Frequently Asked Questions

Men, don't be embarrassed to ask.

In my 20 years of practicing urology I have learned that many men are reluctant to go to the doctor. When they do go they can be shy or embarrassed to discuss matters related to their sexuality. Viagra commercials have normalized things somewhat, so they are more comfortable in asking for a prescription of Viagra, Levitra or Cialis.

But what happens when the pills don’t work?
What happens when your libido(desire) is no longer there? What happens if you climax and no fluid or little fluid is produced?
What happens if you climax too quickly?
What happens when you notice a bend in your penis?

All of these issues are extremely common and the good news is there are excellent, effective remedies available. Read on!

When the Pills don't work

Viagra, Levitra or Cialis don't work for everyone or in some men they cause unacceptable side effects. Some men take other medicines that can negatively interact with these pills or have medical conditions that make it dangerous to take these pills.

The next step is to check on a man's hormones with a simple blood test. Often a hormone imbalance is the culprit and putting them back into balance can help a great deal.

There are other very effective remedies for erectile dysfunction which include vacuum devices (that draws blood into the penis and then a ring is placed at the base of the penis to maintain the erection) as well as injection therapy. This involves a tiny needle and special medicines are injected directly into the penis causing an almost immediate erection. The concept of an injection into the penis can be concerning for some men. Diabetics inject themselves all the time. This is a very popular approach for many men.

Lastly there is a surgical implant which can be the right solution when other methods are not effective.

Low Libido

Some men are in sexless relationships because they are no longer interested in sex. This is usually due to low levels of testosterone or too high levels of estrogen (female hormone). Yes men have both male and female hormones and men feel and function the best when their male hormone is high and female hormone low.

Low Ejaculate

Most men like to ejaculate and different conditions including low hormones can lead to a decrease in the amount of fluid produced. An enlarged prostate can also be a cause of low ejaculatory volume. Certain medications or surgeries can cause retrograde ejaculation, where the fluid shoots back into the bladder instead of to the outside.

Premature Ejaculation

Many men wish they can last a long time pleasuring their partner. There are some men who have very little control on when they climax. This can be an area of embarrassment and relationship problems. Some men will climax seconds after vaginal penetration or a minute or two and this has been going on for years. One cause can be low levels of a certain hormone in the brain called serotonin. This is supported by the fact hat sometimes certain medicines used for depression can help with premature ejaculation. This category of medicines are called SSRIs (selective serotonin reuptake inhibitors). There are several other remedies for PE including anesthetic creams, vacuum pumps as well as penile injections.

Peyronie's Disease

Some men discover a bend in their penis with or without pain. This is causes by scar tissue that develops in the wall of the cylinders of the penis. (the wall is called the tunica albuginea). Some cases are so severe that penetration is not possible. There are effective treatments including creams, pills and injections to soften up the scar tissue. There has been encouraging results with a new penile traction device. In some cases surgery is necessary to straighten the penis.

The good news is there are excellent therapies for all these issues; make your anti-aging appointment with Dr. Gary Bellman soon.

Focus On
Men's Health

Low T
Recently you may have seen some ads for low T. Low T is short for low testosterone, the important male hormone. Men who may have low T, may exhibit low energy, low sexual desire, erections that are not very strong as well as weight gain. Any man who has any of these issues should see a physician experienced in the management of low T, to get the appropriate blood tests. If a man is found to have low T, there are several very effective remedies.
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New Testosterone Pellets
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Sustained Testosterone levels for up to 4 months
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Do you wish you had more energy?
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Is your sexual desire diminished?
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Do you wish you had longer, firmer erections?
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Do you wish you had more endurance?
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If you answered yes
to any of these,
complete our questionnaire.

You may be an excellent candidate for hormone replacement!

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Dr. Gary Bellman serves West Hills, Woodland Hills, Tarzana, Encino, Sherman Oaks, Agoura Hills, Calabasas, Thousand Oaks, Westlake Village, and Canoga Park, California.