CONDITION GUIDE
Erectile Dysfunction
Struggling to get or keep an erection isn’t something you have to just live with, and it’s rarely about age alone. Erectile dysfunction is one of the most common concerns men bring to Awakin Men’s Health, and in most cases, there’s a clear physical or hormonal reason behind it.
SYMPTOM CHECK
Signs You May Be Dealing With Erectile Dysfunction
Getting an erection takes longer or more effort than it used to
Erections aren’t as firm as they once were
You’ve lost an erection before finishing
Performance anxiety has started to affect your confidence
You’ve begun avoiding intimacy out of worry it won’t go well
Morning erections happen less frequently than before
WHAT'S BEHIND IT
What's Really Driving It
Erectile dysfunction rarely comes down to one single cause, but a few factors show up again and again in the men we see.
Declining testosterone
Testosterone plays a direct role in erectile function and sexual response, and as levels decline, ED often follows. This is one of the most common reasons men come to us with erectile dysfunction that hasn't improved with over-the-counter options alone.
Poor blood flow
Healthy erections depend on strong blood flow, so cardiovascular health, blood pressure, and circulation all play a role in how consistently you're able to perform.
Stress and mental health
Anxiety, depression, and chronic stress can all interfere with arousal and performance, often creating a cycle where worry about ED makes the problem worse.
Certain medications
Some prescriptions, including certain blood pressure medications, antidepressants, and antihistamines, can interfere with erectile function as a side effect, which is why a full medication review is part of your evaluation.
Chronic health conditions
Diabetes, high blood pressure, and high cholesterol can all damage blood vessels and nerves over time, making it harder to achieve or maintain an erection even when hormone levels look otherwise normal.
Alcohol and smoking
Both can damage blood vessels and reduce blood flow over time, and heavy or frequent use often makes ED more difficult to resolve even once other causes are addressed.
Ready to find out what's driving yours?
Awakin Men’s Health · 11819 Miracle Hills Drive, Suite 204 — Omaha, NE 68154
YOUR PATH FORWARD
How We Help With Erectile Dysfunction
For most men, this starts with Testosterone Replacement Therapy, since restoring healthy testosterone levels often improves both desire and function. When ED persists beyond hormone levels alone, this is often paired with our Sexual Performance program.
Lab-based diagnosis
Treatment based on your hormone levels and health history, not assumptions.
Performance support
Additional treatment options when ED persists beyond hormone levels alone.
Hormone optimization
Restoring testosterone often improves function alongside energy and mood.
Ongoing adjustments
Your plan changes as your labs do.
GOOD FIT?
Who Benefits Most From This Program
If ED has become a recurring issue, you may be a good fit for treatment, especially if:
Erections have become less reliable or less firm over time
Over-the-counter options haven’t given you consistent results
You want answers from lab work, not guesswork
Ready for a plan built specifically around you
ED is affecting your confidence or relationship
You’ve been told your labs are “normal” but performance still isn’t right
GETTING STARTED
Our Process
Step -1: Enroll Online
Takes less than 10 minutes. You’ll receive an email to set up your personal patient portal and complete medical history intake.
Step - 2: Consultation & Blood Work
Consultation with Andrew Wakin, MSN, FNP-C, to discuss your health goals. Lab work orders will be sent to your nearest Quest Diagnostics for analysis.
Step - 3: Start treatment
After reviewing your blood work results together, we’ll deliver medications directly to your home. Follow-up labs ensure that we monitor and adjust your treatment as needed for optimal results.
QUESTIONS
Frequently Asked Questions
Is ED always caused by low testosterone?
Not always, but it’s one of the most common and treatable causes. Lab work helps confirm whether testosterone is playing a role in your case.
I've tried over-the-counter options without much luck. Now what?
Those options treat symptoms temporarily but don’t address an underlying cause like low testosterone or poor blood flow. We look deeper to find what’s actually driving your ED.
Is ED just a normal part of aging?
It’s common, but common doesn’t mean untreatable. Many men see real improvement once the underlying cause is identified and addressed.
How is treatment for ED decided?
Everything starts with comprehensive blood work and a review of your health history. Your plan is built around your actual results, not a standard protocol.
How soon will I notice a difference?
Many men report improvement within the first few weeks of treatment, with fuller results building over two to three months.
Do I have to live in Omaha to get treated?
Our practice is based in Omaha, NE, but many services are available across Nebraska through telehealth visits and at-home medication delivery.
You Don't Have to Just Live With It
Schedule your consultation and find out what’s really behind your erectile dysfunction.
Awakin Men’s Health,
11819 Miracle Hills Drive, Suite 204 — Omaha, NE 68154