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Doctors
Dr. Martin Glochowsky, MD – Chicago Treatment Center
Dr. Martin A. is a graduate of the University of Illinois where he earned both his bachelor’s and medical degrees. He became a physician because it allowed him to use both his mind and heart. He enjoys his line of work and explains everything to his patients in a way they can understand.
Dr. William Livingston – Costa Mesa Treatment Center
Dr. William Livingston became part of the Boston Medical Group in 2006 as the chief physician of the Costa Mesa, CA office. He obtained his undergraduate degree from DSU, he attended the University of Mississippi, and at the University of Pennsylvania where he got his medical degree. He was part of the United States Navy and Medical Corp. and worked for numerous naval hospitals. He served as Chief of Urology in the US Naval Hospital in Yokozuna, Japan.
Dr. Eric Sichel – Lyndhurst Treatment Center
Dr. Eric Sichel is a caring physician who had been focusing on men’s health for the past five years. Before that, he spent 15 years shifting between general medicine and pharmaceutical drug development.
Dr. Henry Abrams – New York Treatment Center
Dr. Abrams is a Board Certified Urologist with 55 years of experience in the medical field. He graduated from NY Medical College in 1962 and served in the US Air Force as Captain. Dr. Abrams is a medical staff of the Long Island Jewish Medical Center. He has several clinical papers and presentations in Urology to his credit.
Dr. Kirt Tyson – Washington Treatment Center
Dr. Kirt Tyson, N.M.D has been board certified in Naturopathic Family Medicine and Pain Management. He joined the Boston Medical Group in 2014. Dr. Tyson graduated with a degree in Biology in Morehouse College. He completed his Naturopathic Medical doctorate from Southwest College of Naturopathic Medicine in Tempe, AZ. Dr. Tyson’s postdoctoral training includes men’s health and interventional pain management.
Dr. Thomas Nunn – Dallas Treatment Center
Dr. Thomas M. Nunn graduated from LSU in Baton Rouge in architecture in 1978 before pursuing his lifelong dream of practicing medicine. He graduated from University of Texas Southwestern Medical School in Dallas as a physician assistant in 1997. He practiced family medicine, geriatrics, and neurology before joining Boston Medical Group.
Erectile Dysfunction
Erectile Dysfunction (ED) is the incapacity to maintain and achieve a sufficient erection satisfactory sexual intercourse. While it is mostly associated with older men, ED is a usual problem for men of all ages.
ED Causes
Psychological
Psychological factors include nervousness, performance anxiety, or fear of failure during lovemaking and account for about 10% of erection problems. These factors cause a surge of adrenaline, reducing the flow of blood to the penile area. Hence erectile difficulty.
Psychological Erectile Dysfunction can become self-perpetuating. After some incidents of repeated failure, the body becomes used to releasing adrenaline just at the thought of sexual encounter.
Other less usual causes include low sexual drive, guilt, stress, anxiety, sexual boredom or depression.
Physical
The remaining 90% accounts for physical factors categorized as vascular (relating to blood flow) and non-vascular diseases. It had been estimated that about 70% of all recorded ED cases could be attributable to vascular diseases alone.
To become fully erect, the penis requires a healthy blood flow. Even a minimal reduction can potentially cause problems.
Vascular insufficiency is associated with or caused by diabetes, hypertension, high blood cholesterol, cardiac diseases, smoking, and reduced overall circulation.
ED Adverse Effects
Erectile dysfunction can cause mental problems like feelings of inadequacy, frustration, poor motivation, denial and low self-esteem, and in worst cases, depression.
ED Symptoms
According to statistics, 52% of men over the age of 40 experience erectile dysfunction. Symptoms may vary but here is a list of the most common ones:
● Difficulty in maintaining an erection at least once in every four sexual intercourse attempts, or persisting for more than a month.
● Attaining an erection takes longer than usual, or becomes more difficult.
● Sexual erection becomes less rigid or weaker.
● Maintaining an erection becomes effortful more difficult.
● Erections every morning becomes less rigid or less frequent.
● Ejaculating or climaxing with an incomplete erection or more rapidly.
ED Treatment Options
Intracavernous Pharmacotherapy (ICP)
This is considered as a useful but underutilized treatment for ED. It involves using an auto-applicator to inject a combination of FDA-approved vasodilators into the specific spongy tissue of the penis. Hence, an erection occurs within minutes. In sporadic cases, the side-effects of ICP include pain or tenderness, penile bruising, scarring, and priapism. Boston Medical Group’s independent network of physicians had developed a particular approach to this method practical for thousands of patients. It is recommended for mn with heart conditions, diabetes, high blood pressure or other illnesses.
Oral Medications (ED Pills)
Oral medications are very well known, and the convenience they give make them the first-line of treatment. While these are effective for most men, those taking nitrates for chest pain should not use ED pills for the risk of an unsafe drop in blood pressure. Other side effects include but are not limited to, loss of hearing, blurred vision, and headaches.
Intraurethral Suppository (MUSE)
MUSE has a validator known as Alprostadil in the form of a pellet inserted into the urethra through an applicator.
Penile Prosthesis
A Penile prosthesis is often the last resort of treatment, given that there are other methods less invasive and more efficient. The best prosthesis is composed of a pump, inflatable tubes, and a reservoir. The inflatable tubes are inserted into the erectile chambers, the reservoir behind the pubic bones, and the pump in the scrotum. Upon activation of the pump, the reservoir allows fluids to flow into the tubes, which in effect hardens the penis and becomes erect. Bleeding, pain and discomfort, infection, and mechanical failure are some complications. Boston Medical Group physicians do not perform these surgical procedures.
Vacuum Suction Devices (VSDS)
A VSD is either a manually or battery-operated cylindrical pump fully enclosing the penis. Upon activation, the machine creates a vacuum by sucking the air out of the chamber, drawing blood to the penis. Some disadvantages include discomfort, incomplete erections, and the time required for operation.
Arterial and Venous Surgeries
About 2% to 5% of patients are possible candidates for surgery including venous litigation and arterial bypass. The risks are those related to other major surgical procedures. These operations are not performed by Boston Medical Group physicians.
Hormonal Replacement Therapy
Some men experience andropause, similar to menopause in women, that can be caused by low testosterone. Common symptoms are fatigue, poor sleeping habits, feelings of sluggishness, weight gain, little sex drive or erectile dysfunction. Hormonal Replacement Therapy can reverse these signs and even improve sexual drive.
Sex Therapy
Sex therapy is the usual treatment of choice for men with psychological ED. It requires the cooperation of sexual partner, multiple sessions and an experienced sex therapist for better results.
Sublingual tablets
These are for men who otherwise can tolerate the side-effects of ED pills but want a faster and more robust acting solution. These tablets are just as the same as oral medications, but because of speedier absorption, they have a quicker onset of response.
Premature Ejaculation
Premature Ejaculation (PE) is the prevalent form of male sexual dysfunction. In the simpler words, premature ejaculation is merely the ejaculation that happens before both partners would like in a majority of their sexual encounters. It may lead to stress, worry or concern. For some, PE may occur in all manners of sex, including masturbation. In other men, premature ejaculation materializes only during sexual encounters.
PE Symptoms
Uncontrolled ejaculation before or after penetration is the primary symptom of PE. It can happen in all sexual situations and during masturbation.
● Inability to control ejaculation.
● Ejaculating before or after he satisfied his partner.
● Ejaculationg before, upon, or after penetration.
PE Causes
Premature ejaculation is typically caused by both an over-sensitive glans penis and performance anxiety during sex. Biological causes of PE are:
● Thyroid issues
● Hormonal imbalances
● Abnormal reflex activity of the ejaculatory system
● Neurotransmitter abnormalities
● Inflammation and infection of the prostate or urethra
Adverse effects
The most common patient complaint is the stress that PE causes. It often leads to internalized guilt, lack of communication, and resentment.
PE Treatment
Premature ejaculation may seem like a natural, one-stop problem to solve, but in reality, it’s not. The endpoint in treating PE is to achieve satisfaction for both the patient and his partner.
Boston Medical Group provides a stepwise approach to the treatment. The underlying cause of PE must be diagnosed before a particular treatment program can be suggested. Following the program, soon enough, you’ll be able to control your ejaculation on your own.
Intracavernous Pharmacotherapy (ICP)
This involves a painless injection of a minimal amount of vasodilators in the spongy tissue of the penis, via an auto-applicator. ICP had been used all over the world for over twenty years and proved that it is safe and widely accepted.
Start and Stop Technique, Kegel Exercises, Squeeze Technique
The “Start and Stop” technique involves trying to delay ejaculation by either stopping the motion or withdrawing the penis just before the “point of no return.”
The “Squeeze” technique demands the partner to squeeze the head of the penis before the “point of no return.” These techniques require patience, consistency and unwavering support from the partner.
Kegel exercises, also known as pelvic floor exercises require repetitive contractions of the pelvic muscles. The result of this activity alone is limited, yet it can be enhanced with a combination of other treatments like ICP.
Local Anesthetic Gel, Spray or Cream
The purpose is to numb the head of the penis to lessen the penile sensation, therefore reducing the possibility of uncontrolled ejaculation.
Central Nervous System (CNS) Suppressants
The primary goal is to restore a neurotransmitter imbalance in the brain regarding serotonin level.
Low Testosterone
Testosterone is the principal hormone of the testicles and is responsible for the healthy development and growth of male organs and maintenance of other sexual characteristics.
It also contributes to some vital body functions like facial hair development, embryological development, body muscle mass, bone strength, brain function, red blood cells function, and energy and mood levels.
The range of average testosterone level is 300-1100 ng/dL. It is best for a man to get about 800- 1100 ng/dL. Upon reaching mid 30’s, production of testosterone declines an estimate of 1% each year – 10% in 10 years or even more. The more significant decline in testosterone level can happen due to obesity, infectious diseases, excess of blood iron and inflammatory diseases.
Low T Symptoms
Mood swings
Irritability and low testosterone level are closely linked in men. According to research, it is believed that small testosterone levels affect men’s thinking as they grow older.
Poor libido
Low testosterone can lower one’s sex drive, hence making his sex life unproductive.
Low Energy
Men with low levels of testosterone easily tire from strenuous activities.
Unwanted Body Changes
The most common symptom of low testosterone in men is body malaise and fatigue which can lead to muscle wasting. Lack of lean muscle can eventually result in weight gain.
Low T Treatment
Testosterone Injections
The starting dosage is about 100mg every week. Depending on the response to treatment, the dose can be adjusted to 150-200mg per week.
Patches (Androderm)
Low therapeutic effects, showing off a visible patch, and skin irritation are some problems caused by using patches.
Testosterone Gel
This is the most common form of low testosterone treatment. Showering within two hours of application should be avoided, as well as contact with partner and children.
Testosterone Pellets
Testosterone can be in the form of tiny grains called pellets that can be inserted under the skin, most preferably in the buttocks.
HCG
This method is appealing to younger men concerned with side-effects of reduced fertility and testicular atrophy.
Our Locations
Boston Medical Group has offices in the following areas:
California
Costa Mesa, CA – Office
Los Angeles, CA – Office
San Diego, CA – Office
Illinois
Chicago, IL Office
Michigan
Southfield, MI Office
New Jersey
Lyndhurst, NJ Office
New York
New York, NY Office
Texas
Houston, TX Office
Dallas, TX Office
Virginia
Alexandria, VA Office
Washington DC
Washington DC Office
Reviews & Ratings
Are you researching Boston Medical Group because you are considering joining their team of doctors or specialists? You can check their ratings and reviews for complaints here on Indeed and GlassDoor.
Glass Door: https://www.glassdoor.com/Reviews/Boston-Medical-Group-Reviews-E367959.htm
Indeed: https://www.indeed.com/cmp/Boston-Medical-Group/reviews
Boston Medical Group 