We have heard these questions hundreds of times. The answers here are honest, complete, and written for the person who has been putting this off. If your question isn't here, call or text us — 289-271-2444.
Most men wait 2–3 years before seeking help. These are the questions we hear from men who finally made the call.
The clearest indicator is whether you have erections in any context. If you wake with morning erections, get erections during masturbation but not with a partner, or notice your ED is situational — appearing with one partner and not another, or when anxious but not when relaxed — the underlying mechanism is more likely psychological or relational.
If erections have declined in all contexts over time, or if you have cardiovascular risk factors (diabetes, high blood pressure, high cholesterol, smoking history), the issue is more likely vascular — meaning blood flow to penile tissue is impaired. The treatments we offer work primarily on vascular ED. Shannon will assess your full picture at your assessment and tell you honestly which category applies and what the most appropriate pathway is.
Yes — and this is actually one of the most common situations we see. Men on PDE5 inhibitors (Viagra, Cialis, sildenafil, tadalafil) who are getting partial results, or who want to reduce or eliminate their dependence on medication, are strong candidates for GAINSwave® and the P-Shot™.
Medications work around the problem. They temporarily increase blood flow but don't address the underlying vascular damage or tissue changes that caused ED in the first place. The treatments we offer — particularly GAINSwave® shockwave therapy — work by stimulating new blood vessel growth and improving tissue health, which addresses the cause rather than managing the symptom. Many patients reduce or stop medication after completing a treatment program. Shannon will tell you honestly whether that's a realistic outcome for your situation.
Possibly, depending on the type of surgery, how long ago it was, and what nerve function remains. Post-prostatectomy ED is nerve-based when nerves were affected during surgery, and vascular-based when blood flow was disrupted. PRP-based treatments like the P-Shot™ have shown some potential in nerve healing and tissue regeneration, though results are less predictable than for purely vascular ED. GAINSwave® may also be beneficial.
Shannon will review your surgical history in detail and give you an honest assessment of whether treatment is likely to help in your specific situation. We won't take your money if we don't believe we can help you.
No — though it's a common response from physicians who don't specialize in this area and don't have access to the treatments we offer. Age-related ED is largely vascular: blood vessels in penile tissue become less healthy over time, circulation declines, and the tissue that drives erections is less responsive. This is a real and treatable condition.
The treatments we offer — GAINSwave® shockwave therapy and PRP injection — are specifically designed to address vascular erectile dysfunction at its source. The research supporting low-intensity shockwave therapy for age-related ED is among the strongest in regenerative medicine for this indication. "There's nothing to do" typically means "there's nothing I can prescribe you." That is not the same as "nothing exists."
There is no upper age limit. We see men in their 40s, 50s, 60s, and 70s with meaningful results. The earlier the intervention, the more vascular tissue there is to work with — so earlier is better. But "too late" is rarely the situation we encounter. What matters more than age is the underlying cause and the degree of vascular health remaining.
At your assessment, Shannon will tell you honestly where on the response spectrum your situation likely falls, and what a realistic outcome looks like.
Low-intensity shockwave therapy is the most studied non-surgical, non-pharmaceutical approach to erectile dysfunction. These are the questions we hear before first treatment.
GAINSwave® delivers low-intensity acoustic sound waves to the penile tissue. These waves trigger a biological process called angiogenesis — the growth of new blood vessels — and stimulate the breakdown of micro-plaque that accumulates in penile arteries over time. The result is improved blood flow, improved tissue health, and improved erectile function.
It's non-invasive, requires no needles, no medication, and no downtime. Each session is 15–20 minutes and most men describe the sensation as a mild vibration or tingling. GAINSwave® is the most widely studied version of this protocol, and it's what the majority of published research on LiSWT for ED is modeled on.
GAINSwave® is offered in programs — not individual sessions. The standard program is 6 sessions, typically delivered twice per week over three weeks. More advanced programs are 12 or 18 sessions. Shannon will recommend the right program length based on the severity of your ED, your treatment history, and your goals.
Per GAINSwave® provider requirements, we do not offer single sessions or per-session pricing. Programs are priced as packages by session count.
Many men notice initial changes during or after the first few sessions — improvements in spontaneous erections, morning erections, or sensitivity. The full effect develops over 3–6 months after completing the program, as new blood vessel growth matures and tissue continues to remodel. Results are cumulative and continue to build after treatment ends.
No. Low-intensity shockwave therapy uses acoustic energy at an intensity specifically calibrated to be below the pain threshold. Most men describe a mild vibration, tingling, or warmth. No numbing is required. Sessions take 15–20 minutes and you leave immediately after with no restrictions.
Low-intensity shockwave therapy has the strongest non-surgical evidence base of any regenerative approach to ED. A 2024 systematic review and meta-analysis presented at the Sexual Medicine Society of North America found LiSWT was the most efficacious single regenerative treatment for ED. A long-term follow-up randomized sham-controlled trial from the University of Virginia showed statistically significant improvements in erectile function scores at both 1 and 2 years post-treatment.
We do not fabricate statistics or cite numbers we can't verify. Shannon will walk you through the specific evidence at your assessment and give you an honest picture of what outcomes are realistic for your situation.
The P-Shot™ (Priapus Shot) is a trademarked procedure developed by Dr. Charles Runels. It involves drawing a small amount of your own blood, processing it to concentrate the platelets and growth factors — platelet-rich plasma, or PRP — and injecting that PRP directly into penile tissue.
Those growth factors stimulate tissue regeneration, new blood vessel formation, and nerve repair in the treated area. The result is improved blood flow, improved erectile function, improved sensitivity, and tissue health. Because it uses your own blood, there is no risk of allergic reaction or rejection.
This is the question we hear most. The honest answer: it is significantly more comfortable than most men expect. A topical anaesthetic cream (BLT 20/8/8 compounded) is applied and left to work for a full 25 minutes before any injection. By the time Shannon injects the PRP, the area is well numbed.
Most men describe the procedure as surprising in how tolerable it is. The anticipation is usually worse than the experience. If you have specific concerns about discomfort, tell us when you book — we can discuss the protocol in detail.
Approximately 60–75 minutes total, including the blood draw, PRP processing, numbing time, injection, and aftercare review. You leave immediately after and resume your normal day. There is no downtime and no activity restrictions beyond the specific post-procedure guidance Shannon provides.
Initial changes are typically noticeable within 4–8 weeks. Full results develop over 3–6 months as the growth factors work and new tissue matures. Results are gradual and cumulative — this is regenerative medicine, not a pharmaceutical that works the same day.
Some men notice changes within the first few weeks; others take longer. Shannon will give you a realistic timeline based on your specific situation at your assessment.
Yes — and the combination is more effective than either alone. GAINSwave® stimulates new blood vessel growth from outside the tissue. The P-Shot™ delivers regenerative growth factors directly into the tissue. Together they work on the same problem from two directions. Most men pursuing a comprehensive ED program at Revitalize Your Health do both. Shannon will recommend the right combination and sequence for your situation.
Priapism — an erection lasting more than 4 hours — is a known but rare risk of intracavernosal injection. It is disclosed in full during your consent process. If you experience an erection that persists beyond 4 hours after any penile injection procedure, go to the emergency room immediately. This is a medical emergency and prompt treatment prevents permanent tissue damage. Shannon will review this with you before your procedure and provide written post-procedure instructions.
The P-Shot™ uses PRP — your own blood's growth factors — injected to stimulate tissue regeneration and blood vessel growth. Priapus Toxin™ uses Xeomin® (a neuromodulator, the same family as Botox) injected into penile tissue to reduce smooth muscle tension and hyperactivity that interferes with blood flow and ejaculatory control.
They work differently and address different mechanisms. They can be performed in the same appointment — PRP first, then neuromodulator — for a comprehensive approach. Shannon will clarify which is appropriate for your situation and why.
Yes — this is one of the primary applications. Premature ejaculation is often driven by hypersensitivity and smooth muscle hyperactivity in the penile tissue. Priapus Toxin™ reduces that hyperactivity, which can meaningfully increase ejaculatory latency (time to ejaculation) and improve control. It is not a cure and results vary — but for men whose PE is not well managed by other approaches, this is one of the few direct tissue-level interventions available.
It is also worth noting: premature ejaculation is a training problem in many cases, not a character flaw or permanent condition. Shannon approaches this without judgment and with a clear explanation of what the procedure can and can't do.
Effects typically develop within 7–14 days and last 3–6 months, consistent with other neuromodulator applications. Retreatment is not recommended sooner than 3 months from the last injection to any site. Many men find two treatments per year adequate maintenance.
Peyronie's disease — penile curvature or plaque — affects roughly 1 in 10 men. Most never seek help because they don't know treatment options exist.
Peyronie's disease is the development of fibrous scar tissue (plaque) inside the penis, which causes the penis to curve or bend during erection. It can cause painful erections, difficulty with penetration, and significant distress.
The exact cause is not fully understood. Most cases are thought to result from repeated minor injury or trauma to penile tissue — during sex, sports, or medical procedures — that heals abnormally, creating fibrous plaque rather than healthy tissue. It is not the result of any behaviour, STI, or cancer. It affects approximately 1 in 10 men and is significantly underdiagnosed because men don't report it.
Both GAINSwave® shockwave therapy and the P-Shot™ PRP injection are used for Peyronie's disease. Shockwave therapy has evidence for breaking down fibrous plaque and reducing curvature. PRP promotes tissue remodeling and regeneration in the affected area. Neither is a guaranteed cure, and results depend significantly on the stage of the disease, the degree of curvature, and how long the condition has been present.
Shannon will assess your situation honestly and tell you what a realistic outcome looks like before you commit to treatment.
Not necessarily, though results are generally better in the active phase (first 12–18 months) than in the chronic stable phase. In the stable phase the plaque has hardened and is less responsive to treatment. That said, men with longstanding Peyronie's can still see meaningful improvement in pain, sexual function, and quality of life even if curvature does not fully resolve.
Come in for a conversation. Shannon will give you an honest assessment based on your specific situation.
Both can be true simultaneously, and they are not mutually exclusive. Premature ejaculation has both neurological and psychological components in most cases. The nervous system fires a pattern it learned — often from early sexual experiences, anxiety, or habit — and that pattern repeats. In many cases, there is also a tissue-level component: hypersensitivity in penile tissue that lowers the threshold for ejaculation.
Priapus Toxin™ addresses the tissue-level hypersensitivity directly. For the psychological and learned components, other approaches (behavioural, topical anaesthetics, medication) may be complementary. Shannon will discuss the full picture with you.
With Priapus Toxin™, effects typically develop within 7–14 days. Most men notice a meaningful difference in ejaculatory control within the first two weeks. The effect lasts 3–6 months, at which point retreatment can be considered. Results are not guaranteed and vary based on the severity and underlying cause of the condition.
A Discovery Conversation is a free, 20–30 minute conversation — in person in our Niagara Falls clinic or by phone — with our Patient Coordinator. It is not a medical appointment and does not involve an exam of any kind. You share your situation, we explain how we work and what's available, and you leave with a clear picture of whether the next step makes sense for you.
There is no pressure and no obligation. If we don't think we can help you, we'll say so.
The $399 paid assessment with Shannon is a full clinical consultation. Shannon reviews your health history, current medications, relevant labs if available, your symptoms and their history, and your treatment goals. She performs any relevant physical assessment. You receive a specific treatment recommendation with honest expected outcomes. The $399 is fully credited toward your first treatment if you proceed.
Shannon takes a maximum of 20 paid assessments per month to ensure every patient receives her full attention.
Yes. All patient information is held in strict confidence under PHIPA (Personal Health Information Protection Act). Your records are stored in a secure, encrypted EMR system. Nothing about your visit, your name, or your treatment is disclosed to anyone without your explicit written consent. We do not communicate with your family physician without your permission.
OHIP does not cover these procedures. Some extended health benefit plans cover a portion of the medical consultation fees — we can provide a receipt for the clinical visit component that you can submit to your insurer. The procedures themselves (GAINSwave®, P-Shot™, Priapus Toxin™) are not insured services in Canada at this time.
For US patients, your HSA or FSA may cover a portion of costs — we recommend checking with your benefits provider.
Our clinic at 4383 Portage Rd, Unit 201, Niagara Falls, Ontario is approximately 5 minutes from the Rainbow Bridge border crossing, and approximately 20 minutes from Buffalo Niagara International Airport. We are within a 90-minute drive of most of Western New York, including Rochester.
No. All services at Revitalize Your Health are cash-pay private care. No referral is required, no insurance authorization is required, and there is no waitlist. You book a Discovery Conversation, and if you want to proceed, you book your assessment. That's it.
Yes. All of our services are priced in Canadian dollars. At current exchange rates, US patients receive a meaningful discount relative to equivalent private clinic pricing in the United States. We do not adjust pricing for US patients — everyone pays the same Canadian dollar rate, and the currency advantage is yours to keep.
A valid US passport or passport card is required to cross into Canada and return to the US. If you are not a US citizen, confirm your documentation requirements with the Canada Border Services Agency (cbsa-asfc.gc.ca) before traveling. Border crossing times vary — we recommend the Rainbow Bridge crossing and suggest checking real-time wait times at the Buffalo and Fort Erie Public Bridge Authority website before you travel.
Or start with a free Discovery Conversation. No exam, no pressure, no obligation. We'll answer everything and tell you honestly whether we can help.
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