New Solutions for Erectile Dysfunction and Penile Enhancement

For many men, concerns about sexual performance and penile appearance are deeply personal—yet more common than most realize. Whether it’s addressing erectile dysfunction, boosting confidence, or exploring options for enhancement, modern solutions are more effective and innovative than ever. By combining advanced regenerative therapies with personalized care, we deliver streamlined approaches that restore function, enhance aesthetics, and boost self-esteem. Here’s how we’re redefining male sexual health with cutting-edge treatments tailored to individual needs.

P Stem: Arousal and Psychological Factors

Arousal challenges in men’s sexual health are often psychological, manifesting as premature ejaculation, low libido, or weaker erections. These issues can also affect erectile function. To address these issues, we recommend a dual therapy combining oxytocin (the “love hormone”) with tadalafil (Cialis). Delivered as a sublingual troche, this treatment enhances arousal and vascular function, leading to increased blood flow and offering a streamlined and effective solution.

“Oxytocin combined with Cialis enhances arousal and improves erection quality,” explains Dr. Ryan Welter.

1.1 Understanding Arousal

“Oxytocin combined with Cialis enhances arousal and improves erection quality,” explains Dr. Ryan Welter.

1.2 The Impact of Erectile Dysfunction on Arousal

Erectile dysfunction (ED) is a common condition that affects millions of men worldwide and can significantly impact a man’s arousal. ED makes it difficult or impossible to achieve an erection, often due to poor blood flow, nerve damage, or hormonal imbalances. Beyond the physical challenges, ED can also have a profound psychological impact, leading to feelings of anxiety, depression, and low self-esteem. These emotional responses can create a vicious cycle, further exacerbating the condition. Addressing both the physical and psychological aspects of ED is crucial for restoring healthy arousal and sexual function. Addressing erectile dysfunction is essential for improving men’s sexual health and overall quality of life.

1.3 The Importance of Muscle Tissues in Arousal

Muscle tissues play a crucial role in arousal, particularly in the penis. The penis contains two types of muscle tissue: smooth muscle and skeletal muscle. Smooth muscle is responsible for the contraction and relaxation of the blood vessels, while skeletal muscle is responsible for the contraction and relaxation of the penis itself. When a man becomes aroused, the smooth muscle in the blood vessels relaxes, allowing blood to flow into the penis and causing an erection. The skeletal muscle in the penis also contracts, helping to maintain the erection. This coordinated effort between muscle tissues and blood vessels underscores the importance of muscular health in achieving and sustaining an erection. Healthy muscle tissues are vital for maintaining men’s sexual health and achieving satisfactory sexual performance.

1.4 Maintaining Healthy Sexual Function

Maintaining healthy sexual function requires a combination of physical and psychological factors. Regular exercise, a healthy diet, and stress management can all help to improve blood flow and overall health. Additionally, maintaining a healthy weight, avoiding smoking and excessive alcohol consumption, and getting enough sleep can all support sexual function. It’s also important to address any underlying psychological or emotional issues that may be impacting sexual function. By taking a holistic approach to health, men can enhance their sexual function and overall well-being, ensuring a more satisfying and confident sexual experience.

2. Vascular Function and Blood Flow

Restoring proper blood flow is crucial for achieving and maintaining an erection. For men experiencing neurovascular challenges, we offer treatments focused on regenerating nerves and blood vessels to ensure increased blood flow:

P-Shot (Platelet-Rich Plasma): A regenerative injection that stimulates angiogenesis (blood vessel formation) and nerve growth, improving sensation and vascular response over 6–8 weeks. While typically a one-time treatment, patients may need to consider how many P shots are necessary if symptoms return after a year.
Stem Cell Therapy: Harnesses advanced regenerative capabilities to rebuild damaged tissues and enhance neural and vascular function.
LI-ESWT (Shockwave Therapy): A non-invasive therapy proven to promote angiogenesis and nerve repair, improving blood flow and responsiveness.

These treatments are designed to address key aspects of men’s sexual health, ensuring better outcomes.

“The P-Shot regenerates blood vessels and nerves, improving sensation and response,” says Dr. Welter. “Shockwave therapy stimulates angiogenesis and nerve repair for better blood flow.”

3. Structural Support

Sustaining an erection requires strong pelvic floor muscles. While Kegel exercises can help, many men find them challenging to maintain. HIFEM® magnetic pelvic floor stimulation delivers supramaximal contractions that strengthen these muscles beyond what traditional exercises can achieve, leading to muscle hypertrophy and longer-lasting, more reliable erections. These intense contractions also result in the release of free fatty acids, which impact surrounding adipocytes and contribute to fat reduction.

Strong pelvic floor muscles are essential for maintaining men’s sexual health and achieving reliable erections.

“Pelvic floor stimulators exercise muscles beyond what Kegels can achieve,” notes Dr. Welter.

Penile Enhancement: Confidence Meets Innovation for Erectile Dysfunction

For men seeking improvement in size or appearance, our state-of-the-art enhancement treatments balance aesthetics with functionality:

These treatments can also lead to reductions in adipose tissue, improving overall body composition. These enhancements not only improve appearance but also contribute to better men’s sexual health.

1. Fillers

Hyaluronic Acid Fillers: Provide immediate increases in girth and length, though results can feel spongy or uneven if not expertly applied. These treatments can also contribute to fat reduction, particularly when combined with advanced technologies like high-intensity focused electromagnetic (HIFEM) therapy. These treatments play a significant role in enhancing men’s sexual health by improving both function and aesthetics.

Permanent Fillers: Offer a firmer, longer-lasting solution but require precision to avoid complications.

“Hyaluronic acid fillers provide immediate results but can feel spongy or uneven,” explains Dr. Welter. “Permanent fillers give a firmer feel but come with irreversible risks.”

2. Neurotoxin Therapy

Neurotoxin injections relax the penile fascia, improving blood flow and adding girth. These treatments can also contribute to the reduction of abdominal fat by targeting localized fat deposits resistant to diet and exercise. Results last approximately nine months and complement regenerative therapies. Neurotoxin therapy is an effective way to enhance men’s sexual health by improving blood flow and reducing fat.

“Neurotoxins improve blood flow and girth while complementing regenerative therapies,” adds Dr. Welter.

3. Implants

For those seeking a permanent solution, surgical implants offer unparalleled results. They provide structural support when flaccid and a firmer, larger appearance when erect. Advanced measurement techniques, such as ultrasound and 3D photography, are used to assess the decrease in fat thickness alongside muscle hypertrophy following treatment. While highly effective, implants require skilled urologists and come with a higher cost. Implants offer a permanent solution that significantly enhances men’s sexual health.

“Implants are a surgical solution, effective but invasive and costly,” explains Dr. Welter.

4. Regenerative Combinations with Platelet Rich Plasma

The most innovative approach combines PRP, neurotoxins, and collagen-stimulating agents to achieve a natural, dynamic look. This method promotes lasting results, with measurable increases of 3–5 cm in length and 2–3 cm in girth, while maintaining a streamlined, natural appearance. Additionally, this technique is effective for abdominal body shaping, targeting localized fat and enhancing muscle development.

“Regenerative therapies offer long-lasting results with natural aesthetics,” says Dr. Welter. These regenerative therapies provide a holistic approach to improving men’s sexual health.

4. What is the P-Shot?

The P-Shot, also known as the Priapus Shot, is a groundbreaking treatment designed to enhance men’s sexual health and erectile function. Utilizing platelet-rich plasma (PRP) derived from the patient’s own blood, the P-Shot offers a natural and effective solution for those struggling with erectile dysfunction and other sexual performance issues. This innovative therapy not only improves blood flow but also stimulates the growth of new muscle tissues, leading to significant improvements in sexual function and overall well-being.

4.1 Benefits and Results

The P-Shot provides a multitude of benefits that can transform men’s sexual health:

Improved Erectile Function: By increasing blood flow to the penis, the P-Shot helps achieve stronger and longer-lasting erections, addressing one of the core issues of erectile dysfunction.
Enhanced Sexual Performance: The treatment promotes the growth of new muscle tissues and increases muscle hypertrophy, resulting in improved sexual function and stamina.
Increased Size: The P-Shot can stimulate the growth of new tissue, potentially increasing the size of the penis and enhancing confidence.
Overall Health Improvement: Beyond sexual health, the P-Shot reduces inflammation and promotes the growth of new tissue, contributing to overall health and vitality.

By leveraging the body’s natural healing processes, the P-Shot offers a holistic approach to improving erectile function and sexual performance.

4.2 The Procedure

The P-Shot procedure is straightforward and minimally invasive, typically taking around 30 minutes to an hour. Here’s what you can expect:

Blood Sample Collection: A small blood sample is taken from the patient’s arm.
PRP Preparation: The blood sample is placed in a centrifuge to separate the platelets from other blood components, creating platelet-rich plasma.
Injection: The PRP is then carefully injected into specific areas of the penis using a fine needle.

The entire process is performed in a doctor’s office and does not require anesthesia or downtime, allowing patients to return to their daily activities immediately.

4.3 Cost and Insurance

The cost of the P-Shot can vary, typically ranging from $1,000 to $2,000 per treatment, depending on the location and the provider. As an elective procedure, it is generally not covered by insurance. However, many clinics offer financing options or package deals to make the treatment more accessible.

While the initial cost may seem high, the P-Shot provides long-term benefits that can last for several months or even years, making it a worthwhile investment for those struggling with erectile dysfunction. Compared to other treatments like medications, vacuum pumps, or surgery, the P-Shot offers a natural, non-invasive solution that addresses the root causes of sexual health issues.

By choosing the P-Shot, men can experience significant improvements in their sexual health and overall quality of life, making it a valuable option for those seeking lasting results.

Why Choose Us for Sexual Health?

Our practice prioritizes trust and transparency. We focus on delivering real, measurable improvements without overstating results or creating unrealistic expectations. We are dedicated to enhancing men’s sexual health by addressing the root causes of erectile dysfunction and aesthetic concerns, guiding patients through an innovative process that transforms both appearance and function. Our goal is to provide comprehensive solutions that enhance men’s sexual health and overall well-being.

As Dr. Welter summarizes, “We address erectile dysfunction in three phases: arousal, vascular function, and structural support.”

Streamlined Solutions for a Better You

Male sexual health is about more than just function. It’s also closely linked to erectile function, which plays a crucial role in sexual performance and satisfaction. It’s about confidence, satisfaction, and self-esteem. We understand that this journey can be personal and sensitive. That’s why we provide tailored, innovative solutions designed to meet your unique needs—delivering lasting results with minimal downtime. Our tailored solutions are designed to address all aspects of men’s sexual health, ensuring lasting results.

The cost of shockwave therapy for erectile dysfunction (ED) can vary depending on the location, provider, and number of sessions required. On average, a single session can cost between $400 to $500. A typical treatment protocol consists of 6-12 sessions, spaced 1-2 weeks apart. It’s essential to note that shockwave therapy is not currently covered by insurance plans, and patients should be prepared to pay out-of-pocket for the treatment.

Peak Masculinity
Starts Here

By Dr. Ryan Welter

August 16, 2025