Erectile dysfunction care at Mayo Clinic

  • Your Mayo Clinic care team. Erectile dysfunction has many possible causes. At Mayo Clinic, specialists from endocrinology, cardiovascular diseases, neurology, urology, and psychiatry and psychology services work together as a multidisciplinary team to evaluate and treat each individual. This means that you're not getting just one opinion — you benefit from the knowledge and experience of each specialist.
  • Experience. Mayo Clinic specialists have extensive experience and expertise in caring for men with erectile dysfunction, treating more than 6,000 men each year.
  • Advanced diagnosis. Mayo Clinic's approach to men's sexual health is to comprehensively screen for cardiovascular diseases and endocrine conditions, such as low testosterone, that might cause erectile dysfunction. Mayo Clinic offers a full range of options for noninvasive testing of erectile dysfunction, including color Doppler ultrasound of penile blood flow.
  • A wide range of treatment options. Erection pills, such as Viagra, Levitra, Cialis and Stendra, are an effective treatment for the majority of men with erectile dysfunction. But a large number of men — including those who have diabetes or who have had pelvic surgery or radiation for prostate, bladder or colorectal cancer — have low response rates to erection pills.

    Mayo offers many options for these men, including intraurethral therapy, penile injection therapies, vacuum erection devices and surgery.

  • Efficient care. Close collaboration enables your Mayo Clinic team to have your test results available quickly and to coordinate scheduling your appointments. Evaluation and treatment that might take months elsewhere can typically be done in only a matter of days at Mayo Clinic.

Expertise and rankings

  • Expertise and experience. Mayo Clinic specialists have extensive experience and expertise in caring for men with erectile dysfunction, treating more than 6,000 men each year.
  • Erectile dysfunction teamwork at Mayo Clinic. Erectile dysfunction has many possible causes. At Mayo Clinic, specialists from endocrinology, cardiovascular diseases, neurology, urology, and psychiatry and psychology services work together as a multidisciplinary team to evaluate and treat each individual.
  • Advanced diagnosis. Mayo Clinic's approach to men's sexual health is to comprehensively screen for cardiovascular diseases and endocrine conditions, such as low testosterone, that may cause erectile dysfunction. Mayo Clinic offers a full range of options for noninvasive testing of erectile dysfunction, including color Doppler ultrasound of penile blood flow.
  • Specialized treatments. Mayo specializes in helping men with difficult erectile dysfunction, such as men who have diabetes. Many people seek cancer treatment at Mayo Clinic, and cancer survivors often require specialized medical and surgical expertise to return to their role as sexual partner.
  • Leader in research. Urologists at Mayo Clinic are conducting ongoing research to find causes and solutions for erectile dysfunction. Researchers have focused in several areas, including the physiologic mechanisms and chemical processes that medicate smooth muscle relaxation, and penile erection as the end result of smooth muscle relaxation.

    Other areas include the relationship between erectile dysfunction and the presence of cardiovascular disease, and the prevalence of pathophysiological factors of erectile dysfunction and cardiovascular disease.

Mayo Clinic in Rochester, Minn., and Mayo Clinic in Scottsdale, Ariz., are ranked among the Best Hospitals for urology by U.S. News & World report. Mayo Clinic in Jacksonville, Fla., is ranked highly performing for urology by U.S. News & World Report.

Locations, travel and lodging

Mayo Clinic has major campuses in Phoenix and Scottsdale, Arizona; Jacksonville, Florida; and Rochester, Minnesota. The Mayo Clinic Health System has dozens of locations in several states.

For more information on visiting Mayo Clinic, choose your location below:

Costs and insurance

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people.

In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals, or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

Learn more about appointments at Mayo Clinic.

Please contact your insurance company to verify medical coverage and to obtain any needed authorization prior to your visit. Often, your insurer's customer service number is printed on the back of your insurance card.

June 23, 2017
References
  1. Montague DK, et al. The management of erectile dysfunction: An AUA update. The Journal of Urology. 2005;174:230.
  2. Erectile dysfunction. Urology Care Foundation. http://www.urologyhealth.org/urologic-conditions/erectile-dysfunction. Accessed Nov. 26, 2016.
  3. Cunningham GR, et al. Overview of male sexual dysfunction. http://www.uptodate.com/home. Accessed Nov. 26, 2016.
  4. Erectile dysfunction. National Kidney and Urologic Diseases Information Clearinghouse. https://www.niddk.nih.gov/health-information/health-topics/urologic-disease/erectile-dysfunction/Pages/facts.aspx. Accessed Nov. 26, 2016.
  5. Cohen SD. The challenge of erectile dysfunction management in the young man. Current Urology Reports. 2015;16:84.
  6. Sexual function in Parkinson's disease. American Parkinson Disease Association. http://www.apdaparkinson.org/sexual-function-in-parkinsons-disease/. Accessed Nov. 29, 2016.
  7. Besiroglu H, et al. The relationship between metabolic syndrome, its components, and erectile dysfunction: A systematic review and a meta-analysis of observational studies. Journal of Sexual Medicine. 2015;12:1309.
  8. Hidden risks of erectile dysfunction "treatments" sold online. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048386.htm. Accessed Nov. 26, 2016.
  9. Guay AT, et al. American Association of Clinical Endocrinologists medical guidelines for clinical practice for the evaluation and treatment of male sexual dysfunction: A couple's problem – 2003 update. Endocrine Practice. 2003;9:77.
  10. Berookhim BM, et al. Rutherford's Vascular Surgery. 8th ed. Philadelphia, Pa.: Saunders Elsevier. 2014. http://www.clinicalkey.com. Accessed Nov. 30, 2016.
  11. Nehra A, et al. The Princeton III consensus recommendations for the management of erectile dysfunction and cardiovascular disease. Mayo Clinic Proceedings. 2012;87:766.
  12. Ferri FF. Erectile dysfunction. In: Ferri's Clinical Advisor 2017. Philadelphia, Pa.: Mosby Elsevier; 2016. https://www.clinicalkey.com. Accessed Nov. 30, 2016.
  13. Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. Dec. 6, 2016.
  14. Trost LW (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 7, 2016.
  15. Silva AB, et al. Physical activity and exercise for erectile dysfunction: Systematic review and meta-analysis. British Journal of Sports Medicine. 2016;0:1.
  16. Kratzik CW, et al. How much physical activity is needed to maintain erectile function? Results of the Androx Vienna Municipality study. European Urology. 2009;55:509.