Erectile Dysfunction

Restoring Your Sex Life. For Good.

ED is a medical condition that deserves a thorough medical evaluation — not a quick prescription. Our board-certified urologists provide the kind of rigorous, discreet, physician-led care that high-performing men expect and deserve.

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The Obsidian Difference

We're All About You

High-performing men don't settle for a blue pill and a 10-minute appointment. They want to understand what's actually happening — and fix it. Treating ED successfully requires time, advanced diagnostics, and a strong patient-physician relationship. That's exactly what Obsidian offers.

What Most Men Experience

  • Primary care doctor writes a Viagra prescription
  • No physical exam or diagnostic testing
  • "ED clinics" pushing invasive treatments
  • Ill-trained physicians with no urology background
  • Underlying causes completely overlooked

The Obsidian Approach

  • Board-certified urologists specializing in sexual medicine
  • Thorough examination identifying risk factors & root causes
  • Natural restoration as the first course of action
  • Personalized therapy matched to your performance goals
  • Enduring physician relationship for ongoing optimization
Understanding ED

Causes of Erectile Dysfunction

ED can have various underlying causes, both physical and psychological. Understanding these factors is crucial for proper diagnosis and treatment. Urologists are the only specialty highly trained in the diagnosis and treatment of ED.

Physical Causes

  • Cardiovascular issues — ED is often an early warning sign of heart disease
  • Diabetes — nerve damage and reduced blood flow
  • Testosterone deficiency — a common contributing factor
  • Neurological disorders — MS, Parkinson's, spinal injuries
  • Medications — depression drugs, blood pressure meds, and more
  • Lifestyle factors — smoking, alcohol, obesity, inactivity

Psychological Causes

  • Performance anxiety or general stress
  • Depression and its impact on sexual desire
  • Relationship conflicts or emotional disconnection
  • Past sexual trauma with lasting effects

Important: ED can be associated with underlying cardiometabolic diseases. A thorough urologic evaluation is the best way to identify serious health issues when men present with ED.

Treatment Options

An Array of Proven Treatments

Every patient has his own performance goals. We personalize your ED therapy to meet — or exceed — your sexual goals.

Lifestyle Modifications

Exercise, weight loss, tobacco cessation, dietary interventions, and stress reduction can significantly improve erectile function for many men.

Oral Medications

PDE5 inhibitors including sildenafil (Viagra) and tadalafil (Cialis) — the first-line treatment for most men, enhancing blood flow to the penis.

Injection Therapy

For men who don't respond to oral medications, intracavernosal injections deliver medication directly to induce reliable erections.

Hormone Therapy

If low testosterone is contributing to ED, testosterone replacement therapy may be recommended as part of a comprehensive treatment plan.

Shockwave Therapy

Low-intensity extracorporeal shockwave therapy stimulates new blood vessel growth and improves endothelial function in the penis.

Penile Implants

For severe cases, surgical implantation of a penile prosthesis allows for on-demand erections with high patient satisfaction rates.

Take the First Step

A Physician Who Operates at Your Level

Don't settle for a quick prescription from a generalist. You deserve a board-certified urologist who will take the time to diagnose properly, treat thoughtfully, and build an enduring physician relationship. Most men regain excellent sexual function — with the right care.

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📍 8200 Greensboro Drive, Suite 200, McLean, Virginia 22102

📞 703-940-5815