Sexual Health
The struggles are real.
Work with someone who understands.
Peyronie’s disease, premature ejaculation, changes in libido, erectile dysfunction, and ejaculatory issues are all part of sexual health. We understand the impact these conditions can have on your life, both physically and mentally. Often, they perpetuate each other. The good news is, we can help! Scroll the slider below for more information. We only offer these services to at our physical location in Hagerstown, MD.
More About Bioidentical Hormones
Premature Ejaculation (PE)
Premature ejaculation (PE) is a common sexual dysfunction characterized by the inability to delay ejaculation during sexual activity, leading to distress or dissatisfaction for both partners. International guidelines define this as ejaculation within 1 minute of penetrative intercourse. Studies suggest that PE affects approximately 20-30% of men globally, making it one of the most prevalent sexual disorders. While the exact cause of PE remains unclear, several factors are believed to contribute to its development. Psychological factors such as performance anxiety, stress, and relationship issues can play a significant role in premature ejaculation. Additionally, biological factors, including abnormalities in neurotransmitter levels, genetics, and hormonal imbalances, may contribute to the condition. Certain risk factors such as erectile dysfunction, prostate problems, and thyroid disorders have also been linked to an increased likelihood of experiencing PE. Overall, the multifactorial nature of premature ejaculation underscores the importance of comprehensive assessment and tailored treatment approaches to address this prevalent sexual concern effectively.
A thorough history and physical can generally define why the issue exists and treatment options vary.
Peyronie's Disease (PD)
Peyronie’s disease is a condition characterized by the development of fibrous scar tissue, or plaques, within the penis, causing curvature or deformity during erections and often resulting in pain or difficulty with intercourse. Named after the French surgeon François de la Peyronie, who first described it in 1743, Peyronie’s disease has been recognized for centuries, although its exact cause remains elusive. Prevalence estimates suggest that Peyronie’s affects around 1-3% of men, although the true incidence may be higher due to underreporting. While the precise etiology of Peyronie’s disease is not fully understood, it is believed to involve a combination of genetic predisposition, penile trauma, and abnormal wound healing processes. Risk factors for developing Peyronie’s disease include advancing age, a history of penile injury or surgery, and certain connective tissue disorders. Treatment modalities for Peyronie’s disease range from conservative measures such as oral medications and penile traction therapy to more invasive options including injectable medications, shockwave therapy, and surgical procedures like penile plication or grafting. Each treatment approach is tailored to the individual patient’s symptoms, severity of curvature, and overall goals for sexual function and satisfaction.
Here at Virtus we are effectively able to educate, provide guidance and offer treatment for Peyronie’s disease (new onset disease). Platelet Rich Plasma injections are available and we will also be adding Low Intensity Shockwave (LIWST) for treatment in 2025 which can also provide options for latent disease or curvatures >30 degrees.
shockwave therapy
Shockwave therapy for erectile dysfunction is a noninvasive, evidence-based treatment that uses low-intensity acoustic waves to stimulate tissue regeneration and improve penile blood flow at the vascular level. These acoustic waves promote neovascularization (the formation of new blood vessels), enhance endothelial function, and activate the body’s natural healing response, addressing one of the most common root causes of ED—impaired circulation. Several forms of shockwave therapy exist, including radial and focused shockwave technologies, with focused shockwave therapy offering deeper tissue penetration and more precise energy delivery. At Virtus we use the Storz Medical Masterpuls® Ultra+, a clinically advanced system that utilizes high-energy acoustic wave technology to deliver consistent, targeted treatment with proven efficacy in erectile dysfunction. The benefits of shockwave therapy include improved erectile strength, enhanced responsiveness, better spontaneous erections, and reduced reliance on medications. When combined with hormone optimization—such as balancing testosterone and other key hormones—and regenerative therapies like the P-Shot®, shockwave therapy can deliver synergistic results by improving blood flow, tissue health, and hormonal support simultaneously, offering a comprehensive and long-lasting approach to restoring sexual performance and confidence.
