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Optimal Health Miami

Marc Gittelman, MD

Hormone Replacement Therapy Specialist & Bioidentical Hormone Specialist located in Aventura, FL

Good sexual performance requires well-balanced hormones, strong penile blood flow, and a grasp of your partner’s needs and your own. Optimal Health Miami in Aventura, Florida, offers sexual medicine for men that emphasize all three of these key components. The goal of board-certified urologist Marc Gittelman, MD, and the team is to optimize your performance so that sexual intimacy is not a guessing game or something difficult to accomplish. Call today to talk to the experts in sexual medicine for men or book your consultation online.

Sexual Medicine - Men Q&A

Why is my sexual health changing?

Age can take a toll on men’s sexual health. Your sex drive may not be a strong as it used to be. Your erection may lack firmness and rigidity, making sexual intimacy less pleasurable or perhaps even impossible if you’re unable to maintain an erection.

Other common conditions also affect the strength and vigor of your erections. These conditions include:

  • Diabetes

  • Excess weight

  • High blood pressure

  • Cigarette smoking


The levels of sexually related hormones, including testosterone, dehydroepiandrosterone (DHEA), and many others, also can affect your sexual desire. At Optimal Health Miami, Dr. Gittelman and the team look at all factors that play a role in your sexual health and well-being with sexual medicine services designed especially for men.

What does sexual medicine for men address?

Optimal Health Miami offers comprehensive sexual medicine services, including diagnosis and treatment of:

  • Low sex drive

  • Erectile dysfunction (ED)

  • Premature ejaculation 

  • Delayed orgasm

  • Penile curvature (Peyronie’s disease)


The practice also provides sex therapy and sexual counseling to evaluate whether relationship issues may be contributing to your low sex drive.

How do I know what type of sexual medicine I need?

Dr. Gittelman conducts a comprehensive evaluation of your condition to assess structural, hormonal, and psychological factors that affect your sexual health. He recommends a full hormone evaluation and also assesses whether a vitamin or mineral deficiency may be affecting your sexual performance. 

When warranted, Dr. Gittelman uses state-of-the-art equipment such as a penile Doppler, a noninvasive ultrasound exam to evaluate blood flow in your penis. If you’ve already tried conventional erectile dysfunction medications without success, he may recommend additional tests.  

Once he pinpoints the issues, he recommends a sexual medicine treatment plan to improve your sexual health.

What are the sexual medicine treatments for erectile dysfunction?

Initial treatment approaches at Optimal Health Miami include medication and testosterone therapy. If medications don’t restore your erections, Dr. Gittelman may recommend injection therapy to increase blood flow in your penis so an erection can occur. You can inject in the comfort of your home.

Optimal Health Miami also offers shockwave therapy, a noninvasive treatment to help naturally increase blood flow in your penis. During this treatment, Dr. Gittelman applies a wand-like device to your penis. The device delivers mild shockwaves to stimulate the growth of new blood vessels in your penis. 

Get the expert care you deserve today. Call Optimal Health Miami or book a consultation online to find out more about men’s sexual medicine services.

We see patients from the following surrounding cities: Aventura, Sunny Isles, Miami, Bal Harbour, and Pembroke Pines, Florida. 
Call us to book your appointment today.

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