Erectile Dysfunction Treatmen
Asheville, NC Serving Asheville, Fairview & Western NC
When erections become harder to get or don’t last as long as you’d like, it can take some of the enjoyment out of sex. You want to feel close to your partner and enjoy the moment without worrying about whether your body will cooperate. Those concerns deserve time and a straightforward conversation with a physician who takes them seriously.
At Vero Wellness & Aesthetics, we offer erectile dysfunction treatment for men in Asheville, Fairview, and Western NC, including the P-Shot, acoustic wave therapy, and Priapus Toxin. You’ll meet directly with Dr. Matthew Moye, who also performs your treatment. Together, you’ll talk through what’s changed, what you’d like to improve, and how these options compare. Our goal is to help you understand your choices and find an appropriate way forward, with your comfort and privacy respected throughout your care.
Erectile dysfunction, or ED, means having ongoing trouble getting or keeping an erection firm enough for sex. For some men, getting an erection is the difficult part. For others, it’s losing firmness before they’re ready. You can still have a strong interest in sex and experience ED. Occasional difficulty can be normal. If it keeps happening or starts affecting how you feel about intimacy, it’s worth talking about. You don’t have to wait until you’ve lost erections completely to seek treatment.
An erection depends on blood reaching the penis, nerves carrying the right signals, and the body responding to arousal. Changes in circulation, diabetes, certain medications, low testosterone, stress, and anxiety can interfere. Sometimes several factors are involved.
Dr. Moye reviews your symptoms and medical history to look for an underlying cause of ED before recommending a procedure. A treatment aimed at blood flow won’t address every reason erections become less reliable. ED can also be an early sign of cardiovascular disease, so new changes deserve a medical evaluation. If hormone-related symptoms need attention, our men’s health optimization services provide a related avenue for assessment.
Our ED services focus on nonsurgical procedures for men who want to explore treatment beyond pills. The P-Shot, acoustic wave therapy, and Priapus Toxin approach erectile function in different ways. Dr. Moye will explain what each involves and how the available research relates to your concerns.
The Priapus Shot, often called the P-Shot, begins with a small sample of your blood. It’s processed to concentrate the platelets, which contain growth factors involved in healing. Dr. Moye then injects this platelet-rich plasma, or PRP, into penile tissue.
The purpose of this approach is to explore whether those growth factors can support tissue changes that improve erection quality. For men interested in a procedure using their own blood rather than a daily medication, that distinction is part of its appeal. PRP is still experimental for ED, however, and its ability to produce reliable, lasting improvement has not been established. Dr. Moye will discuss that uncertainty with you before treatment.
Acoustic wave therapy uses a handheld device to deliver pulses of sound energy through the skin. There’s no injection involved in the wave treatment itself. You’ll feel tapping or pulsing over the treatment area, and you should tell Dr. Moye if it becomes uncomfortable.
Research on low-intensity shockwave therapy has examined whether it can improve penile circulation, support firmer erections, and improve sexual function. The technology matters: focused shockwaves and radial pressure waves work differently, so results from one device don’t establish what another will do. Dr. Moye can explain the device proposed for your care, the treatment schedule, and the limits of the evidence supporting it.
Priapus Toxin involves botulinum toxin injections into penile tissue. Researchers are studying whether relaxing smooth muscle can help blood flow and erectile response, including in men whose current treatment hasn’t helped enough.
This is an off-label use, which means ED is outside the medication’s FDA-approved indications. Early findings do not establish that it will work for every man or replace other treatment. If this option interests you, Dr. Moye will explain the injection process, possible side effects, and what you can reasonably expect based on your circumstances.
You’ll often hear PRP and wave-based treatments described as regenerative therapies. The term refers to their intended effects on tissue or healing. It doesn’t establish that they can reverse ED. The American Urological Association’s ED guideline describes PRP as experimental and low-intensity shockwave therapy as investigational. A 2026 SMSNA position summary recommends limiting restorative approaches to approved clinical trials. Understanding those limits is part of deciding whether to pursue treatment.
For many men, the goal is simple: an erection that feels firm enough for sex and lasts long enough to enjoy it. Others want intimacy to feel more spontaneous, or want to explore whether they can rely less on pills. Being able to talk about those goals openly is an important part of your care at Vero.
Dr. Moye will help you separate what you hope to achieve from what a particular procedure can reasonably offer. The P-Shot, acoustic wave therapy, and Priapus Toxin are offered with the aim of improving erectile function, but results vary, and some men won’t improve. A useful treatment plan includes a way to assess whether it’s actually helping you.
You can start with a consultation if you’re having recurring difficulty getting or maintaining an erection, or if your current treatment hasn’t met your needs. Tell Dr. Moye if you’ve tried ED medication, experienced side effects, or simply want to understand the procedures Vero offers.
Before an injection or wave treatment, Dr. Moye reviews your medical history, medicines, and symptoms to determine whether you’re a good candidate. An active infection, bleeding concerns, drug allergies, or certain neuromuscular conditions can affect whether a procedure is appropriate. Penile pain, curvature, or more complex findings may require a urologist’s assessment. The consultation helps establish which next step makes sense for you.
Your first visit starts with a conversation. Dr. Moye will ask when the changes began, whether you’re having trouble getting an erection or keeping it, and what you’ve already tried. You can also bring up concerns about sensation, desire, or the appearance of the penis. There’s no need to find the perfect medical words to explain what’s bothering you.
An examination and any indicated blood tests help guide the discussion. Testing may include testosterone levels as part of the assessment. If a procedure is appropriate, Dr. Moye will walk you through how it’s performed, comfort measures, possible risks, and aftercare. The P-Shot includes a blood draw and PRP preparation. Priapus Toxin involves injections, while acoustic wave therapy is applied externally. Visit length and the number of sessions depend on your plan.
Bring a list of your medications and any recent relevant lab results. Continue prescribed medicines unless your treating clinician tells you otherwise. Before treatment, we’ll discuss any preparation and recovery instructions that apply to your procedure.
How you feel afterward depends on the procedure. Wave treatment can cause temporary discomfort, redness, or bruising. Injections can leave the area tender, swollen, or bruised, and carry risks of bleeding and infection. Discuss when you can return to sex and exercise before you leave so you know how to plan around treatment.
Call the practice about worsening pain, redness, or unexpected symptoms. Botulinum toxin also carries a warning about effects spreading beyond the injection site. Difficulty breathing or swallowing afterward requires immediate medical care.
We’ll discuss the changes you’re hoping to notice, such as better firmness or being able to maintain an erection during sex. Follow-up includes ongoing monitoring so you and Dr. Moye can review your response and decide whether continuing or changing the plan is appropriate.
There’s no single timeline or maintenance schedule for these procedures. Improvement, when it occurs, can vary in degree and duration. Be clear about what you’re experiencing rather than feeling you should report a particular result. Treatment should be assessed against how it’s working for you.
Your ED treatment cost depends on which procedure you choose, how many visits are recommended, and whether you need lab testing or additional follow-up. We can explain the proposed costs so you can consider the plan before proceeding. Ask what is included in an estimate and confirm any insurance coverage directly with your insurer.
Talking about erections can feel uncomfortable, especially at a first appointment. At Vero, you’ll speak directly with Dr. Matthew Moye, the physician who will also perform your treatment. Discretion is a priority, and you’ll have time to explain your concerns and ask questions.
Dr. Moye is double board-certified in Internal Medicine and Geriatrics. He is also a certified provider of the P-Shot and Priapus Toxin procedures, following protocols developed by Charles Runels, MD. His expertise and direct medical oversight shape how he evaluates the factors affecting your erections and follows your response to treatment.
We want you to leave your consultation understanding what a procedure involves, why it’s being considered, and what its limitations mean for you. That conversation comes before a decision about treatment.
You don’t have to have a treatment picked out before you contact us. Start by telling us what’s changed and what you’d like help with. Vero Wellness & Aesthetics offers discreet, physician-led ED care at 1207 Charlotte Hwy in Fairview, serving Asheville and Western NC. Call (828) 202-3990 or schedule an ED consultation with Dr. Moye.
At Vero, we can discuss the P-Shot, acoustic wave therapy, and Priapus Toxin. None is established as the most effective alternative for every man. Dr. Moye will explain how each relates to your symptoms and compare it with established options when appropriate. The NIDDK treatment overview is another resource for understanding the broader choices.
Reducing reliance on pills is a goal you can discuss with Dr. Moye, but these procedures may not replace your medication. Don’t stop or combine prescribed treatments on your own. Your response and medical needs should guide any changes.
If retraction or flaccid length concerns you, bring it up during your visit. Improving how the penis looks at rest is a separate goal from improving erections. Dr. Moye can discuss the proposed approach and its limits. Permanent enlargement or an increase in erect length should not be assumed.
The P-Shot uses platelet-rich plasma prepared from your blood. It’s different from prescription erection injections that use medicine to increase blood flow. Ask about any numbing medicine or other products used during your procedure, especially if you have allergies.
That depends on the procedure and how the treated area feels afterward. Dr. Moye will explain any restrictions for your treatment. Get those instructions before your appointment if you’re planning around a particular date.
Yes. Tell Dr. Moye about changes in erections, sensation, desire, or ejaculation. Those concerns can overlap, but they may need different approaches. Explaining what you’re experiencing helps him focus the assessment.
