Erectile Dysfunction Treatment in Beverly Hills | Modern Aesthetica

Erectile Dysfunction Treatment in Beverly Hills

Treated as a medical symptom, not an inconvenience — because it is frequently the earliest sign of a vascular problem worth catching.

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First Step

Medical workup

Assessment

Vascular & hormonal

Options

Several

Seen By

Physician

Read This First

Erectile dysfunction is frequently an early marker of cardiovascular disease. This is the most clinically important fact about ED and it is routinely skipped over.

The arteries supplying the penis are considerably narrower than the coronary arteries. When atherosclerosis develops, narrowing tends to become functionally significant in those smaller vessels first — which means erectile symptoms can precede cardiac symptoms by several years.

ED is therefore a legitimate reason to assess cardiovascular risk properly: blood pressure, lipids, blood sugar, weight, smoking history and family history. A clinic that writes a prescription without doing that is treating the symptom and ignoring the signal.

The common causes

Vascular disease — the most common cause in men over 40
Diabetes — affects both blood vessels and nerves; ED is often an early complication
Medication side effects — many antihypertensives, antidepressants and others
Low testosterone — a genuine cause, though less common than usually assumed
Psychological factors — anxiety, depression, relationship and performance-related
Neurological conditions and pelvic surgery
Lifestyle — smoking, excess alcohol, obesity, inactivity

A useful distinction

If you still have firm spontaneous erections on waking but difficulty during sex, the cause is more likely psychological or situational. If morning erections have also diminished or disappeared, a physical cause is more probable. This distinction genuinely guides investigation.

Treatment Options, and What the Evidence Says

Well-established treatments

Oral medications (PDE5 inhibitors) are effective for a large majority of men and remain first-line for good reason. They have a substantial evidence base. Importantly, they must not be combined with nitrates, which is one reason a medical history matters before prescribing.

Treating the underlying cause — improving blood sugar control, adjusting a medication that is contributing, addressing genuinely low testosterone, or stopping smoking — frequently improves function more than anything else.

Addressing psychological factors is essential where they are contributing, and combined approaches usually work better than either alone.

PRP for erectile dysfunction — an honest assessment

Platelet-rich plasma injection for ED, sometimes marketed under a branded name, is offered widely and promoted enthusiastically. We offer it, and we will also be straightforward about what is known.

The evidence base is limited. Studies to date are mostly small, many lack proper control groups, and follow-up is generally short. Some show encouraging results; the field has not produced the kind of large, well-controlled trials that establish a treatment. Professional urological bodies have generally regarded these regenerative approaches as investigational rather than standard care.

That does not mean it cannot help — the rationale of improving penile blood flow through growth factors is plausible, and some men report benefit. It does mean you should approach it as a treatment with promising but unproven status, not an established one. If a clinic tells you otherwise, they are overselling.

We would generally want the standard workup and first-line options addressed before considering it.

How We Handle This

A physician, and a real consultation

Dr. Daniel Moghadam sees you personally and performs any treatment himself. Sexual health complaints are frequently rushed or brushed aside, and they deserve the same clinical attention as any other symptom.

We investigate rather than assume

Sexual symptoms are often the first visible sign of something systemic — cardiovascular disease, diabetes, hormonal deficiency, medication effects, or depression. A clinic that treats the symptom without looking for the cause can miss something that genuinely matters. We take a proper history and test where testing is warranted.

Honest about the evidence

This is an area with a great deal of marketing and considerably less high-quality data. Where the evidence for a treatment is limited, you will be told that plainly, so you can decide with accurate information rather than a sales pitch.

Discretion

Appointments are one-to-one. Nothing is discussed with anyone else, and consultations are complimentary with no obligation to proceed.

What the Workup Involves

History

When it started, whether onset was sudden or gradual, whether morning erections persist, medications, and relevant psychological or relationship context.

Examination and vitals

Including blood pressure and cardiovascular assessment, because this is where an important finding may emerge.

Laboratory work

Morning testosterone, blood glucose and HbA1c, lipid panel, thyroid function and other markers as indicated.

Discussion of options

What is causing your ED determines the treatment, and you will hear the evidence status of each option including where it is weak.

Follow-up

Response is reviewed and the approach adjusted. Where specialist referral is warranted — urology or cardiology — that is arranged.

Common Questions

Erectile Dysfunction Treatment Questions

It can be, and this is the most important thing to understand. The arteries supplying the penis are much narrower than the coronary arteries, so atherosclerosis often causes erectile symptoms years before cardiac symptoms appear. ED is a legitimate reason to have blood pressure, lipids and blood sugar assessed. For some men the workup finds something considerably more important than the presenting complaint.

The honest answer is that the evidence is limited. Studies are mostly small, many lack proper control groups, and follow-up is short. Some show encouraging results, but the field has not produced the large well-controlled trials that would establish it, and professional bodies generally regard it as investigational. Some men report benefit. Approach it as promising but unproven — and be wary of any clinic presenting it as established.

Generally we would not recommend that. Oral medications have a substantial evidence base and work for a large majority of men. It also makes sense to identify and address the underlying cause first — improving blood sugar control, adjusting a contributing medication, or treating genuinely low testosterone often helps more than any procedure.

That is clinically useful information. Preserved firm morning erections alongside difficulty during sex points more toward psychological or situational causes. Diminished or absent morning erections make a physical cause more likely. It genuinely helps direct the investigation.

Quite possibly. Several common medication classes contribute to erectile dysfunction, including many antihypertensives and antidepressants. Bring a complete list of everything you take, including over-the-counter products and supplements. Never stop a prescribed medication on your own — but it may be adjustable.

It is a genuine cause but less common than the marketing suggests. Many men with ED have entirely normal testosterone, and replacing testosterone in those men does not fix the problem. We measure it as part of the workup, but we do not assume it is the answer.

Yes. Appointments are one-to-one with Dr. Moghadam and nothing is shared with anyone. ED is a common medical condition affecting a large proportion of men as they age, and it is treated here as an ordinary clinical matter.

No referral needed, and the initial consultation is complimentary. Laboratory work is quoted separately before anything is ordered.

Areas We Serve

Erectile Dysfunction Treatment for Greater Los Angeles

Men come to our Beverly Hills office for ED evaluation from across Los Angeles:

Our Beverly Hills office sits on Wilshire Blvd near the Beverly Hills–Los Angeles border, with on-site, valet, and street parking.

Address

8907 Wilshire Blvd, Suite 270
Beverly Hills, CA 90211

Phone

(213) 895-4730

Hours

Mon–Thu 10am–5pm
Fri 9am–5pm
Sat & Sun Closed

Get it properly assessed

The right treatment depends entirely on the cause — and the workup sometimes finds something more important than the symptom. Consultations are complimentary.

Book Your Consultation (213) 895-4730

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