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Concerns about Shockwave Therapy and P-Shot for Erectile Dysfunction and Premature Ejaculation
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Sexual Health & Wellness
Question #28238
45 days ago
117

Concerns about Shockwave Therapy and P-Shot for Erectile Dysfunction and Premature Ejaculation - #28238

Client_565ffd

Bonjour par rapport au problème d erection etd'ejaculation précoce si on pensait a faire le traitement de onde par choc et aussi le pshot .Alors pensez vous qu il y aura une amélioration .si non j ai beaucoup entendu parlez de ce traitement est il efficace et y a t il sur une longue durée.sur plus de 3 ou 4 ans .si non générale c esr pour 1an et chaque année renouveler peut causer des effets secondaires

How long have you been experiencing erectile dysfunction and premature ejaculation?:

- More than 1 year

Have you tried any other treatments for these issues before?:

- Not sure

How would you rate the severity of your symptoms?:

- Very severe
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
45 days ago
5

Hello dear See as per recent studies definitely improvement occurs but it in not upto significant level. I suggest you to please get in person consultation with gynecologist regarding the current therapy. However iam suggesting some precautions. Please follow them for atleast two months Avoid heavy meals and alcohol Take ashwagandha or triphala once a day for 2 months Do meditation Do physical exercises atleast for half an hour Especially kegel exercises Take shilajeet for 1 month once a day In case of no improvement in 1 month, kindly consult gynaecologist for further clarification Hopefully you recover soon Regards

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Dr. Prasannajeet Singh Shekhawat
I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.
39 days ago
5

Hello Hey there! It sounds like you’re exploring some options for addressing erectile dysfunction and premature ejaculation. Let’s break it down:

### Shockwave Therapy - Effectiveness: Shockwave therapy is a non-invasive treatment that uses acoustic waves to improve blood flow to the penis. Many studies suggest it can be effective for erectile dysfunction, especially in men who have not responded well to other treatments. - Duration of Results: The effects can vary, but many patients report improvements lasting from 1 to 2 years. Some may need follow-up treatments to maintain results, but long-term effects beyond 3-4 years are less common. - Side Effects: Generally, shockwave therapy is considered safe, with minimal side effects. Some may experience mild discomfort or bruising, but serious complications are rare.

### Priapus Shot (P-Shot) - Effectiveness: The P-Shot involves injecting platelet-rich plasma (PRP) into the penis to enhance blood flow and potentially improve erectile function. Some men report positive results, but scientific evidence is still limited. - Duration of Results: Similar to shockwave therapy, the effects may last for about 1 year, and repeat treatments may be necessary. - Side Effects: Side effects can include pain at the injection site, bruising, or swelling. Serious complications are rare, but it’s essential to have the procedure done by a qualified professional.

### Conclusion Both treatments can be beneficial, but results can vary from person to person. It’s crucial to consult with a healthcare provider who specializes in sexual health to discuss your specific situation, potential benefits, and risks. They can help you determine the best course of action based on your needs.

Thank you

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Dr. Nirav Jain
I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.
37 days ago
5

Bonjour, je comprends votre inquiétude. Concernant les traitements comme les ondes de choc (shockwave therapy) et le P-shot, voici les informations importantes : Les ondes de choc peuvent améliorer l’érection chez certains patients, surtout en cas de troubles vasculaires légers à modérés. Cependant : Les résultats sont variables d’une personne à l’autre L’amélioration est souvent temporaire (quelques mois à 1 an) Il peut être nécessaire de répéter les séances Les preuves scientifiques à long terme (3–4 ans) sont encore limitées Le P-shot (injection de plasma riche en plaquettes) est encore considéré comme expérimental : Il n’existe pas de preuves solides garantissant son efficacité Les résultats ne sont pas toujours fiables Il n’est pas recommandé comme traitement standard Ce qu’il faut savoir : Pour les troubles de l’érection et l’éjaculation précoce, les traitements les plus efficaces et validés sont : Médicaments (comme les inhibiteurs de la PDE5) pour l’érection Techniques comportementales et/ou médicaments pour l’éjaculation précoce Prise en charge du stress, anxiété, et mode de vie Recommandations : Faire un bilan médical complet (diabète, tension, hormones, etc.) Consulter un médecin/urologue pour un traitement adapté Éviter de dépendre uniquement de traitements coûteux avec preuves limitées Les traitements comme les ondes de choc ou le P-shot ne sont pas dangereux en général, mais leur efficacité à long terme n’est pas bien établie, et ils peuvent nécessiter des répétitions sans garantie de résultat durable. En résumé, une amélioration est possible dans certains cas, mais ces traitements ne sont pas toujours fiables sur le long terme. Une prise en charge médicale complète reste la meilleure approche.

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Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
44 days ago
5

Hello

Shockwave therapy (low-intensity shockwave therapy) may help improve erectile dysfunction by increasing blood flow to the penis. Some patients experience improvement, but results can vary and the benefits may last months to a few years. Long-term evidence beyond 3–4 years is still limited.

The P-Shot (platelet-rich plasma injection) is considered an experimental treatment. Some people report improvement, but strong scientific evidence for consistent long-term benefit is still lacking.

These treatments are generally safe when performed by qualified specialists, and serious side effects are uncommon. However, repeated treatments may be needed if symptoms return.

For premature ejaculation, these treatments are usually not the first-line therapy. Behavioral techniques, counseling, or certain medications are often more effective.

It is best to consult a urologist or sexual health specialist to evaluate the cause and discuss the most appropriate treatment options.

I hope this helps. Thank you. Take care.

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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
44 days ago
5

For severe Erectile Dysfunction and Premature Ejaculation, treatments such as Low‑Intensity Shockwave Therapy and the P-Shot may provide improvement in some men, especially when erectile dysfunction is related to reduced blood flow. However, current medical evidence shows that the results are variable and not guaranteed, and the benefits may last around 6–12 months in many cases, sometimes longer, but long-term results beyond 3–4 years are still not well proven. These treatments are generally considered safe when performed by qualified specialists, but they can be expensive and may need repeated sessions, and they are not the first-line therapy recommended in standard medical guidelines. A proper evaluation by a Urology specialist is important to identify the underlying cause and consider established treatments such as lifestyle changes, psychological therapy for performance anxiety, medications, or other medical options, which may provide more consistent long-term improvement.

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Les traitements par onde de choc et le “P-Shot” sont deux interventions qui ont suscité de l’intérêt pour des troubles de l’érection et d’éjaculation précoce, mais il est important de considérer plusieurs facteurs avant de s’engager dans ces thérapies. Les ondes de choc, aussi appelées thérapie par ondes acoustiques, visent à améliorer la circulation sanguine en stimulant la régénération des tissus vasculaires dans le pénis. Certains rapports suggèrent qu’il peut y avoir une amélioration chez certains patients avec dysfonction érectile modérée, mais les preuves scientifiques solides manquent encore pour beaucoup de confirmer l’efficacité à long terme de ce traitement. De plus, le P-Shot, qui implique l’injection de plasma riche en plaquettes, est encore en phase de recherche clinique; les résultats peuvent varier et l’efficacité n’est pas bien établie dans des études rigoureuses. Les effets secondaires possibles, bien que souvent minimes, peuvent inclure des douleurs ou des hématomes au site d’injection ou d’application. Quant aux effets à long terme, il n’existe pas suffisamment de données pour confirmer leur innocuité sur plusieurs années. L’entretien régulier ou répétitif de ces traitements soulève aussi des questions sur la durabilité des effets bénéfiques. Pour tous les traitements de dysfonction érectile, une consultation avec un spécialiste de la santé sexuelle ou un urologue peut offrir une évaluation plus personnalisée et des recommandations basées sur votre santé générale et vos antécédents médicaux. Vous devriez également considérer d’autres facteurs tels que le mode de vie, l’alimentation, l’exercice physique et la gestion du stress, car ces éléments peuvent avoir un impact considérable sur la santé sexuelle globale.

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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
39 days ago
5

Les traitements comme les ondes de choc (Thérapie par ondes de choc pour dysfonction érectile) peuvent améliorer la fonction érectile chez certains patients, surtout si la cause est vasculaire, mais les résultats sont variables et souvent non permanents.

Le P-shot (injection de PRP) n’a pas encore de preuves scientifiques solides à long terme, et son efficacité reste controversée, avec des effets qui peuvent être temporaires (souvent quelques mois à 1 an), nécessitant parfois des répétitions sans garantie sur 3–4 ans.

Je vous recommande fortement de consulter un Urologue pour une évaluation complète, car des traitements validés (médicaments, thérapie sexuelle, prise en charge des causes) sont souvent plus efficaces et sûrs à long terme.

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