Men's sexual health
Erectile Dysfunction Treatment That Fits You
ED is common, treatable, and nothing to be embarrassed about. Dr. Lief finds the cause and matches you to the option that works.
Quick answer
Erectile dysfunction (ED) affects men of all ages and is usually physical — often caused by reduced blood flow, diabetes, or hormones. Lief Urology evaluates the underlying cause and offers a full range of treatments: oral medications, penile injection therapy, PRP/PRI™, shock wave therapy, and hormone optimization. Most men can be helped.
| Common causes | Blood-flow issues, diabetes, low testosterone, nerve or vascular conditions, stress |
|---|---|
| Treatment options | Oral medication · injection therapy · PRP/PRI™ · shock wave therapy (LiSWT) · hormone optimization |
| Approach | Find the cause first, then start with the least-invasive option that works |
| Privacy | Confidential, judgment-free consultations |
You're not alone — and it's treatable
Erectile dysfunction is one of the most common conditions Dr. Lief treats. In most cases it has a physical cause — frequently poor blood supply, diabetes, or a hormone imbalance — and that means there is usually something we can do about it. ED can also be an early warning sign of cardiovascular or metabolic issues, which is one more reason to have it evaluated.
Your treatment options
- Oral medications — the familiar first-line option for many men.
- Penile injection therapy — highly effective when pills aren't enough.
- PRP / PRI™ — regenerative platelet-rich plasma therapy.
- Shock wave therapy (LiSWT) — non-invasive, drug-free, encourages new blood flow.
- Hormone optimization — when low testosterone is part of the picture.
A confidential, expert evaluation
Dr. Lief's subspecialty focus is restoring normal sexual and urinary function. He'll take the time to understand your health, identify the cause, and build a plan around your goals — privately and without judgment. Learn more about ED from the Urology Care Foundation.
What happens at the first visit?
An erectile-dysfunction visit begins with a private conversation about what you have noticed and what you hope to understand. The purpose is to collect an accurate history, answer questions, and identify what information may be needed before treatment options are discussed. You do not need to choose a treatment before the visit.
- Book a private consultation. Call Lief Urology at 954.755.3801 and ask whether the office wants any records in advance.
- Prepare a medication list. Include prescriptions, over-the-counter products, and supplements, along with the clinician who prescribed each medicine when known.
- Bring relevant records. Prior test results, imaging, or visit summaries may help avoid repeating information; ask the office which items are useful.
- Describe the concern in your own words. Note when it began, whether it changed over time, and which questions matter most to you.
- Review the next step. Ask what additional information is needed, how follow-up works, and whom to call with questions.
Questions worth asking a urologist
- What parts of my medical and medication history are most relevant to this evaluation?
- What options are appropriate to discuss, and what are the practical differences between them?
- What additional records or tests would be needed before deciding on a next step?
- Which instructions would apply before or after any proposed treatment?
- What should I verify with my insurer or health plan before scheduling?
- How and when will the office follow up after the consultation?
How to prepare without guessing
You do not need to diagnose the cause yourself. A concise timeline and complete medication list are more useful than trying to select an option in advance. Write down previous conversations or treatments, any questions a partner would like answered, and your preferred way for the office to contact you. If privacy is a concern, tell the team which phone number and message method you prefer.
Coverage, referral, and authorization rules vary. Before scheduling a procedure or therapy, ask both the office and your insurer what is required, what is covered, and which costs could be your responsibility. The practice is located at 9750 N.W. 33rd Street, Suite 218, Coral Springs, FL 33065, and appointments are available Monday through Friday by arrangement with the office.
Terms used on this page
- Erectile dysfunction (ED)
- The term used on this page for difficulty achieving or maintaining an erection.
- Evaluation
- The process of reviewing a patient's concern, health history, medication list, questions, and any information a clinician considers relevant.
- Consultation
- A private appointment for discussing the concern and deciding what information or next step may be appropriate.
- Medication list
- A current record of prescription medicines, over-the-counter products, and supplements brought to the appointment.
- Follow-up
- The next contact or appointment used to review information, answer questions, or discuss what happens next.
· Information only — not a substitute for a medical consultation.
Frequently asked questions
Is erectile dysfunction permanent?
Usually not. Because most ED has a physical, treatable cause, the large majority of men can be helped with the right treatment. The first step is identifying the underlying reason.
What if pills don't work for me?
Many men who don't respond to oral medication do very well with injection therapy, shock wave therapy, or PRP/PRI™. Dr. Lief offers the full range so you're not limited to one option.
Could ED be a sign of another health problem?
Yes — ED can be an early signal of cardiovascular disease, diabetes, or low testosterone. Evaluating it can protect more than your sex life.
Are visits confidential?
Absolutely. Every consultation is private and judgment-free. Dr. Lief's philosophy is simple: 'I speak your language and know that I can help you.'
Talk to a urologist who can help.
Book a private, judgment-free consultation. Dr. Lief offers every leading ED treatment under one roof — so you get the option that actually works for you.