Softer. Less reliable. Not what it was. A pill may help the erection — it doesn't automatically tell you why things changed. Hormones, metabolic health, medications, pelvic floor, blood flow: any of them can be part of it, and which ones matter is what the assessment is for.
GAINSwave®, PRP, hormone care, pelvic-floor strengthening, medication where it fits — we have the tools. What we don't have is one answer for every man. Find your situation below.
The Revitalize Method
Start with what brought you here. Look wider, where it matters. Build only what you need. How we work →
Find what you recognize on the left. See how we treat it on the right. Not sure where to start? Start with Complimentary Sexual Function Program Overview Appointment — no exam, no pressure. It is optional: if you are ready for a clinical assessment, book that directly.
Recognize yourself in any of that?
One honest conversation. No cost, no pressure — and no exam.
Step 1 · Complimentary Sexual Function Program Overview Appointment — optional
Book your Complimentary Program Overview Appointment — choose how you would like to meetIn PersonNiagara FallsPhoneFrom anywhereZoomPrivate videoThis conversation is optional. If you already know you are ready for a clinical assessment, book that directly — you do not need this conversation first, and you do not need our approval.Step 2 · Your clinical assessment — book either one directly
$399
$599
Your assessment is with Shannon or a member of our medical team. GAINSwave® is never complimentary — the session in the Extended assessment is part of what the $599 covers, not a free trial. Neither assessment guarantees a diagnosis, a prescription, or acceptance into a program.
Step 3 · Build your program
After your clinical assessment we recommend an individualized Sexual Function Optimization program, built around the factors your assessment actually identified.
A program is the pathway we prefer, because it lets the relevant contributors be addressed concurrently and in a deliberate sequence rather than one at a time in whatever order you happen to arrive at them.
Individual treatments remain available if that is what you want. They address fewer of the contributing factors, and they are charged at standalone pricing.
Programs are quoted in writing at your assessment, once we know which one is right for you.
See the Sexual Function Optimization pathway →
Three validated tools in one — the SHIM (IIEF-5), the full IIEF-15 across five domains, and the Erection Hardness Score. Scored instantly and privately.
Take the Assessment →Most people arrive expecting one explanation. In practice, sexual function is affected by five things, and for most people more than one of them is involved.
Those five factors are what we look at. These three pillars are what we do about it.
Five factors, three pillars — the lists are deliberately different. One pillar can answer more than one factor.
Why we combine three areas of care. Many sexual-function services address only one or two contributors. Revitalize intentionally brings together sexual function, urinary and pelvic-floor care, and hormone and metabolic care, because these systems frequently overlap.
Bladder and continence concerns have their own framework and are not treated as a branch of sexual function. Ask us and we will explain how that pathway works.
Different interventions do different jobs. Hormone optimization does not replace circulation treatment. Circulation treatment does not replace pelvic-floor treatment. Pelvic-floor treatment does not correct a hormone deficiency. And the lifestyle work matters regardless of what else you do.
So where more than one factor is contributing, we prefer to address them concurrently, in the same period of care, rather than treating one thing, waiting to see, then starting another. A program coordinates the appropriate treatments and carries program pricing when they are purchased together.
You can still buy treatments individually. That option is always open, and for some people it is the right one.
But treatments bought separately at different times are charged at standalone pricing, and they do not retroactively qualify for program pricing. It is worth knowing that before you decide, rather than afterwards.
Sexual function optimization is generally not a one-visit process. Some changes may be noticed earlier, but meaningful improvement and stabilization can develop over several months, depending on which factors are contributing and which care you choose.
We will not promise you an outcome, and you should be cautious of anyone who does. What we will do is tell you honestly what we expect to be achievable in your situation.
Your paid clinical assessment. We give you transparent pricing up front, but the level of care that is appropriate for you is determined at your assessment — not before it, and not by whoever answers the phone.
This conversation is optional and non-clinical. Your coordinator can explain the options, the categories of treatment, pricing ranges, financing and how benefits generally work — but cannot diagnose, decide your exact treatment, or tell you a particular program is medically required.
“Your symptom is where the conversation starts — not where the assessment ends.”
People arrive saying “I have ED”, “I have no libido”, “sex hurts”, “I can’t orgasm”, “I finish too quickly”, “I leak”, “I don’t feel like myself sexually any more.”
That tells us the chief complaint. It does not tell us why it is happening — and two people with exactly the same complaint can need very different things.
So we do not match a symptom to a procedure. We work out what is actually contributing in your case, explain what we find, and let you decide what to do about it.
Some of these we assess and treat directly. Some we consider because they may be contributing. And some point to investigation, collaboration or referral to another professional — we will tell you honestly which is which.
Enter the total amount you would like to finance, including any applicable HST.
Estimate only. Financing is subject to approval and provider terms. 0% interest options may be available for up to 12 months. Administrative or financing fees may apply and are not included in this estimate.
Apply for Financing →Some people come to us because something is clearly wrong. Others notice early changes. Others are functioning reasonably well and want to look after this the way they look after their heart or their knees.
Why earlier tends to be easier. The healthier you are when you start paying attention to this, and the earlier emerging changes get addressed, the more opportunity there may be to find contributors that can still be modified and to support function before things become more established.
That is an opportunity, not a promise. We cannot prevent aging, we do not guarantee outcomes, and nobody honest will tell you otherwise.
Severity changes how much care is needed. Early or mild change may need considerably less than longstanding dysfunction layered with vascular or metabolic factors, pelvic-floor dysfunction, hormonal concerns, previous surgery, medication effects, or several overlapping problems at once. That is a real clinical difference — and it is why we cannot put a recipe on a web page and ask you to pick your own.
Not because more is better. Because different treatments do different jobs, and if two things are contributing, treating one of them well still leaves the other one there.
Depending on what we find, care may be directed toward:
A plan that combines modalities should be deliberate — each part doing a job the others cannot. It is not a bundle of procedures.
Not everyone needs everything. Plenty of people are well served by one treatment. Individual treatments remain available, and you can book several of them directly without an assessment at all.
A standalone treatment addresses the factors that treatment is designed to target. A comprehensive program may address several contributors at once, in a deliberate order. Neither is wrong — we just want you to know the difference before you choose.
The assessment is not a fee you pay for permission to buy treatments. Teaching you what is going on is a large part of what you are paying for.
Just as important: what treatment cannot reasonably fix. A good assessment tells you both.
How much treatment, and in what order, is decided at your assessment — from your severity, how long it has been going on, your general health, your history and your goals. Not from a web page, and not from a quiz.
We do not publish fixed recipes, because a recipe would be a guess about someone we have not assessed. What we can tell you is what a program may be built from.
When several contributors are identified, combining modalities during the same period lets us address several parts of the problem in a coordinated way. Not because more is better — because treating one contributor well still leaves the others there.
People do not pick a program from a page. What gets recommended depends on a lot of things at once:
The healthier function is at the starting point, and the earlier changes are addressed, the more proactive the goal can be. Where significant dysfunction is already established, care becomes increasingly restorative.
Age is part of the context — not the deciding factor. We have seen men in their forties with more going on than men in their sixties. What matters is what is actually happening in your body, which is why we look rather than assume.
Exact treatment amounts and sequencing depend on your clinical assessment, severity, history and goals. We will put the specifics in writing once we have met you.
Programs are grouped by what they address, then by level of care. The level is not something you pick from a menu — it comes out of your clinical assessment.
Coordinated care for men experiencing changes in erection quality, firmness, reliability, blood flow, sexual performance or overlapping pelvic and sexual concerns.
Depending on your assessment, care may draw from GAINSwave® for Him, EMSELLA®, PRP / P-Shot®, medical or hormone assessment where appropriate, home-care and supportive products, and health and lifestyle education.
Coordinated care for men with penile curvature, plaque, discomfort or related sexual-function concerns.
The right approach depends on your individual presentation, and may require medical investigation or referral in addition to the services we offer. We will tell you honestly if that is the case.
Coordinated sexual-function support following prostate surgery or other prostate treatment.
We support recovery of function. We do not promise to restore what treatment changed, and anyone who does is overselling.
Multi-factor care where ejaculatory concerns warrant more than pelvic-floor treatment alone.
Different from Pelvic Floor Training for Ejaculatory Control, which is a single-modality EMSELLA® course. This one coordinates more than one kind of treatment.
Elective sexual-wellness care for men seeking improvement in areas such as erection quality, blood flow, sexual confidence and penile enhancement.
This family uses its own levels, because it is elective care rather than treatment of a dysfunction.
Two people at the same level do not necessarily receive identical care. The family and level describe the kind and scale of coordinated care. What is actually included, how much, and in what order comes from your assessment — your symptoms, history, health, previous treatment and goals.
No exam and no pressure to begin. Just an honest conversation, a proper assessment, and a plan built around what your body actually needs. These are the first three steps; the full pathway runs to seven.
Tell us what's going on and ask anything — no exam, no cost, no obligation. We'll explain your options honestly, including general pricing ranges. It is optional: if you already know you are ready, skip it and book your assessment directly.
$399 — a full clinical assessment with a complimentary EMSELLA® session unless it is not appropriate for you. $599 — a single appointment price that also includes a GAINSwave® treatment experience. A real baseline, so your plan is built on facts, not guesswork.
Shaped by your results at the assessment — never a package pushed on everyone. Shannon determines the recommendation, which lets the contributing factors be worked on together and in a sensible order rather than one at a time. You decide how much of it to take on, and when you have reached your goals care shifts to maintenance.
And after that
4. A Nurse Practitioner hormone & metabolic assessment, where that is clinically appropriate. 5. Your care plan & next steps review, where everything is brought together in writing. 6. A progress review against the same measures we started with. 7. Maintenance, to hold what you have gained.
Private, validated self-assessments for erectile function (SHIM · EHS · IIEF-15), premature ejaculation (PEDT) and Peyronie's (PDQ) — results on screen instantly.
That's exactly what this conversation is for. We listen, explain your options honestly, and tell you whether we can help. No exam, no obligation.
We really do work with our patients. Spread the cost into manageable monthly payments through Beautifi — a soft check that won't affect your credit.
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