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Erectile Dysfunction Treatment San Diego: Prescription Options at AH Clinics
AH Clinics offers erectile dysfunction treatment san diego men can start with a consultation rather than a questionnaire. The options include a compounded sildenafil and tadalafil troche, PT-141, and prescription ED medication san diego providers know well, all prescribed by a licensed provider after reviewing your history, your blood pressure and every medication you take.
Consultation first
Candidacy and treatment options are confirmed with a licensed medical provider at your appointment.
Licensed medical providers Prescription only Genesee Ave San Diego Mon to Fri 8:00am to 5:00pm
What we offer
ED Treatment in San Diego, Decided at a Consultation
Erectile dysfunction has more than one cause and more than one treatment, which is why ed treatment san diego patients get at AH Clinics starts with a conversation, not a prescription pad. A licensed provider reviews your history, your blood pressure and your current medications before recommending an option.
The clinic prescribes a compounded troche that combines sildenafil and tadalafil, offers PT-141 as a peptide that works through a different pathway, and can prescribe sildenafil or tadalafil on their own. None of these is sold from this page.
Compounded ED medication is prepared for you by a compounding pharmacy and is not an FDA-approved drug; the ingredients sildenafil and tadalafil are FDA-approved individually. Individual response varies.
At a glance
- Prescribed by
- a licensed medical provider, after a consultation
- Options
- compounded sildenafil and tadalafil troche, PT-141, sildenafil or tadalafil
- Not for
- anyone taking nitrates; see safety information
- Dosing
- explained by your prescriber with the prescription
- Where
- Genesee Ave, San Diego
Your options
ED Medication San Diego Providers Prescribe at AH Clinics
Your provider may recommend one option or a combination after reviewing your history, your blood pressure and your medications.
Compounded
Sildenafil and tadalafil troche
- What it is
- A compounded chewable troche combining both ingredients
- How it is used
- As needed before sexual activity, per your prescriber
- Before you start
- Prescription required; not for nitrate users
Peptide
PT-141 (bremelanotide)
- What it is
- A prescription peptide that acts on arousal pathways in the brain
- How it is used
- As needed, on a different pathway from blood-flow medication
- Before you start
- A consultation and a blood pressure review
Prescription
Viagra, Cialis, sildenafil or tadalafil
- What it is
- The FDA-approved medications, branded or generic, prescribed individually
- How it is used
- Per your prescriber; never combined with the troche
- Before you start
- Prescription required; not for nitrate users
Device
Alma Duo shockwave therapy
- What it is
- Non-invasive low-intensity shockwave therapy, no needles
- How it is used
- A series of short in-office sessions over a few weeks
- Before you start
- A consultation; can be discussed alongside medication
Kisspeptin, a peptide studied for sexual desire, is discussed at consultation and has its own page. About kisspeptin
How the medication works
Sildenafil and Tadalafil: a Compounded Troche for Erectile Support
Sildenafil and tadalafil relax blood vessels and increase blood flow to the penis during sexual stimulation. The combination is intended to pair sildenafil's shorter-acting effect with tadalafil's longer window of activity.
Individual response varies, and compounded troches may absorb differently from manufactured tablets. Your prescriber explains how and when to take the troche with your prescription; dosing is not published on this page.
- StimulationThe medication works during sexual stimulation, not on its own.
- Vessels relaxSildenafil and tadalafil relax blood vessels.
- Blood flowIncreased blood flow to the penis.
- Two windowsSildenafil's shorter effect paired with tadalafil's longer window.
Potential benefits
- Achieve
Improved ability to achieve an erection.
- Maintain
Improved ability to maintain an erection during sexual activity.
- Confidence
Greater confidence and flexibility around sexual activity.
- Window
A broader treatment window than either ingredient may provide alone.
Alma Duo
ED Shockwave Treatment San Diego: Alma Duo at AH Clinics
Alma Duo uses low-intensity extracorporeal shockwave therapy (LI-ESWT). Acoustic waves are applied to the tissue to induce mechanical stress, which is intended to trigger the body's own repair response and, over a series of sessions, support new blood vessel formation and blood flow. It is non-invasive and involves no needles.
The manufacturer describes a series of six 15-minute sessions over about three weeks, with no recovery time. Low-intensity shockwave therapy for erectile dysfunction has been examined in published systematic reviews; individual response varies, and your provider will tell you whether it is appropriate for you, on its own or alongside medication.
At a glance
- Type
- non-invasive device treatment, no needles, no medication
- Sessions
- a series of short sessions over a few weeks, per the manufacturer six of 15 minutes
- Downtime
- none described by the manufacturer
- Combined with
- medication or PT-141, if your provider recommends it
- Decided at
- your consultation
- Acoustic wavesLow-intensity shockwaves applied to the tissue.
- Repair responseMechanical stress is intended to trigger the body's own healing response.
- Blood flowOver a series, intended to support new vessel formation and flow.
- A seriesShort in-office sessions over a few weeks, set by your provider.
Common side effects
What to Expect, Including the Side Effects
Every erectile dysfunction medication has side effects. These are the common ones for the sildenafil and tadalafil troche, as the clinic lists them on the patient sheet.
- Headache, facial flushing, warmth, or redness
- Stuffy or runny nose
- Indigestion, upset stomach, or nausea
- Dizziness or lightheadedness, especially when standing
- Back pain, muscle aches, or limb discomfort (more common with tadalafil)
- Temporary blurred vision, light sensitivity, or a blue/green color tint (more associated with sildenafil)
Never use with nitrates such as nitroglycerin or isosorbide, or recreational poppers. This can cause a dangerous drop in blood pressure.
Important safety information
Read Before Your Consultation
- Do not combine
Do not combine Viagra, Cialis, or another erectile-dysfunction medication unless your prescriber specifically directs you to do so.
- Tell your clinician
Tell your clinician if you take blood-pressure medicines, alpha-blockers, riociguat (Adempas), HIV medicines, antifungals, or certain antibiotics.
- Limit alcohol
Limit alcohol because it can increase dizziness, low blood pressure, and difficulty achieving an erection.
- Get help
Seek care right away for chest pain, a sudden change in vision or hearing, or an erection lasting more than four hours.
Who it is for
Is an ED Clinic San Diego Consultation Right for You
Not every man with erectile difficulty is a candidate for every option, and some are not candidates for these medications at all. Your provider looks at the pattern and history of the problem, your blood pressure, your heart health and every medication and supplement you take, then talks through which option fits.
What your provider looks at
- The history and pattern of the difficulty
- Your blood pressure and cardiovascular history
- Every medication and supplement you take, especially nitrates and alpha-blockers
- Whether a different pathway, such as PT-141, or a referral makes more sense
This assessment happens during your consultation, before anything is prescribed.
Your visit
What Happens When You See an ED Doctor San Diego Patients Can Talk To
- ConsultA private conversation with a licensed provider about your symptoms, history and goals.
- ReviewBlood pressure, heart health and every medication you take are reviewed before any prescription.
- PrescribeIf appropriate, your provider prescribes the troche, PT-141 or an individual medication and explains how to use it.
- Follow upA follow-up reviews how you responded and whether to continue, adjust or stop.
Not sure where to start? A free consultation with a licensed provider sorts it out in fifteen minutes.
Common questions
Frequently Asked Questions
Common questions about erectile dysfunction treatment at AH Clinics in San Diego.
What erectile dysfunction treatment does AH Clinics offer in San Diego?
A compounded troche that combines sildenafil and tadalafil; Viagra, Cialis, sildenafil or tadalafil prescribed individually; PT-141 (bremelanotide) as a peptide option; and Alma Duo low-intensity shockwave therapy. Medications are prescription only, and every option is decided at a consultation with a licensed provider.
What is a sildenafil tadalafil troche?
A compounded chewable that combines sildenafil and tadalafil, intended to pair sildenafil's shorter-acting effect with tadalafil's longer window of activity. It is prepared by a compounding pharmacy and is not an FDA-approved drug; the two ingredients are FDA-approved individually. Compounded troches may absorb differently from manufactured tablets.
Can I take the troche with Viagra or Cialis?
No. Do not combine it with Viagra or sildenafil, Cialis or tadalafil, or another erectile-dysfunction medication unless your prescriber specifically directs you to.
Who should not take sildenafil or tadalafil?
Anyone using nitrates such as nitroglycerin or isosorbide, or recreational poppers: the combination can cause a dangerous drop in blood pressure. Tell your clinician about blood-pressure medicines, alpha-blockers, riociguat, HIV medicines, antifungals and certain antibiotics, which can also interact.
How is PT-141 different from ED medication?
PT-141 acts on melanocortin receptors in the brain involved in arousal, rather than on blood flow. It is prescribed off-label for men and comes from a compounding pharmacy. Your provider decides whether it is appropriate, alone or alongside another option.
What is Alma Duo shockwave therapy for ED?
A non-invasive device treatment that applies low-intensity acoustic shockwaves to the tissue, intended to support blood flow over a series of short in-office sessions. There are no needles and no medication involved. Your provider decides whether it is appropriate for you, alone or alongside medication.
Do I need an in-person visit?
Your first consultation reviews your history, blood pressure and medications with a licensed provider. Book through the form on this page or call the clinic on Genesee Ave; the provider will tell you what the visit involves.
Book
Book an ED Consultation in San Diego
A consultation with a licensed provider is the only way to find out which option, if any, is right for you. Nothing is prescribed from this page.
Visit Us in San Diego
AH Clinics is located on Genesee Ave and serves patients throughout the San Diego metro area.
9333 Genesee Ave, Suite 250
San Diego, CA 92121
San Diego, CA 92121
- Monday to Friday
- 8:00am to 5:00pm
- Saturday and Sunday
- Closed
Patient experience
What patients say about AH Clinics
5.0Across 46 Google reviews
I had an excellent experience with Accelerate health clinics. A special thank you to Nina, the office manager, who handled follow-ups with great care and efficiency, making the entire process seamless and stress-free. Her organization and responsiveness made a real difference. I am also very grateful to Dr. James Boyd for his professionalism and genuine empathy. I highly recommend the clinic.
It was very easy to work with this clinic. Their communication, compassion, and the attention to detail is impressive. Their entire staff is amazing, especially Nina was extremely helpful, responsive, and understanding. It was easy to get an appointment. I would highly recommend.
We called the Clinic for the appointment needed asap and they made everything possible and fast for us! Whole stuff is amaizing but i have to say big shout-out to Nina, the office manager! She answered on my 20 questions patiently and explained everything i needed to know! I would highly recommend them and would always come back!
I highly recommend Accelerate Health Clinics. When looking for a civil surgeon, I called many medical offices, but none were as friendly, and above all, knowledgeable as them. Ever since my very first call with Nina, I felt supported and guided. Thank you Nina & Dr Kamron, your customer service is truly top notch!!
recommend this place if you are coming for immigration medical check, booking was intuitive, staff members are super friendly and responsive! we chose this place despite it’s a bit pricey, got done with the paper work in less than 2weeks.
I typically do t write reviews but this clinic deserves 10 stars. The doctor is incredibly knowledgeable and has the best bedside manner. The staff are super friendly and always go out of their way to make the visit a great experience! Highly recommend
This clinic was amazing. They gave us the smoothest fastest process and made everything a breeze. Highly recommend.
Did the right thing by choosing to go to AH clinics. Booking an appointment was fast and easy. Staffs are nice and accommodating. They are also easy to talk to both through phone and in person.
Very friendly and professional staff, always providing clear updates via phone and email as necessary. Would do business with them again.