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Male Sexual Health Specialist

Total Urology Care of New York

Urology & Uro-Gynecology

Erectile dysfunction, premature ejaculation, Peyronie’s disease (angled erections), low testosterone, and issues with libido or desire for sex are all problems that can be compassionately and confidently discussed and treated at TUC. A man who is unable to achieve an erection or hold the erection suffers from impotence, another term for erectile dysfunction (ED). Think about seeing Dr. Kavaler for help with this problem if its impact your life.

Male Sexual Health Q & A


Below you will find answers to our most commonly asked questions. If you don't find the answer you are looking for please contact us at (212) 218-3900

What are causes of impotence or erectile dysfunction?

Many different issues in the body can lead to difficulty with erections. Medical problems such as high blood pressure, diabetes, sudden weight gain, abnormalities in male hormones, and prostate issues can affect a man’s ability to have an erection. It’s also possible that the cause of your ED is an injury, surgery, or medication. Drug use and alcohol can negatively impact the ability to achieve erection. A thorough history, physical exam and blood work will help uncover the cause of the problem and help direct treatment.

How will impotence affect my life?

Impotence can create problems that go beyond the physical. If pregnancy is desired, inability to penetrate can lead to infertility. Problems with erections can also cause issues with self-esteem, stress, and anxiety. Interpersonal relationships can be affected as well. The stress and anxiety that ED causes can lead to performance anxiety. When you come to see us for information and treatment options, we start by reviewing your history, medical conditions, medications, and lifestyle choices. Then a physical exam is done to evaluate the penis, testicles and prostate. Urine testing. sonograms and blood work may also be necessary. Based on all of this information, treatment can be initiated. Lifestyle changes, hormone replacement, medication, injection therapy and penile implants are available for treatment.

What we offer