Specialists for Erectile Dysfunction in NYC
For erectile dysfunction treatment in New York City, patients should consult with urologists who specialize in sexual medicine, as they are the primary specialists responsible for diagnosing and treating erectile dysfunction. 1
Types of Specialists for Erectile Dysfunction
Urologists/Andrologists: These specialists are the focal point for erectile dysfunction management due to their expertise in the genitourinary tract and familiarity with all diagnostic tests and treatment options 1
Endocrinologists: Can be valuable team members, especially when erectile dysfunction is related to diabetes, testosterone deficiency, or other hormonal disorders 2
Mental Health Professionals: Psychotherapists with expertise in sexual health should be considered for cases with psychological components or to help with treatment adherence 3
Diagnostic Approach by Specialists
Erectile dysfunction specialists typically follow a structured evaluation process:
Comprehensive medical history: Including onset of symptoms, severity, situational factors, and presence of morning/nocturnal erections 3
Sexual and psychosocial history: To identify psychological factors such as depression, anxiety, or relationship issues 3
Physical examination: Including blood pressure, genital examination, and assessment for penile deformities 3
Laboratory testing: Particularly morning serum total testosterone levels, which should be measured in all men with ED 3
Specialized testing: For complex cases, specialists may perform additional tests such as nocturnal penile tumescence, intracavernosal injection, or penile duplex ultrasound 3
Treatment Options Available from Specialists
NYC specialists can offer various treatment approaches:
First-line treatments: FDA-approved oral PDE5 inhibitors (sildenafil, tadalafil, vardenafil, avanafil) with proper dosing instructions and titration 3
Second-line treatments: Intracavernosal injections, vacuum erection devices, or intraurethral suppositories 4
Advanced treatments: For refractory cases, specialists may offer penile prosthesis implantation or newer regenerative therapies 4
Psychosexual counseling: To address psychological factors, reduce performance anxiety, and improve treatment integration into relationships 3
Importance of Specialist Evaluation
Erectile dysfunction can be a marker for underlying cardiovascular disease and other health conditions that warrant evaluation 3
Specialists can identify and address "curable" causes of erectile dysfunction and recommend appropriate lifestyle modifications 3
A proper specialist evaluation ensures that treatment is tailored to the specific etiology of erectile dysfunction, which is particularly important for young patients suitable for etiologic treatment 1
Finding the Right Specialist in NYC
When seeking an erectile dysfunction specialist in NYC:
Look for board-certified urologists with specific expertise in sexual medicine 1
Consider specialists affiliated with academic medical centers that offer comprehensive men's health programs 1
For complex cases, seek specialists who work in multidisciplinary teams that may include endocrinologists and mental health professionals 2