The clinical problem

Sexual health changes with age for both men and women, and it is closely tied to vascular health, hormonal health, and overall wellbeing. It is also frequently under-discussed — patients hesitate to raise it, and many practices are not equipped to address it well.

The UroLongevity approach

As a urologist, Dr. Shusterman treats sexual health as core clinical territory, not an awkward add-on. Men’s and women’s sexual wellness are evaluated in the context of the whole picture — vascular, hormonal, and metabolic — because sexual symptoms are often an early signal of something more systemic.

◆ Dr. Shusterman’s take

Sexual symptoms are often the body’s early warning system — the vascular canary. Treating the symptom without asking what it signals about the cardiovascular system is a missed opportunity to catch something bigger, earlier.

What’s involved

At a high level, evaluation and intervention may include:

  • A thorough evaluation of sexual-health concerns in vascular and hormonal context
  • Identification of underlying contributors — sexual symptoms can be an early vascular or hormonal signal
  • Men’s sexual health — evaluated and treated with urological depth
  • Women’s sexual health — addressed directly rather than referred away
  • Evidence-based treatment options, discussed individually and transparently
On dosing Specific dosing and protocols are individualized to your clinical picture and decided in consultation. They are not published here, because one-size guidance is not good medicine.

Honest expectations

Many sexual-health concerns are treatable, and treatment often improves quality of life substantially. Outcomes depend on the underlying cause, which is exactly why evaluation comes before intervention. Honest discussion of options — including their evidence and their limits — is part of the care.

Financial disclosure Please read. Dr. Shusterman founded ErectionWave, an acoustic shockwave platform, and developed SexuGummy, a supplement product. He has a financial interest in both. If either is discussed or recommended as part of your care, that financial relationship is disclosed to you directly. These disclosures are provided so you can weigh any recommendation with full information. A recommendation is always based on clinical judgement first; the disclosure exists so the judgement can be assessed transparently. See the full Disclosures page.