Erectile dysfunction treatment in Tampa
Erectile dysfunction is common, it is treatable, and it is frequently the first visible sign of something else — vascular disease, low testosterone, poorly controlled blood sugar, sleep apnea, medication side effects, or anxiety. At Lavena Health in Temple Terrace we evaluate the cause before we treat the symptom, then prescribe what actually fits: often a first-line medication, sometimes hormone therapy, sometimes both.
Why ED is worth a real evaluation, not just a pill
An erection is a vascular event. That is why ED often shows up years before a cardiovascular diagnosis does — the small vessels are affected first. Treating the symptom without asking why it appeared means missing the part that matters more than the symptom.
A proper evaluation looks at the whole picture: your cardiovascular risk, blood pressure, blood sugar and lipids, testosterone and thyroid where indicated, your medications (several common ones contribute), sleep, alcohol, and the psychological component, which is real and frequently under-treated. Sometimes the finding is simple and fixable. Sometimes it is the reason to look harder at something else.
What treatment usually looks like
For most men, first-line treatment is an oral PDE5 inhibitor — sildenafil (the generic of Viagra) or tadalafil (the generic of Cialis). Both are FDA-approved, well studied, and available generically, which is why we prescribe them generically rather than by brand. The practical difference is duration: sildenafil is taken as needed and works over a shorter window, while tadalafil lasts considerably longer and can be prescribed either as needed or as a low daily dose, which many men prefer because it removes the timing question entirely.
Which one, at what dose, and on what schedule is a physician decision made with you — it depends on your other medications, your cardiovascular history and how you actually want to use it. PDE5 inhibitors are not safe with nitrates, and there are other interactions worth checking, which is exactly why this belongs in a physician visit rather than an online form.
Where a first-line medication is not appropriate or has not worked well, other options exist and are discussed individually.
When ED is really a hormone problem
Low testosterone is a genuine cause of reduced libido and, less often, of erectile dysfunction itself — but it is over-blamed. Low desire points toward hormones more strongly than difficulty with the erection itself does, and the two are treated differently.
If your history suggests it, we run a full hormone panel before drawing any conclusion: total and free testosterone measured in the morning, often confirmed on a second draw, alongside the markers needed to interpret it safely. If the panel confirms a deficiency, testosterone replacement therapy is a flat $150 per month here. If it does not, we say so rather than treating you for something you do not have.
Sexual health for women
Sexual health is not only a men's issue, and low desire, arousal difficulty, pain with intercourse and vaginal dryness are common, under-discussed, and treatable. In many women the driver is hormonal — perimenopause and menopause change estrogen and testosterone levels in ways that directly affect sexual function.
Evaluation follows the same lab-first pattern, and treatment is most often through the hormone pathway. See menopause and perimenopause treatment or women's bioidentical hormone therapy, both at the same flat $150 per month. Where something other than hormones is the driver, your physician will tell you that too.
Discreet, and physician-run
Intake is completed privately online before you come in, and the conversation happens with a physician who owns the practice — Dr. Adeeb Saleh, DO or Dr. Ahmed Karim, MD — not a rotating provider working from a script.
We are at 5340 E 131st Ave, Suite 106 in Temple Terrace, ground floor with free parking. Everything is self-pay, so nothing is filed to insurance. Directions and hours.
Common questions
Do you treat erectile dysfunction in Tampa?
Yes. We evaluate the underlying cause and treat it, including prescribing FDA-approved PDE5 inhibitors such as sildenafil and tadalafil where they are appropriate. Care is physician-led and entirely self-pay, so nothing is filed to insurance.
What is the difference between sildenafil and tadalafil?
Mainly duration. Sildenafil is taken as needed and works over a shorter window. Tadalafil lasts considerably longer and can be taken as needed or as a low daily dose, which many men prefer because it removes the timing question. Which is right for you depends on your other medications, your cardiovascular history, and how you want to use it.
Do I need lab work before ED treatment?
Not always, but often it is worth it. ED is frequently the first sign of a vascular, metabolic or hormonal problem, so your physician may order cardiovascular, metabolic or hormone labs depending on your history. Lab work is billed separately at member-discounted rates and quoted before anything is drawn.
Is ED always caused by low testosterone?
No, and it is over-blamed. Low testosterone more often causes reduced desire than difficulty with the erection itself. We confirm with a morning hormone panel before treating hormones, because treating a deficiency you do not have helps nobody.
Is treatment discreet?
Yes. Your intake is completed privately online before your visit, the conversation is with a physician, and because we are self-pay nothing is submitted to an insurer.
Can PDE5 medications be dangerous?
They are not safe with nitrates, and there are other interactions and cardiac considerations worth reviewing. That is precisely why this should involve a physician who has seen your history and medication list rather than an online questionnaire.
Do you treat sexual health concerns in women?
Yes. Low desire, arousal difficulty, dryness and pain are common and treatable, and in many women the driver is hormonal. Evaluation is lab-first and treatment is most often through the hormone pathway, at the same flat $150 per month.
Do I need a referral?
No. You can book directly, and your intake is completed online beforehand so the visit itself stays focused.
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Ready to start?
Book online in under a minute, or call (813) 805-8917. Same-day and telehealth visits are usually available for Florida residents.
Medically reviewed by Dr. Adeeb Saleh, DO · Last reviewed July 6, 2026
This page is general education, not medical advice. Care at Lavena Health is personalized by a physician after an assessment; individual results vary.