From regenerative erectile dysfunction treatments to testosterone replacement and hormone optimization — confidential, comprehensive care for the full spectrum of men's sexual and hormonal health.
Erectile dysfunction, low testosterone, and changes in sexual function are common — but they are not simply inevitable parts of aging. These are medical conditions with identifiable causes and highly effective treatments.
Dr. Sawkar takes a comprehensive, root-cause approach to men's sexual and hormonal health. Rather than masking symptoms, the goal is to identify the underlying issue — whether vascular, hormonal, neurological, or structural — and address it directly.
All consultations are handled with complete discretion and sensitivity. Many men wait years before seeking care; Dr. Sawkar's practice provides a welcoming, non-judgmental environment to have these conversations.
ED as a Health Signal: Erectile dysfunction is often one of the earliest warning signs of cardiovascular disease, diabetes, or hormonal imbalance — frequently appearing years before other symptoms. A proper evaluation doesn't just restore function; it can uncover conditions that benefit your overall health.
Evaluations are comprehensive — including blood work, vascular assessment, and a thorough medical and medication history — to ensure the treatment plan addresses the actual cause.
Modern ED care goes beyond pills and injections. Dr. Sawkar offers regenerative therapies that target the underlying vascular and tissue damage causing ED — restoring natural erectile function rather than providing temporary workarounds.
PRP therapy uses concentrated growth factors drawn from your own blood to stimulate tissue repair, collagen regeneration, and new blood vessel formation within the erectile tissue of the penis. By addressing the cellular and vascular damage that underlies ED, PRP produces lasting, structural improvement in erectile function — not just a temporary response.
Because PRP is autologous — derived from your own blood — there is no risk of allergic reaction or rejection. The procedure is performed in-office in under an hour, with no downtime required.
Low intensity shockwave therapy delivers focused acoustic waves to penile tissue, stimulating angiogenesis — the growth of new blood vessels — and clearing micro-plaque from existing vessels. This directly treats the vascular insufficiency that underlies the majority of ED cases.
Clinical studies demonstrate durable improvements in erectile function, with many men reducing or eliminating their need for PDE5 inhibitors (Viagra, Cialis) entirely. Treatment consists of a short series of in-office sessions with no anesthesia, no downtime, and no side effects.
For men who need additional support beyond regenerative therapies, a full spectrum of options is available — from oral medications to surgical implants. Dr. Sawkar will recommend the approach that best matches your health status, goals, and preferences.
PDE5 inhibitors (sildenafil, tadalafil, vardenafil) are effective for many men. Available as on-demand or daily dosing, and can be used alongside regenerative therapies for enhanced results.
Medication injected directly into the corpora cavernosa provides a reliable erection within minutes. Highly effective even in men who don't respond to oral medications, and can serve as a bridge while regenerative therapies take effect.
The gold standard for men who haven't responded to other treatments. An internally concealed, hydraulic device that produces a completely natural-feeling erection on demand. The highest patient and partner satisfaction rates of any ED treatment — over 90%.
Low testosterone (hypogonadism) affects a significant portion of men over 40 — and its symptoms are frequently dismissed as "just getting older." Dr. Sawkar evaluates testosterone and related hormones comprehensively and offers individualized, evidence-based replacement strategies.
Treatment plans are tailored to each patient's goals — including fertility considerations, since some TRT options affect sperm production and are adjusted accordingly.
Intramuscular or subcutaneous injections — the most common form of TRT, with predictable dosing and straightforward monitoring. Typically administered every 1–2 weeks.
Applied daily to skin for stable, consistent testosterone levels without injections. Well-tolerated and easy to adjust dosing. Requires care around skin-to-skin transfer.
Small pellets inserted under the skin every 3–6 months. Provides the most consistent hormone levels with no daily administration — ideal for those who prefer a hands-off approach.
Dr. Sawkar treats the full range of men's sexual and urologic health concerns — providing expert care for conditions that are often undertreated due to stigma or lack of awareness.
Decreased sex drive can stem from low testosterone, medications, stress, relationship dynamics, or other factors. A thorough evaluation identifies the cause — often more than one — and guides an effective, targeted treatment plan.
Scar tissue (plaque) forms within the tunica albuginea of the penis, causing curvature, pain, and difficulty with intercourse. Treatment options include Xiaflex (collagenase) injections, traction therapy, or surgical correction — depending on severity and whether the condition is in the acute or chronic phase.
A comprehensive men's health evaluation includes PSA, full testosterone and hormonal panel, metabolic workup, and cardiovascular risk assessment. Proactive screening catches problems early — when they are most treatable — and provides a clear picture of your baseline health.
Most men experiencing any of these concerns are candidates for evaluation and treatment. The best first step is a confidential consultation — there is no obligation, and the conversation is completely private.
You may benefit from a men's health evaluation if you:
Absolutely. All consultations and treatment records are fully confidential under HIPAA and physician-patient confidentiality. These conversations are private and will never be shared without your explicit consent.
Oral medications like sildenafil (Viagra) and tadalafil (Cialis) work by increasing blood flow to the penis when you're sexually stimulated — they require the drug to be in your system and don't change the underlying cause of ED. PRP injections stimulate tissue regeneration and new blood vessel formation, addressing the cellular and vascular damage causing ED at the source. The goal is structural improvement in erectile function that persists without ongoing medication.
A typical protocol involves 6–12 sessions performed over several weeks, with each session lasting approximately 20–30 minutes. Many men notice improvement after the first few sessions. Maintenance sessions may be recommended periodically depending on response.
Traditional testosterone replacement can suppress the body's natural sperm production. If fertility is a concern, Dr. Sawkar will discuss alternative approaches — such as clomiphene citrate or hCG — that can raise testosterone levels while preserving or even improving sperm production. This is an important consideration that is always addressed at your consultation.
Testosterone replacement therapy is covered by most major insurance plans when there is a documented clinical diagnosis of hypogonadism (low testosterone confirmed by lab values and symptoms). Coverage for regenerative treatments like PRP and shockwave therapy varies by plan — our team will help clarify your benefits before scheduling.
Yes. Post-prostatectomy erectile dysfunction is very common, and Dr. Sawkar has extensive experience helping men recover sexual function after prostate cancer treatment. A structured penile rehabilitation program — potentially including PRP, shockwave therapy, and other modalities — can significantly improve outcomes. The earlier treatment begins after surgery, the better the results tend to be.