Erectile dysfunction can feel like a deeply personal failure, when in reality it’s a common, treatable medical condition that affects men of all ages. For men throughout Santa Monica and the Westside, effective care isn’t about settling for a quick prescription — it’s about understanding why ED is happening and addressing it at the source. Dr. Justin Houman brings that depth of evaluation to every patient he sees.
Dr. Houman is a board-certified urologist and Assistant Professor of Urology at Cedars-Sinai Medical Center, fellowship-trained in male reproductive and sexual medicine at UCLA — a subspecialty held by only a small percentage of urologists nationwide. A member of the Sexual Medicine Society of North America with a Center of Excellence designation for inflatable penile implant surgery, he offers Santa Monica patients the full range of ED care, from non-surgical options to advanced reconstructive procedures, all grounded in evidence rather than hype.
Dr Justin Houman is a wonderful guy. Go to him and feel confident in his care. He is easy to talk to about topics that are not easy. Hes funny, knowledgeable, reassuring, open to questions, nonjudgmental. Really feels like hes on your side. He also listened to me about a symptom another doc downplayed, and ended up solving the problem. I cant recommend this kind man highly enough!
What Is Erectile Dysfunction?
Erectile dysfunction is the ongoing difficulty achieving or maintaining an erection firm enough for satisfying sex. It becomes a medical concern when it’s a persistent pattern rather than the occasional off night. Because erections rely on the interplay of blood flow, nerves, hormones, and mental state, ED can have a physical cause, a psychological one, or a combination — and identifying which is the first step toward effective treatment.
ED Is Not Only an Older Man’s Concern
ED is often assumed to be a problem of later life, but a growing number of younger men — including those in their 20s and 30s — experience it too. In younger men, the causes more often involve stress, performance anxiety, and lifestyle factors, though physical contributors still need to be ruled out. The encouraging part is that ED in younger men frequently responds very well to treatment once the underlying driver is identified, which makes seeking care early genuinely worthwhile.
Treatment Options for Santa Monica Patients
The right approach depends on the cause, and Dr. Houman offers the complete range:
- Lifestyle and Medical Management: Improving cardiovascular health and adjusting contributing medications often forms the foundation.
- Oral Medications: FDA-approved PDE5 inhibitors such as sildenafil and tadalafil are the most common first-line option.
- Testosterone Optimization: When low testosterone contributes, restoring healthy levels can improve desire and function.
- Penis Pump Therapy: A vacuum erection device provides a non-invasive, drug-free option.
- Penile Implant Surgery: For severe or treatment-resistant ED, an inflatable penile implant delivers reliable, long-term results.
- Emerging Therapies: Shockwave therapy, Botox for ED, and exosome therapy are newer, regenerative-style approaches some men explore.
These newer options come with an important caveat: low-intensity shockwave therapy, Botox, and exosome or platelet-rich plasma treatments are currently considered investigational or experimental for erectile dysfunction and are not FDA-approved for this use. Dr. Houman explains the current evidence honestly so you can make an informed choice.
Frequently Asked Questions About Erectile Dysfunction
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No — while it’s more common with age, ED affects men in their 20s and 30s as well, often due to stress, lifestyle, or performance anxiety alongside physical factors.
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Santa Monica and Westside patients are seen at Dr. Houman’s Los Angeles-area practice, convenient to the surrounding coastal communities.
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Treatment typically begins by identifying the cause, followed by FDA-approved oral medication and lifestyle adjustments for most men.
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They remain unproven for ED — low-intensity shockwave, Botox, and exosome or PRP treatments are considered investigational or experimental and aren’t FDA-approved for this use, so Dr. Houman discusses the evidence openly.
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Additional options include a vacuum pump or, for severe cases, a penile implant, which offers reliable, long-term results.
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Yes — because erections depend on healthy circulation, ED can be an early sign of cardiovascular or metabolic disease, making evaluation worthwhile for your overall health.
Why Santa Monica Patients Choose Dr. Houman
- Care for Every Age: Treatment tailored to men from their 20s through their later years.
- Full Spectrum of Options: From non-surgical therapy to penile implant surgery.
- Evidence Over Hype: Honest guidance on which treatments are proven and which aren’t.
- Convenient for the Westside: Discreet, accessible care for Santa Monica and the coastal communities.
Meet Dr. Houman
Expert in Men’s Health with Tower Urology and Cedars Sinai
Dr. Justin Houman, MD, FACS is a board-certified urologist and fellowship-trained microsurgeon at Tower Urology, Cedars-Sinai Medical Center in Los Angeles. His subspecialty training in male reproductive medicine and microsurgery is held by fewer than 2% of practicing urologists in the United States.
His clinical focus is narrow by design. Varicoceles, chronic testicular pain, male infertility, vasectomy, testosterone optimization, erectile dysfunction, penile implant surgery, and Peyronie’s disease are not add-on services here. They are the practice. Patients travel from across the country and internationally for procedures, particularly microsurgical varicocelectomy, spermatic cord denervation, and inflatable penile implant surgery, that require a level of subspecialty training and surgical volume most urology practices do not have.
Erectile Dysfunction Treatment for Santa Monica
ED doesn’t have to be a permanent reality, and for most men it isn’t — the right plan can restore both function and confidence at any age. Dr. Houman offers discreet, evidence-based care for Santa Monica and Westside patients, focused on the true cause rather than a temporary fix. Contact the office to schedule a confidential consultation and take the first step toward feeling like yourself again.
