All personal information collected by Oakwood Health Network complies with Canadian Federal and Provincial privacy laws and regulations, including the Personal Information Protection and Electronic Documents Act (PIPEDA Act).
We invite you to book a free telephone consultation by clicking schedule consultation and selecting a convenient time on our booking calendar.
You can also contact us at 905-469-4465 to schedule your free consultation.
We’re happy to answer any questions that you have! Feel free to email us or click on this contact form to leave us a message.
Please call 905-469-4465 at least 48-hours before your appointment to request cancellation. Your courtesy allows us to offer the appointment time to another patient.
Oakwood Health Network is a private medical clinic, and no referral is required to seek treatment.
We provide all new patients with a recommended treatment program in document form, and you’re free to provide a copy to your family doctor or another medical specialist.
We advise all new patients to provide us with as much medical information as possible to customize the best ED treatment program for you.
We also encourage you to show us any hard or soft copies of your blood tests done through an accredited lab within three months of your consultation. Blood tests older than three months don’t reflect your current health.
Oakwood Health Network is open and transparent regarding treatment costs, and we provide all patients with options for payment plans and financing.
We base your treatment program on the medical information we receive from you during your consultation, and your treatment program states the total cost of all services and treatments with no hidden add-ons.
We are always available to clarify your treatment costs before your first patient appointment. Please contact us at 905-469-4465 with any questions.
We’ll let you know if any diagnostic testing we do can be covered by OHIP.
The erectile dysfunction (ED) treatment program we create and customize for you (including Acoustic Wave Therapy sessions) are voluntary costs not covered by OHIP.
Acoustic Shockwave Therapy ED is a treatment that uses low-intensity extracorporeal shockwave therapy to improve men’s sexual health. Shockwave therapy is an acoustic wave that repairs existing blood vessels and increases the growth of new blood vessels. This protocol allows the penis to improve and increase blood flow, leading to better quality erections.
Acoustic Shockwave Therapy for ED sends acoustic waves into the genitals to trigger a series of biological reactions that result in the release of angiogenic factors. In other words, it repairs existing blood vessels and creates new blood vessels, resulting in improved blood flow. Better blood flow leads to longer, stronger erections and enhanced sexual performance.
Acoustic Shockwave Therapy offers the following benefits:
Decreased refractory period
Erectile dysfunction and Peyronie’s disease relief
Harder and fuller erections
Enhanced sexual performance
The cost of Acoustic Shockwave Therapy depends on the number of treatments needed to give men the full relief from their ED or Peyronie’s disease symptoms or to achieve better sexual health. We recommend 6 to 12 treatments, depending on the severity of symptoms and the patient’s goals. The effects of Acoustic Shockwave Therapy can last up to 2 years, which can save you thousands of dollars on prescription ED medications.
The science behind Acoustic Shockwave Therapy reveals benefits lasting up to 2 years. However, patients can continue to receive ongoing treatments as part of the Acoustic Shockwave Therapy maintenance protocol. Compounding benefit not only helps maintain the results, but clients have also reported continued improvement and enhanced sexual performance.
While shockwave therapy has been in Europe for nearly two decades, it’s relatively new in the U.S. and even newer in Canada. This therapy, commercially known as Acoustic Shockwave Therapy, is spreading throughout the U.S. and Canada, making its way onto top media outlets such as Men’s Health and Fox News.
Acoustic Shockwave Therapy is the safest erectile dysfunction treatment available, as it does not require any surgeries and is non-invasive and drug-free. Throughout the literature on shockwave therapy for ED and Peyronie’s disease, no significant adverse effects have been reported.
Acoustic Shockwave Therapy treats erectile dysfunction and Peyronie’s disease symptoms and also is an option for men looking to enhance their sexual performance. Acoustic Shockwave Therapy should not be used on patients with active prostate cancer or with penile implants. Talk to your doctor if you have any of these conditions or are on any anticoagulants.
Acoustic Shockwave Therapy protocols were developed from the science of over 30 clinical research studies supporting the effectiveness of shockwave therapy for sexual health. You can read more about those studies here.
For the best possible results, Acoustic Shockwave Therapy treatments tend to take between 6 and 12 treatments. However, you may notice some of the effects after 1 or 2 treatments.
Unlike other ED treatments, Acoustic Shockwave Therapy is completely safe and noninvasive. With over 30 studies conducted on shockwave therapy for ED, there have been no major adverse effects reported. Another key differentiator for Acoustic Shockwave Therapy is its long-term effects. By addressing the root cause of ED, reduced blood flow, Acoustic Shockwave Therapy prevents patients from resorting to consistent medication use, painful injections, and/or dangerous surgeries. Couples can now reclaim their sexual spontaneity with lasting results that are not dependent on waiting for a pill’s effects to kick in.
We do hormone testing in our patients to confirm testosterone levels because testosterone is the hormone that impacts your health the most. When testosterone levels fall below average in men, it can lead to sexual dysfunctions, including low sperm count, ED, and a decreased sex drive.
It is natural for male testosterone levels (also called T levels) to drop approximately 1% per year after age 40. Sometimes, a significant drop in T levels causes sexual health issues like ED.
Low testosterone levels can affect men of all ages and are a particular concern for overweight men. T levels can also fluctuate (rise or fall) naturally throughout a man’s lifetime.
If you experience any of the following symptoms, it could indicate that your T levels have decreased, and it’s time to consider testing.
Here is your T levels checklist:
Have you lost interest in sex?
Are you unable to conceive children naturally?
Are you tired or fatigued?
Have you experienced hair loss?
Has your height decreased?
Have you gained a significant amount of weight?
A simple blood test will determine your T levels, and this blood test is usually performed in the morning when testosterone levels peak. A hormone test is sometimes retaken to confirm accuracy.
To ensure the most accurate results on a hormone blood test, you may need to stop taking specific drugs or supplement products before testing. These products are medically proven to alter T levels, and they include:
Steroids that artificially increase testosterone, although T levels fall rapidly after steroid use stops
Androgen or estrogen therapies.
When T levels climb above average, it can cause harmful cholesterol levels to rise, increasing the risk of heart attacks, stroke, or other cardiovascular diseases. In addition, sleep apnea or even infertility can occur more frequently with elevated T levels.
Your low T levels can be effectively treated with HRT (hormone replacement therapy) by increasing low testosterone levels back to normal.
HRT can help treat erectile dysfunction (ED), a side effect of low testosterone.
HRT (hormone replacement therapy) may not be suitable for men with the following health issues:
Cancer in the undeveloped breast tissues
Severe UTI (urinary tract infection)
Ongoing, untreated sleep apnea
Continuing incidence of heart failure.
Before HRT is prescribed, you should undergo screening for prostate cancer, including a rectal exam and a PSA (prostate-specific antigen) test.
Oakwood Health Network will evaluate your personal medical history and determine if hormone testing will benefit you as part of your ED treatment plan. You can schedule a free evaluation with us at a convenient time and location for you—we have confidential clinics in Toronto, Oakville, and Brampton.
Pharmaceuticals for erectile dysfunction are typically prescribed oral medications. ED pharmaceuticals can work well, with minor and minimal side effects, for otherwise healthy men who experience problems getting an erection or maintaining a satisfactory erection for sexual intercourse.
A prescription of oral medications for erectile dysfunction can result in the following benefits:
The muscles in the penis become more relaxed and responsive
Blood flow increases to the penis and groin area
Feelings of sexual stimulation are enhanced
A satisfactory erection can be maintained for longer
The penis may take longer to become erect (decreasing premature ejaculation).
Oakwood Health Network views pharmaceuticals for erectile dysfunction as a treatment option. However, our primary focus is treating the root causes of ED for better, longer-lasting results.
Pharmaceuticals only temporarily mask the problem.
With that fact in mind, here are the most popular ED pharmaceuticals and how long a single dose of each drug generally lasts:
Viagra (Sildenafil) is perhaps the best-known pharmaceutical to temporarily treat mild to moderate erectile dysfunction symptoms. One recommended oral dose of Viagra generally lasts up to five hours.
Tadalafil (Cialis) is a longer-lasting prescription drug that may remain effective for up to 36 hours per dose. However, prescribed dosages will vary depending on the severity of ED symptoms. This drug should be taken orally within two hours of having sexual intercourse.
Avanafil (Stendra) is the newest ED pharmaceutical approved for Canadian use. A single dose may last up to six hours. It should be taken orally within 30 minutes of sexual intercourse.
The ED pharmaceuticals we discussed are all oral medications with slightly different chemical ingredients affecting how long one dose of each drug will take to work.
Before your doctor or specialist prescribes an ED pharmaceutical, they should thoroughly review your medical history and advise you of any possible drug interactions.
Depending on your ED symptoms and medical history, ED pharmaceuticals can sometimes be ineffective or pose too many side effects.
The following instances may make ED medications unsafe for your use:
If you take drugs commonly prescribed for chest pain (angina) like nitroglycerin (Nitro-Dur or Nitrostat), isosorbide mononitrate (Monoket) or isosorbide dinitrate
If you currently have low blood pressure (hypotension) or uncontrolled high blood pressure (hypertension)
If you have severe liver disease
If you’re on dialysis for kidney disease.
If you are otherwise healthy, taking an oral medication to help treat erectile dysfunction will pose very few risks, but the following side effects may occur:
Flushing of the face, neck or chest
Vision sensitivity to light, blurred vision, or cyanopsia (objects appear noticeably bluer)
Heart palpitations (rare).
Erectile dysfunction treatments are big business (notice we said business!).
You can find countless ED pharmaceuticals online, but you risk having your money taken by an online scammer.
To safely purchase genuine ED pharmaceuticals online, you need to confirm the following:
The online pharmacy you buy from must be guaranteed to be legitimate.
The prescription and dosage you receive must be correct.
The product you are buying is not 'herbal viagra,' which is proven to have dangerous side effects.
Oakwood Health Network offers an approved penis pump as part of a customized treatment program for suitable patients experiencing erectile dysfunction (ED).
When a man cannot get an erection or maintain an erection to have satisfactory sex, a penis pump may be beneficial. Penis pumps contain a cylinder and a VCD (vacuum constriction device) that create a safe vacuum effect to help a man get and maintain an erection.
Instructions are provided to you on using a penis pump at home, and we encourage all suitable patients to use their prescribed penis pump to increase the effectiveness of their whole ED treatment program!
Here are the known benefits of a prescribed penis pump for suitable patients (people with no adverse health conditions that would prohibit using the pump):
Penis pumps are less risky than other ED treatments like over-the-counter enhancement drugs with serious side effects
Penis pumps are cost-effective
Manual penis pumps are simple to use and are noninvasive
Penis pumps can increase the effectiveness of your ED treatment program and may help you to get better erections following other ED procedures in our clinic.
Our prescribed penis pump helps to treat ED in these ways:
Your penis pump can strengthen blood vessels in the penis and around the groin
Your penis pump can improve blood flow to your penis and groin area
If you have diabetes and it affects your blood supply and nerves, a penis pump can help repair blood flow and nerve sensation around your penis.
When a penis pump helps you to get better erections, it can also improve any depression or anxiety you’re experiencing because of ED.
Your doctor or specialist must know your complete medical history to ensure that a prescribed penis pump is safe for your in-home use.
If you have sickle cell anemia, certain forms of leukemia, or any blood condition, please advise us because patients with these health conditions may not be suitable candidates to use a penis pump.
We provide full instructions on how to use your prescribed penis pump at home, but the pump is simple to use:
The plastic tube slides easily over your penis.
You attach a hand pump or electric pump to the tube, creating a gentle vacuum effect to encourage blood flow into the penis and cause an erection.
When your penis becomes fully erect, remove the vacuum device.
Place a rubber ring around the base of your penis to hold the blood in place and maintain the erection.
Typically, your erection is maintained long enough to enjoy satisfying sex.
It’s essential to remove the rubber ring from your penis within thirty minutes to avoid injuring your penis.
We advise patients not to overuse a penis pump (such as leaving the rubber ring around the base of their penis for longer than thirty minutes at a time) to minimize risks or side effects.
Side effects are rare with your prescribed penis pump when you follow the instructions correctly, but some reported side effects have included:
Pinpoint-sized red dots called petechiae from tiny, harmless blood vessels that have burst underneath the skin
Feelings of numbness or coldness in the penis or groin area
The penis or groin area turns a bluish colour
Pain in the penis or bruising around the groin area
The penis gets erect, but ejaculation feels trapped.
Your prescribed penis pump can’t cure ED on its own, but it can help you get a firm erection, and a penis pump can also increase the success of other ED treatments.
We find that our most successful treatment options include Acoustic Shockwave Therapy sessions or medications we prescribe in your customized ED treatment program.
The pelvic floor is a group of muscles in the body that are shaped like a bowl, supporting your bladder, bowels (the colon), rectum, and all organs and nerves in your body connected to the pelvic floor.
You control your bowel movements and urination by contracting or relaxing your pelvic floor muscles. You also utilize your pelvic floor muscles when your body becomes aroused during sex and when you orgasm.
When you’re urinating, try to stop it momentarily, or if you feel the urge to flatulate, try to contract the muscles around your anus to prevent a release of gas. Learning how to contract your pelvic floor muscles is an excellent exercise for your whole health!
When a person cannot control their pelvic floor muscles, they may have pelvic floor dysfunction. Other pelvic floor disorders include chronic prostatitis, pudendal neuralgia, genitofemoral neuralgia, and hypertonicity.
A person experiencing pelvic floor dysfunction will have one or more of the following symptoms:
A feeling of fullness or pressure in the pelvic area
The urge to urinate frequently or difficulty in emptying the bladder
Pain during urination
The leakage of urine or urinary incontinence
Pain in the lower back area
Constipation or difficult bowel movements
Leakage of the bowels
Pain during sex
Pain in the pelvic floor or the genitals
Spasms within the pelvic floor.
Men with pelvic floor dysfunction may have torn or weakened pelvic muscles due to:
A traumatic injury to the pelvic region
Weight gain or obesity
Surgery to the pelvic area
Nerve damage from conditions like diabetes.
If you’re experiencing any symptoms of PFD, it’s a good idea to consult with a specialist in men’s health.
Please refer to this checklist of warning signs for PFD:
When you’re leaking urine or stool
You have issues with your bowel movements
You feel discomfort or increased pressure within the pelvic area
You can see or feel a suspicious bulge around your genitals or anus
You experience pain during urination
You suffer from incontinence
It’s difficult to empty your bladder or bowels fully.
Pelvic floor dysfunction is often successfully treated with pelvic floor physiotherapy.
Physical therapy exercises can strengthen the pelvic floor without surgery. As the pelvic floor muscles get stronger, patients can better control urination and bowel movements.
In certain PFD cases, a specialist may recommend a surgical option, but less invasive treatments like pelvic floor physiotherapy can also be highly effective.
Medical research identifies pelvic floor physiotherapy as an effective treatment method for health conditions such as:
Male incontinence or an increased need to urinate
Chronic pelvic pain syndrome
Painful and premature ejaculation
Physical therapy sessions help strengthen and rehabilitate your pelvic floor.
A qualified physiotherapist creates your pelvic floor physiotherapy program based on your issue and physical abilities. Your program should be based on one or more of the following:
Educating you on your pelvic floor muscles and providing an overview of how your physical therapy sessions will work.
An exercise program (including Kegel exercises) expands and contracts your pelvic muscles, strengthening your pelvic floor while relaxing tight muscles.
Giving you breathing techniques to be done with each exercise to increase the effectiveness of your therapy.
Massage (also called manual therapy) to tone and align your pelvic floor and improve circulation throughout your body.
Your pelvic floor physiotherapy program will depend on your physical issue and abilities, and your results can be maximized by effectively completing your sessions.
Oakwood Health Network offers pelvic floor physiotherapy referrals to our private clinics in Oakville, Toronto, and Brampton.
The feeling of stress is a natural response that has evolved within the human body, and when we experience stress, our bodies undergo physical and mental changes.
Ongoing stress can cause physical problems like nausea, headaches, and anxiety, and overwhelming stress can harm the heart and immune system.
Medical research also proves how issues like erectile dysfunction are a physical reaction to chronic stress. Here’s why:
An erection happens when the brain becomes aroused and sends signals to the penis to increase blood flow
When the brain becomes negatively affected by stress, it physically interrupts the signals of arousal to the penis
Your body may still feel aroused, but you are psychologically unable to produce an erection due to stress.
When stresses (or mental or emotional issues) impact the brain and cause physical symptoms, it’s medically referred to as a psychogenic disease. Stresses like health concerns, job-related issues, relationship problems, or financial difficulties may cause psychogenic issues like ED.
People with psychogenic erectile dysfunction generally exhibit one or more of the following symptoms:
Sudden difficulty with getting or maintaining a satisfactory erection
Increased fatigue and loss of interest in physical intimacy
Inconsistent erections, meaning the ability to maintain an erection for self-pleasure but not during intercourse
Regular morning erections but difficulty during intercourse.
Psychology effectively treats erectile dysfunction when patients can be honest about their thoughts and feelings.
At Oakwood Health Network, we believe that professional psychology has excellent value in treating ED, and our ED treatment plans can include talk therapy with our clinic psychologist.
That is an excellent question, and we can evaluate whether a psychologist can assist in your ED treatment program when you schedule a free consultation with us at one of our convenient locations in Toronto, Oakville, or Brampton.
Erectile dysfunction (typically abbreviated to ED) is also called impotence. It becomes increasingly difficult or impossible to get and maintain an erection for satisfying sex when you have ED.
Men of any age can feel nervous or anxious during sex. Sometimes, a person drinks too much before sex or takes recreational drugs. Any of these things may impact the ability to get an erection, but if it only happens occasionally, it’s usually not an actual case of ED.
Your sex drive decreases significantly.
You are consistently unable to get an erection.
You can’t maintain a firm erection.
You frequently experience premature ejaculation.
Your ejaculation may also become delayed, or you experience anorgasmia (the inability to orgasm).
Erectile dysfunction can occur because of many physical, emotional, or psychological factors, but the primary physical issue is inadequate circulation and blood flow within the body.
When blood vessels around the penis are damaged or restricted, blood cannot flow into the penis to achieve a firm erection.
The risks of ED increase with the following factors:
Many physical cases of ED occur over the age of 40
Psychogenic disorders caused by high-stress levels
Medical conditions like heart problems or cardiovascular diseases, diabetes, and circulatory issues
Weight gain or obesity
Cigarette smoking, too much alcohol, or frequent recreational drug use
A history of sexual trauma
Psychological disorders (especially in younger men) and mental health issues
Side effects from medications including certain kinds of antidepressants, antihistamines, some high blood pressure medicines or water pills, some hormone medications, some chemotherapy drugs, or painkillers.
Medical treatments for prostate issues or complications from surgeries.
A physical examination at Oakwood Health Network takes place confidentially with a medical specialist in sexual health at one of our three GTA clinics.
Your examination will include:
A blood pressure check
A checkup of your penis and testicles
We may recommend a brief rectal exam to confirm your prostate health
A blood test to determine your testosterone levels (if indicated)
An ultrasound to diagnose Peyronie's Disease if that is your concern.
As accredited specialists in the diagnosis and treatment of ED, Oakwood Health Network knows that a thorough and professional physical examination is the single best method to diagnose erectile dysfunction.
We also utilize a questionnaire with every patient as one of the first steps in your evaluation. This question and answer session helps put you at ease, and when you allow yourself to be completely honest with us, it ensures that you receive the best and most effective ED treatment program.
Here is a rundown of questions on our OHN patient questionnaire:
How long have you been experiencing ED?
Did your symptoms happen suddenly or gradually?
Can you still achieve a firm erection?
Do you still feel sexual desire?
Can you orgasm or ejaculate during sex?
How frequently do you try and have sex?
Has your frequency decreased?
Are you in a committed relationship?
Do you and your partner have expectations of each other?
Describe your stress levels and if they have increased.
Do you smoke cigarettes, drink alcohol, or use recreational drugs more frequently to relax or reduce stress?
Oakwood Health Network offers eight treatment strategies that have been extensively researched by scientists worldwide to treat erectile dysfunction effectively.
Peyronie's Disease causes a curvature in the penis. The condition results from a build-up of fibrous scar tissue within the penis, physically altering its shape.
Because penis shapes and sizes vary, the curve caused by Peyronie's Disease can be minimal or more significant. When Peyronie's Disease is severe, it can be too painful to enjoy sexual intercourse.
Here are the most common symptoms of Peyronie's Disease:
Scar tissue makes the penis curve abnormally
The penis appears to be bent
Problems maintaining satisfactory erections
The penis shrinks
Mild to severe pain
Other noticeable penile deformities like bumps or an indent.
Research shows that certain health conditions or unhealthy lifestyle choices increase the risk of Peyronie's Disease:
Heart problems or cardiovascular issues are a factor
Diabetes is a factor
Lifestyle risks like smoking, drinking, or unprotected sex can increase risks
Penile injuries from sex increase the risk
Erectile dysfunction is a known cause of Peyronie's Disease.
Oakwood Health Network specializes in treating Peyronie's Disease, and we make a self-check questionnaire available to anyone concerned about this treatable condition:
Do you find erections more painful or too painful?
Are you unable to get a firm erection?
Is your erect penis curved in any way?
Has the curvature become more noticeable?
Does your penis appear to be shorter?
Does your penis look indented, or is it hourglass-shaped?
Can you feel a new bump on your penis?
Does your penis bend too far to allow penetration during sexual intercourse?
You may be experiencing all of these symptoms or a few. If you are experiencing any symptoms of Peyronie's Disease, we invite you to speak to us for a professional diagnosis.
Oakwood Health Network uses specific tests to diagnose Peyronie's Disease properly.
Our process includes:
Answering the Peyronie's Disease Questionnaire (PDQ) during an examination
Palpating the flaccid penis with gentle pressure from the specialist’s thumb, index, and middle finger
During palpation, the specialist notes any pain or tenderness the patient feels and records any physical abnormalities to the penis
The curvature of the penis is measured
Ultrasound tests are conducted.
The need for surgery to treat Peyronie's Disease depends on the severity of the condition.
At Oakwood Health Network, our specialists may recommend surgical options, including:
Incision/Excision and grafting
We always recommend scheduling a free consultation with us to discuss your concerns, calm your fears, and determine your best treatment options!
Premature Ejaculation (PE) is the experience of a penis ejaculating sooner than desired during sexual intercourse, and PE can be serious.
In addition to ejaculating too soon during sex, PE can cause the following symptoms:
Rapid, out of control ejaculation with minimal stimulation of the penis
Inability to delay ejaculation during most sexual encounters
A decreased pleasure from rapid ejaculation
Feelings of guilt, embarrassment, or sexual frustration
Avoidance of sexual intimacy
Infrequent premature ejaculation is considered normal and a common occurrence, but it may be severe when premature ejaculation constantly happens within 1-3 minutes of sexual penetration.
There is no specific cause of premature ejaculation, but certain issues can make it more serious:
Hormone imbalances (low testosterone)
Personal issues or relationship problems.
Premature ejaculation can be properly diagnosed by a general practitioner or a doctor specializing in sexual health.
Specific tests may be ordered, such as blood tests to determine testosterone levels. In addition, patients may get referred to a urologist or a mental health professional specializing in sexual dysfunction.
Constant premature ejaculation can be a serious physical and mental health issue. Here are questions to ask of a sexual health specialist when you’re looking for a solution:
What are the possible causes of my premature ejaculation?
What are your treatment recommendations?
When can I expect some improvement during treatment?
How much progress is possible in my situation?
Can the problem happen again after treatment?
Is there a generic alternative to name-brand prescription drugs?
Do you have brochures I can read or websites I can visit to learn more?
Premature ejaculation is a sensitive issue, and your doctor or specialist will ask you personal questions to determine the most effective treatment. Your partner may be asked to provide input if you’re in a relationship.
Here are questions you should hear:
How often do you prematurely ejaculate?
When did premature ejaculation first happen to you?
Does premature ejaculation only occur with one partner or many partners?
Do you prematurely ejaculate during masturbation?
How often do you have sex?
How concerned are you about premature ejaculation?
How much is your partner bothered by it?
How satisfactory is your current relationship?
Are you also experiencing erectile dysfunction?
Do you take prescription medications?
Have you recently started taking medications or stopped taking one?
Do you frequently use recreational drugs?
Oakwood Health Network specializes in effectively diagnosing and treating ongoing cases of premature ejaculation.
Our treatment options include:
Pelvic floor physiotherapy, including pelvic floor exercises and Kegel exercises under the guidance of a professional physiotherapist
Intra-coital techniques that can delay ejaculation, including a “pause and squeeze” method
the use of condoms with numbing agents to help control your ejaculation
Recommendations on lifestyle changes for better sexual health.