Men’s Sexual Wellness
Restore Performance, Function, and Confidence
Physician-guided treatments designed to improve erectile function, hormone balance, and overall sexual health.
Sexual health is not just about performance. It is a reflection of circulation, nerve function, hormone levels, and overall health.
Many men are told their only options are medications or to accept changes as part of aging. That is not the full picture. Men’s sexual health is approached as a medical condition with treatable causes, not just a symptom to manage.
At Dr. Bowen’s practice, men’s sexual health is approached as a medical condition with treatable causes, not just a symptom to manage. We evaluate and treat concerns such as erectile dysfunction, decreased firmness or performance, reduced sensitivity, low libido, hormonal imbalance, and pelvic floor weakness. These issues are common, especially with age, but they are not something you have to ignore or simply work around.
GAINSWave® (Shockwave / EWST)
GAINSWave® uses acoustic wave therapy to improve blood flow and stimulate the formation of new blood vessels.
This treatment is non-invasive and works by addressing one of the most common causes of erectile dysfunction, which is poor circulation.
- Improves erectile firmness
- Enhances sensitivity
- Supports more natural function
Dr. Bowen has been performing and teaching this treatment for years, with protocols tailored to each patient.
Frequently Asked Questions
What is GAINSWave® / shockwave therapy?
GAINSWave® is a noninvasive treatment that uses low-intensity acoustic (shockwave) energy to stimulate blood vessel growth, improve circulation, and support tissue regeneration. It is commonly used to improve erectile performance, blood flow, and sexual wellness.
How does the treatment work?
The acoustic waves create controlled mechanical stimulation within the tissue, which may promote angiogenesis (new blood vessel formation), enhanced circulation, and improved tissue responsiveness over time.
Is the procedure painful?
Most patients tolerate treatment very well. Sensations are typically described as tapping, pulsing, or mild discomfort rather than pain. No anesthesia or sedation is generally required.
How long does a session take?
Most treatments require approximately 20–30 minutes and are performed in the office with no downtime afterward.
How many treatments are usually recommended?
Protocols vary depending on goals and severity of symptoms, but many patients undergo a series of 6–12 treatments over several weeks for optimal results.
When will I notice results?
Some patients notice improvements within a few weeks, while others experience more gradual changes over 1–3 months as vascular and tissue remodeling occurs.
P-Shot
The P-Shot uses platelet-rich plasma from your own blood to stimulate tissue repair and regeneration.
- Improves erection quality
- Increases sensitivity
- Enhances overall performance
This treatment works at a cellular level by promoting new blood vessel formation and tissue health.
Frequently Asked Questions
HOW SHOULD I PREPARE FOR THE P SHOT® PROCEDURE?
- AVOID the use of NSAIDS (ibuprofen, Motrin, Aleve, Naproxen, Aspirin, etc.) 3-7 days before procedure (Tylenol is OK for pain relief right up to and including the day of procedure – do not exceed 4000mg in a 24 hour period).
- AVOID the following nutritional supplements for 3-7 days before procedure - Ginko Biloba, Garlic, Vitamin E, Vitamin A, Flax Oil, Curcumin and other anti-inflammatory nutrients.
- AVOID the Systemic use of corticosteroids for 1-2 weeks before the procedure.
- AVOID Alcohol and Cigarettes for 3-7 days before the procedure.
- HYDRATE very well the day before and the day of the procedure for ease of blood draw.
WHAT WILL I NEED TO DO, AND NOT DO, AFTER THE PROCEDURE?
The week after the procedure for best results:
- Bruising may occur due to the negative pressure of the pump
- Follow the post procedure pumping protocol (10 minutes – AM and PM)
- AVOID the use of NSAIDS (ibuprofen, Motrin, Aleve, Naproxen, Aspirin, etc.) 3-7 days after procedure (Tylenol is OK for pain relief – do not exceed 4000mg in a 24 hour period).
- AVOID the following nutritional supplements for 3-7 days after the procedure - Ginko Biloba, Garlic, Vitamin E, Vitamin A, Flax Oil, Curcumin and other anti-inflammatory nutrients.
- AVOID the Systemic use of corticosteroids for 1-2 weeks after the procedure.
- AVOID Alcohol and Cigarettes for 3-7 days after the procedure.
- EAT a healthy diet and HYDRATE very well – at least 64 ounces of clean fresh water.
- Receive prescription from pharmacy if provided. Call office when refill is necessary.
- Attend 4-week follow up appointment with provider for further instructions and intervention if necessary.
WHAT IS PRP?
PRP is prepared by drawing the patient’s blood (like a lab test) and separating the blood cells from the plasma (liquid portion). The platelets sit at the top of the cell portion and release growth factors that start the healing process after an injury. This process results in the growth of new blood vessels.
DOES THE P SHOT HURT?
The PRP is relatively “thin” and can be injected with a small needle. There is a thick membrane under the penis skin and covering the blood vessels (called the tunica). Patients will momentarily (less than a second) feel the needle passing through this space but after the needle is in the blood vessels and during injection there is little, if any, sensation.
WILL I BE ABLE TO STOP TAKING ED MEDS IF I HAVE THE P SHOT?
Many patients who have used these medications (PDE-5 drugs) find that they can begin to lose their effectiveness and require increasing dosages. The P-Shot/Gainswave procedures will often restore effectiveness to patients who have stopped responding to medications or reduce/eliminate the need for them. Dr. Bowen often prescribes a low daily dose of tadalafil both to enhance the effectiveness of the procedure and for its beneficial effects on the vascular system in the entire body -- especially the brain and heart.
DO YOU OFFER OTHER SERVICES FOR ED?
Yes, we offer pulse wave treatments, also called Gainswave, which is a non-invasive treatment usually performed once a week for 6 weeks. The pulse wave treatment has results similar to the P Shot and may be combined with the P Shot for even more dramatic effect. A single wave treatment is included with and done just before the P Shot. The most powerful single treatment that we offer is called Caverstem. This is done by harvesting stem cells from bone marrow and injecting them in the same way as the P Shot.
P-Long Protocol
The P-Long protocol is a structured approach designed for progressive improvement over time.
It combines therapies and at-home protocols to:
- Improve length and girth potential
- Enhance function and performance
- Support long-term tissue health
This is ideal for patients looking for a more comprehensive and committed treatment plan.
Learn More About
Frequently Asked Questions
Is P-Long safe?
Yes. 0% of P-Long Study participants experienced negative side-effects or complications after receiving treatment. T0 learn more about the P-Long Study, click here.
How much length can I expect?
Patients can expect to increase the length of their manhood by almost a full inch.
How much girth can I expect?
P-Long patients can expect to increase the girth of their manhood by up to half an inch.
How long do the results last?
Unlike temporary fillers that only last between 1-2 years, P-Long results are expected to last long.
After you have braces, your teeth do not go back to the way they were. We believe that as long as a man is having rigid night time erections, that his erectile length and girth will maintain. It may be a good idea for men to continue to take AFFIRM after completing the P-Long protocol. Studies show that boosting Nitric Oxide naturally improves erectile health and that there are other significant health benefits including improved athletic performance, cognition, blood pressure and immune system function. And there are no known negative side effects.
Does the P-Long Protocol work on men with ED?
We do not know. The Protocol was designed for healthy men with normal erectile function. Men with ED usually do not generate the penile blood pressure to maximally stretch their manhood.
Can I just use the traction device and pump without the injections?
Probably not. The growth factors from 1.5 billion platelets injection into the penis once a month for six months will accelerate the changes seen with the traction and suction devices. Our best guess is that it doubles or triples the effectiveness of the protocol. Besides, if the PRP injection is done properly, it should be minimally uncomfortable.
What is the range of results?
For length, after six months men grew as much as 1.5 inches and as little as 0.5 inches in length and as much as 0.75 inches and as little as 0.25 inches in girth.
Testosterone Replacement Therapy (TRT)
Hormones play a critical role in sexual health.
Low testosterone can contribute to:
- Low libido
- Decreased energy
- Poor erectile function
When appropriate, TRT is used to restore hormonal balance and improve overall function.
Frequently Asked Questions
What is Testosterone Replacement Therapy?
Testosterone Replacement Therapy is a medical treatment used to restore testosterone levels in people with clinically low testosterone (hypogonadism). It can improve symptoms like fatigue, low libido, erectile dysfunction, reduced muscle mass, depressed mood, and low energy.
How do I know if I have low testosterone?
Diagnosis usually requires:
- Symptoms consistent with low testosterone
- Blood tests showing low testosterone levels, typically measured in the morning
Common symptoms:
- Low sex drive
- Erectile dysfunction
- Fatigue
- Depression or irritability
- Loss of muscle mass
- Increased body fat
- Brain fog
What forms of TRT are available?
Common options include
- Gels or creams
- Pellets implanted under the skin
Each has different costs, convenience, and side-effect profiles.
How long does TRT take to work?
Typical timelines:
- Libido/energy: 3–6 weeks
- Mood improvements: 4–8 weeks
- Muscle mass/strength: 2–6 months
- Bone density: 6–12 months or longer
Results vary by person.
What are the risks or side effects?
Possible side effects include:
- Acne or oily skin
- Increased red blood cell count
- Sleep apnea worsening
- Breast tenderness
- Fertility reduction
- Testicular shrinkage
- Fluid retention
- Mood changes
TRT may increase hematocrit levels, so regular blood monitoring is important.
Does TRT cause infertility?
Yes, TRT can significantly reduce sperm production and fertility. Men who want children often discuss alternatives such as:
- Clomiphene
- Human chorionic gonadotropin with Dr. Bowen.
Does TRT increase prostate cancer risk?
Current evidence has not shown that TRT directly causes prostate cancer, but doctors generally monitor:
- PSA levels
- Prostate symptoms
- Digital rectal exams when appropriate
People with active prostate cancer are usually not candidates for TRT.
Will TRT help build muscle?
TRT can improve:
- Lean muscle mass
- Recovery
- Strength
But it works best alongside:
- Resistance training
- Good sleep
- Proper nutrition
TRT is not the same as anabolic steroid abuse.
Is TRT lifelong?
Often, yes. If TRT is stopped, testosterone levels may return to previous low levels and symptoms can recur. Some people use TRT temporarily under medical supervision.
What monitoring is needed on TRT?
Doctors commonly monitor:
- Testosterone levels
- Hematocrit/hemoglobin
- PSA
- Liver function
- Cholesterol
- Blood pressure
Follow-up is typically every 3–6 months
Who should avoid TRT?
TRT may not be appropriate for people with:
- Untreated severe sleep apnea
- Active prostate or breast cancer
- Very high hematocrit
- Uncontrolled heart failure
- Recent cardiovascular events
Dr. Bowen will evaluate risks individually
Is TRT legal?
Yes, when prescribed by a licensed medical provider. Testosterone is a controlled substance in the United States.
Emsella
Strengthen Pelvic Floor Function. Support Performance and Confidence.
EMSELLA is a non-invasive pelvic floor therapy designed to help strengthen the muscles involved in bladder control, circulation, and sexual function.
For men, pelvic floor weakness can contribute to urinary leakage, reduced erectile quality, decreased sensation, and changes in sexual performance. EMSELLA uses high-intensity focused electromagnetic energy to stimulate thousands of pelvic floor contractions during a single session, helping retrain and strengthen muscles that are difficult to target through traditional exercise alone.
Treatment is fully clothed, comfortable, and requires no downtime.
Some men pursue EMSELLA as part of a broader men’s wellness plan focused on pelvic health, confidence, and performance optimization.
Frequently Asked Questions
Is EMSELLA painful?
Most patients do not describe it as painful. You may feel strong pelvic floor muscle contractions during the session.
Do I need to undress?
No. You remain fully clothed during treatment.
Is there downtime?
No downtime is typically required. Most patients return to normal activities immediately.
How many treatments will I need?
Many treatment plans include multiple sessions over several weeks. Dr. Bowen will recommend a schedule based on your needs.
When will I notice results?
Some patients notice improvement after a few sessions, while others experience gradual improvement over time. Results vary.
Can EMSELLA replace Kegel exercises?
EMSELLA can support pelvic floor strengthening, but Dr. Bowen may still recommend pelvic floor exercises, core strengthening, or lifestyle changes as part of your plan.
Is EMSELLA only for women?
No. Pelvic floor weakness and bladder leakage can affect both women and men.
Is EMSELLA safe?
EMSELLA should be performed under the supervision of a qualified provider such as Dr. Bowen.
Why This Is Different
Many solutions available today are:
- Prescription-based
- Short-term
- Designed for individual use without medical evaluation
Those approaches can help in the moment, but they do not address the underlying issue.
Here, treatment is:
- Physician-guided
- Customized to your physiology
- Focused on long-term improvement
This allows for better outcomes and more consistent results.
Who Is a Good Candidate
You may be a good candidate if you:
- Have noticed a decline in performance or function
- Want to improve erectile quality without relying on medication
- Are interested in long-term solutions
- Value a medical, personalized approach
Privacy & Discretion
We understand that these concerns are personal.
Consultations are handled with professionalism, discretion, and respect.
A Comprehensive Approach to Men's Sexual Health
Watch Dr. Bowen’s webinar recording on ‘Advancements in Male Sexual Health’ as we delve into the latest breakthroughs and innovations that are revolutionizing men’s intimate well-being. Discover expert insights, explore cutting-edge treatments, and gain a comprehensive understanding of how to prioritize and enhance male sexual health.
Learn more about:
- Common concerns men have regarding their sexual health
- Causes of decreased erectile function
- Treatments such as shockwave therapy, Priapus Shot® (P-Shot), and the Emsella chair