Erectile dysfunction (ED) is more common than you might think—and it doesn’t just affect your physical health. It can also impact your confidence, relationships, and overall quality of life. Fortunately, today’s ED treatments go far beyond the little blue pill. Two of the most advanced therapies available today are GAINSWave and testosterone replacement therapy (TRT).

At Genesis Lifestyle Medicine, we offer both GAINSWave and TRT, guided by expert medical professionals who personalize your care based on the root causes of your ED. But with two powerful options on the table, the question becomes: Which one should you try first? This article breaks it down in detail, so you can make an informed decision about your sexual health.

What are GAINSWave and TRT?

Erectile dysfunction can stem from several causes, including poor blood flow, nerve dysfunction, and low testosterone levels. GAINSWave and TRT target two different areas of this equation. Understanding how each treatment works helps clarify which is best suited for you.

GAINSWave

GAINSWave is a non-invasive therapy that uses low-intensity sound waves (also known as extracorporeal shockwave therapy) to stimulate blood vessel growth and clear micro-plaque in the penis. This process is called angiogenesis. By improving vascularization and circulation in the penile tissue, GAINSWave enhances the natural erectile response.

Unlike medications that provide temporary blood flow boosts, GAINSWave aims to treat the root vascular causes of ED. Most patients begin to see results after six sessions, with long-lasting improvements in erectile function, firmness, and spontaneity.

TRT

Testosterone replacement therapy works differently. It addresses ED caused by low testosterone levels—a condition that naturally occurs with aging or may be triggered by stress, illness, or other hormonal disruptions. TRT restores your body’s testosterone through injections, pellets, gels, or patches, thereby restoring erectile health.

Testosterone plays a crucial role in regulating libido, erectile function, mood, energy levels, and muscle mass. When testosterone levels drop, you may experience low sex drive, difficulty achieving or maintaining an erection, and decreased physical stamina. TRT helps normalize these hormonal levels, which can indirectly improve your erectile performance over time.

You should try GAINSWave first if…

GAINSWave is ideal for men whose ED stems from vascular or circulatory issues. Consider starting with GAINSWave if the following apply to you:

• You want a non-invasive, medication-free option: GAINSWave doesn’t require pills, needles, or surgery. If you prefer a natural method with no ongoing medications or chemical exposure, this therapy offers a safe, science-backed alternative.
• Your testosterone levels are normal: If a blood test reveals that your testosterone is within the normal range, hormone therapy may not be necessary. In this case, poor blood flow is likely the root cause of your ED, making GAINSWave a better first choice.
• You want long-lasting improvement: Because GAINSWave improves vascular health, it restores your body’s natural ability to get and maintain an erection, without relying on medications. It offers freedom and spontaneity that’s hard to beat.
• You’ve tried ED medications with little success: If medications like Viagra or Cialis aren’t producing the results you hoped for, it might be because they don’t address the underlying blood flow problems. GAINSWave targets the root cause, offering more sustainable results.

You should try TRT first if…

TRT is ideal for men whose ED is closely tied to hormonal imbalance. Consider starting with testosterone replacement therapy if these situations sound familiar:

• You have low testosterone: If you’re also struggling with low sex drive, chronic fatigue, weight gain, or depression, your ED could be part of a broader hormonal issue. TRT helps address this by boosting your testosterone to healthier levels.
  
• Blood tests confirm low testosterone: Laboratory testing is essential before starting TRT. If your levels fall below the normal range, this treatment may significantly improve not only your erections but also your overall vitality and energy.
  
• You’ve noticed reduced morning or spontaneous erections: The frequency of morning erections is often an indicator of testosterone levels. A noticeable decline could be hormonal rather than vascular, suggesting TRT may be the better first step.
  
• You want whole-body benefits: TRT does more than just support sexual health—it can enhance muscle tone, cognitive function, mood, and motivation. If you’re looking for broad-spectrum improvement in your well-being, TRT may be the answer.

Combine GAINSWave and TRT for optimal results

You don’t always have to choose just one treatment at a time. In fact, GAINSWave and TRT often work best in combination, especially if your ED stems from both vascular and hormonal causes. By enhancing blood flow and optimizing testosterone levels, you give your body the full support it needs for stronger, more consistent erections.

At Genesis Lifestyle Medicine, we frequently design custom protocols that combine both treatments to produce faster, longer-lasting, and more satisfying results. Our team will begin with comprehensive lab testing and a one-on-one consultation to identify the underlying cause of your ED. From there, we’ll tailor a treatment plan that aligns with your goals—whether it involves GAINSWave, TRT, or both. Schedule your consultation to explore your ED treatment options and identify the right solution for your specific needs.