Comprehensive Erectile Dysfunction Treatments in San Antonio & via Telehealth
ED affects over 30 million American men. At Prime Vitality Care, we go beyond one-size-fits-all prescriptions to uncover and treat YOUR root cause — whether vascular, hormonal, neurological, or psychological. Discreet consultations available in San Antonio or via telehealth.
Erectile Dysfunction: More Common Than You Think
ED is far more than an inconvenience — it is often the first warning sign of serious underlying health conditions that deserve a thorough, physician-led evaluation.
A Root-Cause Medical Approach, Not Just a Quick Fix
Erectile dysfunction is defined as the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. It affects more than 30 million men in the United States alone, yet the majority suffer in silence or settle for one-size-fits-all prescriptions that only mask the symptom.
What most men do not realize is that ED is frequently the earliest detectable sign of cardiovascular disease, diabetes, hormonal imbalance, or neurological disorders. Treating only the erection while ignoring the root cause is like silencing a smoke alarm without looking for the fire.
At Prime Vitality Care, we believe that your sexual health is a window into your overall health. Our physician-led approach combines advanced diagnostics with a comprehensive treatment arsenal so we can identify exactly why ED is occurring and address it at the source — not just the symptom.
Prime Vitality = finding and fixing the root cause.
We offer 8+ clinically proven treatment modalities — from first-line oral medications to regenerative therapies — all directed by a board-certified physician who partners with you every step of the way.
Our Root-Cause Approach
Your Complete ED Treatment Arsenal
From first-line oral medications to cutting-edge regenerative therapies, Prime Vitality offers every clinically proven treatment option — so we can match the right solution to YOUR root cause.
PDE5 Inhibitors
Tadalafil & Sildenafil
First-line oral medications with daily or on-demand dosing options. Custom compounded formulations available for optimized absorption and reduced side effects.
Learn More →PT-141
Bremelanotide
Brain-based desire peptide that works when PDE5 inhibitors fail. Targets the central nervous system to enhance desire and arousal — not just blood flow.
Learn More →TriMix Injections
Injectable Therapy
The gold standard for severe ED with near-100% efficacy. Direct penile injection therapy using a custom compounded triple-agent formulation.
Learn More →P-Shot
PRP Therapy
Platelet-rich plasma regenerative therapy that stimulates new tissue growth. Improves sensitivity, girth, and natural erectile function over time.
Learn More →Testosterone Optimization
TRT
Corrects the hormonal root cause of ED. Optimized testosterone levels improve drive, energy, mood, and erectile quality simultaneously.
Learn More →Oxytocin Combinations
Intimacy Enhancement
Enhances intimacy, emotional bonding, and arousal. Works synergistically with PDE5 inhibitors and other ED treatments for a multi-layered approach.
Learn More →Dostinex
Cabergoline
Dopamine agonist that reduces the refractory period and improves overall sexual function. Particularly effective for elevated prolactin levels.
Learn More →Shockwave Therapy
Acoustic Wave
Non-invasive acoustic wave therapy that stimulates new blood vessel growth (angiogenesis) in penile tissue. Restores natural function without medication.
Learn More →Step-by-Step ED Care Process: In-Office & Telehealth
Whether you prefer an in-person experience in San Antonio or the convenience of telehealth from anywhere in Texas, California, or Florida — we make it simple.
In-Person Evaluation & Treatment
Book Your Appointment
Schedule online or call (210) 876-1635. Same-week availability for new patients.
Comprehensive Evaluation With Labs
In-office blood draw and physical exam. Full hormone panel and metabolic markers processed on-site.
Diagnostic Workup & Review
Your physician reviews all results, identifies root causes, and discusses findings in detail.
Personalized Treatment Plan
A multi-modal treatment protocol tailored to your unique physiology. Some treatments begin same-day.
Ongoing Optimization
Regular follow-ups, lab monitoring, and protocol adjustments to maximize and sustain results.
Virtual Evaluation & Home Delivery
Book Telehealth Consult
Schedule a confidential video consultation from the comfort and privacy of your home.
Virtual Evaluation
Thorough health history, symptom assessment, and treatment discussion with your physician via secure video.
Labs at Local Facility
We order labs at a convenient facility near you. Walk in at your convenience — no appointment needed at most locations.
Prescription & Home Delivery
Medications shipped directly to your door in discreet packaging. No pharmacy visits required.
Virtual Follow-Ups
Ongoing video visits to monitor progress, review labs, and optimize your treatment protocol.
Ideal Candidates for Our ED Program
Our comprehensive approach is designed for men at every stage — whether you are experiencing ED for the first time or have struggled with treatments that failed to deliver lasting results.
Men Over 40
Age-related ED is common as testosterone levels naturally decline. We identify and correct hormonal imbalances alongside vascular changes that affect erectile quality with age.
Men With Underlying Conditions
Diabetes, hypertension, cardiovascular disease, and metabolic syndrome all contribute to ED. Our root-cause approach addresses these conditions alongside erectile function.
Men Who Have Tried & Failed Other Treatments
PDE5 non-responders, men unhappy with current results, or those seeking more than a pill. Our 8+ treatment arsenal includes options for every severity level.
Men Seeking Discreet Care
Telehealth consultations from anywhere in Texas, California, or Florida. Confidential video visits, discreet home delivery, and no waiting room — just physician-led care on your terms.
Your Results Timeline
Every patient's journey is unique, but here is a general timeline of what to expect when you begin treatment with Prime Vitality Care.
Initial Consultation & Diagnostic Workup
Comprehensive evaluation complete. Hormone panel, metabolic markers, and cardiovascular risk factors assessed. Root causes identified and treatment plan established.
2-3
Treatment Initiated & Early Response
Your personalized treatment begins. Oral medications or peptides may provide rapid initial improvement. Early response monitoring ensures proper dosing and tolerability.
1-2
Significant Improvement in Erectile Quality
Most patients experience meaningful improvement in erectile firmness, duration, and confidence. Hormonal treatments reach therapeutic levels. Patients report renewed confidence and relationship satisfaction.
Protocol Optimization Based on Response
Follow-up labs and assessment. Treatment protocol fine-tuned based on your objective data and subjective experience. Dosages adjusted for maximum efficacy with minimal side effects.
Long-Term Optimization & Maintenance
Sustained results with ongoing physician oversight. Regenerative therapies (P-Shot, shockwave) deliver cumulative improvements. Annual reassessment keeps your protocol aligned with your evolving health.
I tried the blue pill from one of those online services for years and got marginal results at best. Dr. Goel actually ran labs and found I had low testosterone plus vascular issues — two root causes no one had ever bothered to investigate. The combination approach she put me on changed everything. I feel like I am 35 again, and my confidence in the bedroom is completely restored. I only wish I had found Prime Vitality sooner instead of wasting years on generic prescriptions.
ED Treatment Membership
Physician-led erectile dysfunction care with everything included — no hidden fees, no surprise charges.
- ✓ Initial physician consultation
- ✓ Comprehensive hormone panel
- ✓ Personalized treatment plan
- ✓ Monthly follow-up visits
- ✓ Prescription management
- ✓ Direct physician access
- ✓ Protocol adjustments included
- ✓ Ongoing lab monitoring
Medication costs vary by treatment modality and are billed separately. HSA/FSA accepted. No long-term contracts — cancel anytime.
Frequently Asked Questions
Honest answers to the questions men ask most about erectile dysfunction treatment at Prime Vitality Care.