depression, anxiety, or sexual health issues, we encourage you to book a consultation with us.
Taking the first step towards treatment can significantly improve your mental and sexual wellness.
For more information or to schedule an appointment, visit www.focuswaveclinic.com or call us at 888-558-9283.
Prioritize your health and well-being this Men’s Health Awareness Month.
Warm regards,
Drew Klein, Certified Sexologist & Clinic Director
FocusWave Clinic
Book a FREE DISCOVERY CALL with me
888-558-9283
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How Much Does Shockwave Therapy Treatment Cost?
How Much Does Shockwave Therapy Treatment Cost for Men’s Sexual Health: Unveiling the Price of Healing
Shockwave therapy, also known as low-intensity extracorporeal shockwave therapy (LI-ESWT), has emerged as a promising treatment for erectile dysfunction (ED). As men seek practical solutions to improve their sexual health, understanding the costs associated with this innovative therapy is crucial. This essay delves into the financial aspects of shockwave therapy for ED, exploring the factors influencing the price, comparing it with other treatments, and examining whether it offers value for money.
Understanding Shockwave Therapy Treatment for ED
Shockwave therapy uses acoustic waves to stimulate blood flow and promote the growth of new blood vessels in the penile tissues. This non-invasive treatment aims to address the underlying vascular causes of ED rather than merely treating the symptoms. Studies have shown that shockwave therapy can improve erectile function, especially in men with mild to moderate ED.
Factors Influencing the Shockwave Therapy Cost
The cost of shockwave therapy can vary widely depending on several factors:
1. **Geographic Location**: The cost of medical treatments, including shockwave therapy, can differ significantly by region or country. Shockwave Therapy cost is generally higher in metropolitan areas with higher living costs.
2. **Clinic and Provider**: Different clinics and healthcare providers may charge varying rates for shockwave therapy. Factors such as the clinic’s reputation, the healthcare provider’s expertise, and the equipment quality can influence the price.
3. **Number of Sessions**: Shockwave therapy for ED typically requires multiple sessions. The number of sessions needed can vary based on the severity of the condition and the individual’s response to treatment. More sessions will naturally increase the overall cost.
4. **Insurance Coverage**: Shockwave therapy for ED is often considered an elective procedure and may not be covered by insurance plans. This can significantly impact patients’ out-of-pocket expenses.
5. **Additional Costs**: Additional costs may be associated for shockwave therapy treatment with initial consultations, follow-up visits, and any supplementary treatments or medications prescribed alongside shockwave therapy.
Average Cost of Shockwave Therapy
While the exact cost of shockwave therapy treatment can vary, the average price for shockwave therapy for ED typically ranges from $400 to $500 per session. Given that a standard treatment protocol usually involves 6 to 12 sessions, the total cost can range from $2,400 to $6,000. It’s important to note that these figures are approximate and can vary based on the factors above.
Comparing Shockwave Therapy with Other ED Treatments
To assess whether shockwave therapy offers value for money, it’s helpful to compare it with other common ED treatments:
1. **Oral Medications**: Drugs like sildenafil (Viagra), tadalafil (Cialis), and vardenafil (Levitra) are widely used for ED. The cost of these medications can vary, but they generally range from $10 to $70 per pill. While these drugs can be effective, they do not address the underlying causes of ED and must be taken before sexual activity. Many patients will either stop, or continue, the use of their oral meds when they start their shockwave therapy treatment.
2. **Penile Injections**: Intracavernosal injections involve injecting medication directly into the penis to induce an erection. The cost per injection can range from $30 to $100. This method can be effective but may be uncomfortable for some men.
3. **Vacuum Erection Devices (VEDs)**: VEDs use a vacuum to draw blood into the penis, followed by a constriction ring to maintain the erection. The cost of VEDs can range from $200 to $500. While effective for some, they can be cumbersome and less spontaneous.
4. **Penile Implants**: Surgical options such as penile implants are more invasive. The cost of penile implants, including surgery and post-operative care, can range from $10,000 to $30,000. Implants can provide a permanent solution but involve significant medical risks and recovery time. Shockwave therapy treatment is a route you should consider before surgery.
5. **Lifestyle Changes and Counseling**: Counselling and behavioural therapy can also improve ED by addressing underlying lifestyle factors such as diet, exercise, and mental health. The cost of such interventions can vary widely depending on the type and duration of therapy required.
Evaluating the Value of Shockwave Therapy
When considering the cost of shockwave therapy, weighing the potential benefits against the expenses is essential. Here are some key points to consider:
1. **Long-Term Benefits**: Unlike medications that need to be taken repeatedly, shockwave therapy aims to provide long-term improvement by addressing the vascular causes of ED. This can reduce the need for ongoing medication and associated costs.
2. **Non-Invasive Nature**: Shockwave therapy is a non-invasive treatment with minimal side effects. This makes it an attractive option for men seeking to avoid the risks and recovery time associated with surgery.
3. **Improved Quality of Life**: Effective shockwave therapy treatment for ED or other sexual dysfunctions can significantly enhance quality of life, self-esteem, and relationship satisfaction. The potential for long-lasting results makes shockwave therapy a valuable option for many men.
4. ** Lack of Insurance Coverage **: The out-of-pocket cost can be a significant consideration for many patients. Since shockwave therapy is often not covered by insurance, individuals must assess their financial capacity to undergo treatment.
Patient Experiences and Clinical Outcomes
Clinical studies and patient testimonials provide valuable insights into the effectiveness and satisfaction of shockwave therapy for ED. Research has shown that many men experience significant improvements in erectile function and sexual satisfaction following shockwave therapy treatments. However, results can vary; not all patients may respond to treatment.
Patient experiences highlight the importance of realistic expectations and thorough consultations with healthcare providers. A personalized approach, considering the individual’s medical history and specific needs, can enhance the likelihood of successful outcomes.
Focused or Linear Shockwave Therapy devices are costly machines.
Also known as ESWT (Extracorporeal Shockwave Therapy), the varied-energy Electromagnetic Shockwave Therapy Device we use at FocusWave Clinic is APPROVED for treating Men’s sexual health conditions like Erectile Dysfunction (ED), Peyronie’s Disease (PD) and Chronic Pelvic Pain Syndrome (CPPS).
The Future of Shockwave Therapy for ED
As research and technology advance, the accessibility and efficacy of shockwave therapy for ED may improve. Clinical trials and studies explore optimized treatment protocols, combination therapies, and long-term benefits. Additionally, increased awareness and acceptance of shockwave therapy treatment options could lead to better insurance coverage and reduced costs.
If you are considering Shockwave Therapy for treating your Erectile Dysfunction or sexual health condition and are looking at available options, make sure you ask your clinic the following questions:
Conclusion
Shockwave therapy for ED represents a promising treatment option that addresses the root causes of the condition. While the cost can be significant, particularly given the lack of insurance coverage, the potential for long-term benefits and improved quality of life make it a valuable consideration for many men. By understanding the factors that influence the cost and comparing it with other available treatments, individuals can make informed decisions about their sexual health. As research continues to advance, the accessibility and affordability of shockwave therapy may improve, offering hope to even more men seeking practical solutions for erectile dysfunction.










