DMV Men’s Sexual Health

Maintaining a healthy and pleasurable sex life is a vital component to a man’s overall health, wellness, and self-esteem. Erectile dysfunction, or ED, affects as many as 30 million men of all ages and is defined as trouble getting or keeping an erection that’s firm enough for sex.

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ED can happen:

  • Most often when blood flow in the penis is limited or nerves are harmed
  • With stress or emotional reasons
  • As an early warning of a more serious illness, like: atherosclerosis, heart disease, high blood pressure or high blood sugar from Diabetes.

Finding the cause(s) of your ED will help treat the problem and help with your overall well-being. Dr. Roba has a protocol that includes a full or partial combination of the treatments below:

  1. Lifestyle modification
  2. Supplements ( No boosters)
  3. PDE5i ( Cialis and Viagra)
  4. Blood Vessel Repair Agents
  5. Vacuum Devices
  6. Priapus shot( P – Shot)
  7. Low Intensity Extracorporeal Shock Wave Therapy ( Li-ESWT)
  8. Peptides
  9. Hormone Treatment
  10. Exosomes/ Stem Cells

For nerve damage (Li-ECSWT and or The P shot help improve Erectile Dysfunction):

  • Damage due to trauma is referred to urology.
  • Medication induced Erectile Dysfunction is treated by stopping or switching medications that cause Erectile Dysfunction to those that do not.
  • Erectile Dysfunction due to drugs, alcohol and cigarettes can be reversed by cessation of their use.
  • Erectile Dysfunction caused by psychological issues are referred to a psychologist for treatment.
  • Erectile Dysfunction caused by environmental toxins are referred to the appropriate speciality


Ask yourself the following questions:

  • Do you feel less enthusiastic about life than you once did and has your libido deteriorated?
  • Do you have trouble achieving or maintaining an erection?
  • Do you lack sufficient energy to complete daily tasks?

Potential Benefits of Testosterone Therapy:

  • Improved libido
  • Improved sexual performance
  • Improved sexual function
  • Reduced body fat
  • Reduced risk of cardiovascular disease
  • Improved bone density
  • Improved memory
  • Improved strength
  • Improved ability to add lean muscle mass
  • Improved mood
  • Increased energy