Intimate & Hormonal Health
Men’s Sexual-Health Treatment
Private men's sexual health care in Vancouver with Dr. Frame and Dr. Fisher, from erection and ejaculation concerns to penile enhancement. Testosterone care is provided by Dr. Frame.
Men's sexual-health treatment in Vancouver
Understanding Men’s Sexual-Health Treatment.
Changes in erections, ejaculation, sensation or confidence are common, and they deserve a private conversation with a physician.
At Anti-Aging Medical & Laser Clinic in Vancouver, Dr. Gidon Frame and Dr. Teri Fisher provide assessment and personalized care for erectile dysfunction, premature ejaculation, Peyronie's disease and penile enhancement. Testosterone assessment and management are provided by Dr. Frame.
Your physician explains what may be causing your concern, the options that suit you, and their expected benefits, risks, costs and follow-up, so you can decide with confidence.
Concerns & Goals
Concern guides connected to this treatment.
Erectile Dysfunction
Persistent difficulty achieving or maintaining an erection firm enough for satisfactory sexual activity.
Reduced Erectile Firmness
Erections that are less firm or less reliable than desired.
Reduced Penile Sensitivity
Decreased penile sensation that may relate to nerve, vascular, metabolic, medication or other factors.
Penile Girth Concerns
Concerns about penile girth, circumference or proportion (sometimes searched as penis enlargement or male enhancement), whether from perception, natural variation, or a change after injury or treatment.
Treatment options at our clinic
Care starts with established medical treatment and with any cardiovascular, metabolic or hormonal factor that's contributing. In-clinic options can add to that plan, and specialist referral is arranged where it helps.
- Alma Duo: low-intensity acoustic-wave therapy, given as a short needle-free series, considered where reduced blood flow is a contributing factor. The evidence for this use is still emerging, and it's used alongside first-line care.
- Platelet-Rich Plasma (PRP): prepared from your own blood and injected in clinic by our physicians in selected cases. Its use in sexual health is investigational, and outcomes vary.
Each technology page explains how the treatment works, what to expect and its safety information.
What men's sexual-health care can help with
- Erection concerns: reduced firmness or reliability, assessed alongside your cardiovascular, metabolic and hormonal health.
- Ejaculation concerns, including premature ejaculation, with medical options and, for selected patients, a glans filler program.
- Changes in sensation that may relate to nerve, vascular, metabolic or medication factors.
- Peyronie's disease: curvature or changes in shape, assessed and managed by our physicians.
- Penile girth: penile girth enhancement uses injectable filler to add circumference. It's a cosmetic treatment, separate from erection care.
- Flaccid length appearance: botulinum toxin injected near the base can let the penis hang lower when flaccid. This is an off-label, emerging use that changes flaccid appearance only.
- Energy, libido and mood changes that may relate to low testosterone, assessed by Dr. Frame through our hormone assessment.
Several enhancement options use a product outside its approved indication. Your physician explains the evidence, benefits and risks of each before you decide.
Who may benefit
Men's sexual-health care suits adult men who have noticed changes in erections, ejaculation, sensation, shape or confidence, and men who'd like a physician's view on enhancement options.
It's also a good starting point if you're already using a medication for erections and want a fuller assessment, or if you'd like your heart, blood sugar and hormone health checked as part of the same visit.
Normal size and shape vary widely. If worries about size are causing real distress, your physician may suggest further assessment or psychological support as part of caring for your wellbeing.
Your medical history, medications and previous treatments are reviewed at your consultation to confirm which option suits you.
Your consultation
Your consultation is with Dr. Gidon Frame or Dr. Teri Fisher, in a private room, with time to talk openly. Testosterone care is provided by Dr. Frame.
Your physician goes through your symptoms and how long they've been present, and looks at your cardiovascular and metabolic health, hormones, medications, alcohol, smoking, sleep, stress and relationship factors. An examination and blood tests covering hormones, blood sugar or lipids are arranged where they'll help, and you're told what's proposed and why before anything happens.
You leave with a clear explanation of what may be causing your concern and the options that suit you, including their expected benefits, risks, costs and follow-up.
Medical and sexual-health consultations are physician appointments with a consultation fee. Your consultation with Dr. Frame or Dr. Fisher is $199, confirmed when you book.
What to expect during treatment
Assessment comes first, with Dr. Gidon Frame or Dr. Teri Fisher, including care for any contributing medical factor.
Acoustic-wave sessions. Short in-clinic appointments, usually given as a series, delivered by Dr. Gidon Frame or our trained technicians under Dr. Frame's medical direction. There are no needles, and most men go straight back to their day.
Platelet-rich plasma and other injectable treatments. Performed by Dr. Gidon Frame or Dr. Teri Fisher, with local anesthetic for comfort.
Number of sessions and spacing depend on the option and your assessment, and we agree them together with you.
Anti-Aging Medical & Laser Clinic
Looking for the right next step?
Anti-Aging Medical & Laser Clinic can help you understand this treatment, explore related technologies and concerns, and build a plan around your goals.
Results and planning
What treatment may improve. Erectile firmness and reliability for some men, particularly where reduced blood flow is a factor. Sensitivity concerns are sometimes helped. Treating an underlying medical driver can improve function and your general health together.
Matching care to the cause. Psychological or relationship factors, a hormonal deficiency, and cardiovascular or metabolic conditions each have their own treatment, and established medical treatment stays first-line wherever it's indicated.
When change might appear. Where energy-based or regenerative options help, the effect builds gradually over weeks. Improvements from treating a medical factor follow the timeline of that treatment.
Series and maintenance. Emerging options are usually given as a course, and repeat treatment is sometimes considered.
What shapes your result: the underlying cause, your vascular and metabolic health, diabetes, smoking, medications, how long the concern has been present, and psychological factors. Individual results vary, more so with emerging treatments.
Afterwards
Acoustic-wave therapy. Most men go straight back to their day. Some notice temporary sensitivity or a mild ache in the treated area that settles quickly.
After injections. Temporary tenderness, swelling or bruising at the injection sites is common and generally settles over a few days.
Practical advice: keep the area clean, avoid vigorous activity or sexual activity for the period your physician specifies, and use heat or ice only if you've been advised to.
Contact the clinic promptly if you develop increasing pain, spreading redness, fever, difficulty passing urine, or a lump or firm area that isn't settling.
Possible side effects of the in-clinic options
After acoustic-wave therapy:
- Temporary tenderness or sensitivity in the treated area
- Transient redness
- A mild ache for a short period afterwards
After platelet-rich plasma injections:
- Tenderness, swelling or bruising at the injection sites
- Temporary firmness or lumpiness under the skin
- Bruising where blood was drawn
- Short-lived discomfort as the local anesthetic wears off
Most of these settle within a few days.
Why assessment comes first
Every in-clinic option carries some risk, and your physician explains the ones relevant to you before you decide. Just as important, erection changes can be an early sign of a cardiovascular, metabolic or hormonal condition, so your assessment looks at your whole health as well as your symptoms.
Suitability
Whether an in-clinic option suits you, or should wait, depends on your health, medications, previous treatments and what an examination finds. Your physician reviews all of this with you in your confidential assessment.
Technologies Used
Technologies that may support this treatment.
Alma Duo
Alma Duo is a medical device that delivers low-intensity acoustic (shockwave-type) energy to targeted tissue.
Platelet-Rich Plasma (PRP)
Platelet-rich plasma is a concentrate prepared from a small sample of your own blood to increase the local level of platelets and the growth factors they release.
Anti-Aging Medical & Laser Clinic
Why men choose our clinic
- Assessment before treatment, because erection changes can be an early sign of a wider health concern.
- Clear guidance on emerging options. Acoustic-wave therapy and platelet-rich plasma are explained with their evidence, so you can decide with confidence.
- Established treatment at the centre, with in-clinic options added where they can help.
- Discretion as standard: private appointments and a relaxed, respectful conversation.
- Physicians involved directly, with Dr. Gidon Frame and Dr. Teri Fisher providing medical assessment and injectable treatment.
- Physician-led care in Vancouver since 2003.
FAQ
Questions about Men’s Sexual-Health Treatment.
The blood vessels supplying the penis are smaller than those supplying the heart, so vascular changes can show up there earlier. For some men, erectile difficulty is the first noticeable sign of a cardiovascular problem. Checking your heart health is part of looking after you well.
Your assessment and any injectable treatment, such as platelet-rich plasma, are with Dr. Gidon Frame or Dr. Teri Fisher. Acoustic-wave sessions use no needles and are delivered by Dr. Frame or our trained technicians under Dr. Frame's medical direction. You'll know before each appointment who you're booked with.
Most men describe a gentle tapping or pulsing sensation, and anesthetic usually isn't needed. Let us know if it becomes uncomfortable, and delivery can be adjusted.
These are private treatments and generally aren't publicly funded. Your physician explains the cost of any recommended treatment or course before you start, so you can plan ahead.
Yes, if you'd like to. Sexual concerns affect both people in a relationship, and some men find the conversation easier together. It's entirely your choice, and part of the appointment can be just you and your physician.
Reviews
What patients say about the clinic experience.
Reviews help show the human side of care, from the first consultation to comfort, communication, treatment planning, and follow-up.
Visit Our Clinic
Visit our clinic in Vancouver, BC.
Anti-Aging Medical & Laser Clinic combines medical assessment, individualized planning, physician oversight, and a broad range of treatment options in its Vancouver clinic.
Plan your consultation.
Bring your questions, treatment history, and goals. Your provider can help you understand appropriate options, expected recovery, and realistic outcomes.
Make an Appointment
Step into your next plan with confidence.
Use our consultation form below and the clinic can guide you toward the appropriate starting point.
Why Anti-Aging Medical & Laser Clinic?
- A medical clinic with physicians and experienced medical-aesthetic providers on the team.
- Science-informed assessment, treatment planning, and realistic expectations.
- Laser, injectables, skin, body, hair, wellness, and medical services available in one clinic.
- Complimentary aesthetic consultations are available for appropriate cosmetic and laser services.
- Personalized skincare and product consultations based on your goals and routine.
- Home-care guidance to support your skin between in-clinic appointments.
- Professional skincare products available through the Anti-Aging Vancouver shop.
- Clear guidance on treatment options, preparation, downtime, aftercare, and next steps.
- Ongoing follow-up so your plan can evolve as your needs and goals change.