Erectile dysfunction is a medical condition with identifiable, treatable causes. Hormonal imbalances, cardiovascular dysfunction, and metabolic issues drive most cases. We find what's actually wrong and fix it, not just hand you a pill.
Most clinics hand you a pill and send you home. We find what's actually broken. One-third of men with ED have low testosterone. And ED itself is now recognized as an early warning sign for heart disease.
For many men, the urgency of addressing ED is what finally gets them to see a doctor. We've found that low testosterone and ED frequently travel together, and once a man's levels are optimized, both drive and performance typically return.
The Testosterone Trials in the New England Journal of Medicine confirmed that testosterone treatment significantly improved sexual function. When ED persists after hormone optimization, we layer in additional targeted treatments.
TRT, DHEA, thyroid optimization, and estrogen management. Restoring hormonal balance resolves ED for the majority of hypogonadal men. Most patients see improvement within 4-8 weeks.
Sildenafil (Viagra), tadalafil (Cialis), and compounded alternatives. Clinical trials show ~69% improvement. We use these strategically alongside root-cause treatment, not as the only answer.
Works through the central nervous system to improve arousal and desire. Unlike Viagra or Cialis, PT-141 targets the brain, not just blood flow. Effective for both men and women.
Metabolic health, lipid management, blood pressure optimization, and lifestyle medicine. Improving endothelial function restores blood flow where it matters.
We start with comprehensive lab work to understand what's driving your ED. No guessing, no generic prescriptions. A treatment plan built around your biology.
Select the Focused Hormone Evaluation ($299). Includes a comprehensive hormone and metabolic panel, 60-90 minute consultation with Dr. Strand, and your personalized treatment plan.
Visit any Labcorp location. We test testosterone (total and free), estradiol, SHBG, thyroid, insulin, HbA1c, lipids, PSA, and a full metabolic panel. Results in 3-5 business days.
Review your results via telehealth or in-clinic. Dr. Strand explains exactly what's causing your ED, walks through treatment options, and builds your personalized protocol.
Your protocol may include TRT, PDE5 inhibitors, PT-141, cardiovascular support, or a combination. Medications ship to your door. Most patients continue with a membership ($130/mo) for ongoing prescriptions and monitoring.
One-time evaluation. 100% confidential. No insurance billing.
Every review is from a verified Google patient.
He explains things clearly and thoroughly, never rushing, and makes sure you understand both the "why" and the "what" behind your care.
I'm 75 years old and have dozens of doctors in my life. Dr Strand has been a life-line for me. I can not overstate this doctor's ability.
I've noticed significant improvements in my energy, mood, and overall well-being. I've referred multiple people to this clinic.
Four months later, I've dropped over 30 lbs and feel like I'm genuinely on the right trajectory.
Dr. Strand makes the process simple and easy to follow. He takes the time to walk you through every step.
Broke down and explained every piece of the process to make sure I had a good understanding and felt comfortable.
This is my fourth TRT provider and the first one where I feel I receive the necessary attention and the medical knowledge to optimize my results.
The detail he goes through with you on your lab work is awesome!
I don't think I have had a health care professional actually listen to me in at least the last 20 years.
Great experience with Asymmetric Health.
The doctor explained everything clearly, discussed my options and answered all my questions.
Doctor is knowledgeable and cares about my health.
Common questions from men considering erectile dysfunction treatment with asymmetrichealth in Lacey, WA.
ED is rarely caused by a single factor. The most common root causes include low testosterone (hypogonadism), cardiovascular disease and poor blood flow, insulin resistance, high blood pressure, medication side effects, stress, and sleep disorders. At asymmetrichealth, we test for all of these rather than guessing with a prescription.
Research shows that approximately 30 to 35 percent of men presenting with ED also have clinically low testosterone. Low T reduces libido, impairs nitric oxide production (which is essential for erections), and contributes to fatigue and mood changes that further affect sexual health. Treating the hormone deficiency often resolves or significantly improves ED.
Yes, when appropriate. PDE5 inhibitors like sildenafil (Viagra) and tadalafil (Cialis) are effective tools, but they only address the symptom, not the cause. We use them as part of a comprehensive plan that also targets the underlying hormonal, cardiovascular, or metabolic dysfunction driving your ED.
Our ED evaluation includes total and free testosterone, estradiol, SHBG, thyroid panel, fasting insulin, HbA1c, lipid panel, CBC, comprehensive metabolic panel, and PSA. If cardiovascular risk is suspected, we may add advanced lipid markers and inflammatory markers. This gives us the complete picture, not just a testosterone number.
Yes. Research published in the American Journal of Cardiology shows that ED symptoms typically appear 2 to 5 years before a cardiac event. The penile arteries are smaller than coronary arteries, so they show signs of endothelial dysfunction earlier. ED can be a sentinel marker for cardiovascular disease, which is why we always evaluate cardiovascular health as part of our ED workup.
Beyond PDE5 inhibitors, our treatment options include testosterone replacement therapy, PT-141 (bremelanotide) for central nervous system-mediated arousal, peptide therapy for tissue regeneration and blood flow, cardiovascular optimization, and lifestyle medicine. The right combination depends on your lab results and symptoms.
Yes. Dr. Strand sees ED patients both in-clinic in Lacey, WA (serving Olympia, Thurston County, and the South Puget Sound area) and via telehealth throughout Washington state. Lab work is completed at any Labcorp location, and medications ship directly to your door.
Absolutely. asymmetrichealth is a direct-pay practice. We do not bill insurance, which means no insurance company ever sees your diagnosis or treatment plan. Your care is between you and Dr. Strand.
Schedule a free, confidential consultation. Discuss your symptoms, ask questions, and find out if our approach is right for you. No pressure, no judgment, no insurance involved.
100% confidential. Lacey, WA clinic. Telehealth available statewide in Washington.
