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It’s very important that the person understand the basis for the erectile dysfunction. Too often, a man will go to his primary care doctor and say, “Gee, I don’t have the erection I used to have.” And the doctor, without much further discussion or evaluation, will say, “Well, try these pills.” Viagra or Cialis pills, standard pills, and see exactly what happens. Erectile dysfunction treatments vary as to of course what’s wrong. So if a sex therapist finds a psychosocial issue, that would be addressed. If they, during the musculoskeletal assessment by the physical therapist, something is wrong with the musculature, then certainly something can be done by the physical therapist. If something is wrong in hormones during the hormonal evaluation by the biologic-focused healthcare provider, hormones will be provided, especially in men whose testosterone values are low. But there are other issues like thyroid values are off, or prolactin values are off, or estradiol values are off… There are many other hormones that can influence negatively the erection function.
