ED is common. Treatable. Confidential.
Erectile dysfunction is common and can involve vascular, neurologic, medication-related, hormonal, and psychological factors. Your evaluation starts with a private review of the whole picture and a treatment plan based on what is found.
Private, comfortable, and judgment-free.
One-on-one with the doctor
Dr. Brown leads clinical evaluation and treatment decisions; clinic staff may assist with intake, testing, scheduling, and records.
Start by phone if you prefer
A free 15-minute phone call is available for general questions before you decide whether to schedule a clinical evaluation.
Private and confidential
Health information is handled according to applicable privacy laws and our privacy notices. The patient portal is available for clinical messaging.
A nonjudgmental environment
Expect a straightforward, respectful conversation about your symptoms, goals, health history, and treatment preferences.
ED is a symptom. We assess what may contribute.
Occasional difficulty is normal. Persistent ED usually points to something underneath, because healthy erectile function depends on several systems working together. Diagnosis begins with medical, sexual, and psychosocial history, a focused exam, and selected testing when indicated. Not everyone needs the same laboratory panel.
Vascular & metabolic
High blood pressure, high cholesterol, diabetes, cardiovascular disease, smoking, and other circulation-related issues can contribute. ED can also be a reason to review cardiovascular risk with a clinician.
Neurologic & medication-related
Nerve conditions or injury, pelvic surgery, sleep problems, alcohol or other substances, and some prescription medications can affect erectile function.
Hormonal & psychological
Testosterone deficiency can contribute in some men, but it should not be assumed. Stress, anxiety, depression, and relationship factors may also play a role, alone or alongside physical causes.
About low testosterone →Know the cost before you walk in
The $150 initial consultation includes the two clinical visits shown here. If treatment is appropriate, membership is $29/month plus medication. Additional visits, supplies, and add-on or specialty testing are separate unless expressly included in your care plan. A free 15-minute informational phone call is available. Consultations are in person at our Gresham and Beaverton clinics in the Portland metro.
Comprehensive intake
- Meet Dr. Brown one-on-one
- Review symptoms, health history, medications, and cardiovascular risk
- Focused exam and testing when clinically indicated
Findings & plan
- Review findings and any test results
- Discuss benefits, risks, alternatives, and costs
- Agree on next steps if treatment is appropriate
Membership care
- 3 scheduled follow-ups in year one: 1 in person, 2 by phone
- Routine monitoring based on your treatment
- Patient-portal messaging for nonurgent questions
Initial Consultation
Two clinical visits as shown here
- Visit 1: 30-minute intake and focused exam
- Follow-up: 30-minute findings and lab review, if applicable
- Treatment options explained clearly
- No obligation to continue
ED Membership
Medication cost varies by type
- 3 follow-up appointments first year (1 in person, 2 phone)
- Routine monitoring included as described in your care plan
- Patient-portal messaging for nonurgent questions
- Medication and injection supplies priced separately
- Extra visits and add-on or specialty labs priced separately
Every Ignite membership also includes
- Add-on labs available at member rates
- Member discounts on supplements
- Discounts on combined memberships, so you can pair ED care with TRT or weight loss
What men ask us most often
Is my visit really confidential?
Dr. Brown leads the clinical evaluation, while staff may assist with intake, testing, scheduling, and records. Health information is handled as described in our Privacy Policy and on our Health Information Privacy page, including uses or disclosures permitted or required by law. A free phone call is available for general questions, but it is not a diagnosis, prescription visit, or substitute for a clinical evaluation.
Do I need testosterone therapy too?
Not necessarily. Testosterone deficiency is one possible contributor, but ED alone does not establish it. Testing is selected based on your symptoms and history. A diagnosis generally requires compatible symptoms plus consistently low testosterone on two separate early-morning measurements — that comes before any discussion of testosterone therapy.
How fast does treatment work?
Response depends on the contributing factors and treatment. Oral PDE5 medication does not work for everyone on the first try; correct use and several attempts may be needed before judging the response. Do not change a prescribed dose on your own. Follow-up is used to review effectiveness, side effects, and alternatives.
What safety issues should I know about?
PDE5 inhibitors must not be used with nitrate medicines because the combination can cause a dangerous drop in blood pressure. Tell your clinician about every medicine and substance you use before treatment. Penile injection therapy requires individualized dosing and hands-on instruction. An erection lasting more than four hours is an emergency and needs immediate medical care.
What will the medication cost?
Medication is priced separately from your $29/month membership, and the cost varies depending on which medication fits your plan, since oral and injectable options differ. Dr. Brown walks through the options and their costs during your results review or treatment-planning visit before anything is prescribed.
A confidential conversation is one call away
Start with a free 15-minute phone call for general questions, or book the $150 clinical consultation online. The introductory call does not diagnose a condition, provide a prescription, or establish a clinician-patient relationship.