Erectile Dysfunction Treatment in Ann Arbor

Evaluated and treated by a triple board-certified nurse practitioner who owns the practice, at 2217 Packard Street. Labs before anything is prescribed, and the same clinician at every visit.

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Most men do not start here

Most men who come to us have already tried the fast route: an online questionnaire, a prescription in the post, no examination and nobody to call when something does not sit right. Sometimes that works. When it does not, there is usually no next step, because nobody ever looked at why.

ED is frequently the first visible sign of something systemic — cardiovascular, metabolic or hormonal. A questionnaire cannot find that. That is the entire argument for being seen properly rather than quickly.

What the evaluation involves

A real history, taken without hurry

Onset, pattern, medications, sleep, stress, mood and relationship context. This is a longer appointment than you are probably expecting.

Lab work before anything is prescribed

Testosterone and the wider hormone picture, metabolic markers, thyroid, and indicators of insulin resistance. Every marker gets explained to you.

A plan built from your results

What that plan contains depends entirely on what the labs show. If what you need sits outside what this clinic offers, you will be told, and referred.

The part most clinics separate, and we do not

ED rarely arrives alone. Sleep, mood, motivation, stress and confidence usually travel with it, and in most healthcare settings those get sent to an entirely different clinician — if they get raised at all.

Gandhi Bhattarai holds board certification in psychiatric mental health nursing alongside family practice and functional medicine. Both halves of this get looked at in the same appointment, by the same person. That is unusual, and for this particular problem it matters.

Options we work with

Each has its own page explaining what is involved and what it costs. Which of them is appropriate for you is decided at the consultation, from your results.

Discretion

Suite 15 on Packard, free parking directly outside, no waiting room shared with a busy practice. Follow-ups can be done by telehealth. Nothing about the visit announces what it is for.

Practical details

Common questions

Do I need a referral?

No. You can book a first visit directly.

Will I be prescribed something on the first visit?

Not before lab results are back. The first appointment is evaluation and testing.

Do you take insurance?

We are a cash-pay practice. HSA and FSA cards are accepted, and pricing is given clearly before anything begins.

How discreet is this?

Free parking directly outside a private suite, and follow-ups by telehealth where appropriate.

Book a consultation

The first visit is $35 and it is applied toward your plan. What is appropriate for you depends on your labs and your history — which is exactly what the appointment is for.

Book your first visit