Shockwave Therapy for ED: The Science, the Costs, and Whether It’s Worth It
- Just Healthy
- Dec 31, 2024
- 15 min read
Updated: 4 days ago
✔ Medically reviewed by Megan Allen
Yes, shockwave therapy for erectile dysfunction (ED) is effective, helping 75% of patients with improvements lasting over two years. It uses low-intensity shockwaves to enhance penile blood flow, potentially restoring erectile function.
Key Highlights
Shockwave therapy for erectile dysfunction (ED) offers a non-invasive, sound wave-based treatment that improves blood flow, with studies showing a 60-70% success rate in men, particularly those with vascular ED.
While the shockwave therapy treatment is considered safe and minimally painful, it remains an experimental option and not FDA-approved, with variability in treatment protocols and patient responses. Costs range from $2,400 to $7,200.
Though results can last up to two years, ongoing maintenance sessions may be necessary, and the lack of insurance coverage means most patients pay out of pocket.
Table of Contents
What is Erectile Dysfunction?
Erectile dysfunction (ED) is a condition that many men face, characterized by the inability to achieve or maintain an erection sufficient for satisfactory sexual performance.
It’s more common than you might think. According to the American Urological Association, about 40% of men between the ages of 40 and 49 experience ED, and this number jumps to up to 90% for men aged 70 and older.
Globally, around 150 million men are affected by ED, and this number is expected to rise to 320 million by 2025. These statistics highlight just how widespread this condition is.
Symptoms and Effects on Quality of Life
The symptoms of ED can vary, but they generally include difficulty achieving or maintaining an erection, reduced sexual desire, and trouble reaching orgasm.
Beyond the physical symptoms, ED can take a significant toll on a man’s quality of life. It can lead to feelings of embarrassment, anxiety, and even depression.
These emotional impacts can strain relationships and affect overall well-being, making it a condition that affects more than just sexual health.
Why Do I Have Erectile Dysfunction?
Erectile dysfunction is typically caused by physical health conditions like cardiovascular disease, hormonal imbalances, psychological stress, or lifestyle choices like smoking. Understanding which of these factors affects you is the first step toward finding a solution.
Understanding the reasons behind ED is the first step toward finding a solution that works for you. Here are some of the most common causes of ED:
1. Physical Health Conditions
Cardiovascular Disease
Poor blood flow due to clogged arteries (atherosclerosis) is a leading cause of ED. The penis relies on good blood flow to achieve and maintain an erection.
Diabetes
High blood sugar levels can damage nerves and blood vessels, which are critical for erectile function. Men with diabetes are more likely to develop ED at a younger age.
Obesity
Being overweight can lead to conditions like high blood pressure and diabetes, which are risk factors for ED. Additionally, obesity can lower testosterone levels, further contributing to the problem.
2. Hormonal Imbalances
Low Testosterone
Testosterone is the hormone responsible for libido (sex drive) and plays a key role in achieving erections. Low levels can lead to decreased interest in sex and difficulty achieving erections.
There are many testing options to check your testosterone levels around the United States that offer same-day results.
Thyroid Problems
Both hypothyroidism (low thyroid function) and hyperthyroidism (overactive thyroid) can contribute to ED by affecting hormone balance and energy levels.
3. Psychological Factors
Stress and Anxiety
Mental health is closely linked to sexual performance. Stress, whether related to work, finances, or relationships, can interfere with your ability to relax and enjoy sexual activity.
Depression
Depression can diminish your interest in sex and lead to ED. The condition is often worsened by the medications used to treat depression, creating a cycle that's difficult to break. A great way to overcome your erectile dysfunction if you have it due to stress or anxiety is to relax. Practicing meditation or doing a lot of physical exercise can definitely help.
Performance Anxiety
Worrying about your sexual performance can make it harder to achieve an erection. This type of anxiety can stem from past experiences or fear of not satisfying your partner.
4. Lifestyle Choices
Smoking
Smoking damages blood vessels and reduces blood flow to the penis, making it difficult to achieve an erection. It's a major risk factor for ED.
Alcohol Consumption
While a small amount of alcohol can relax you, excessive drinking can interfere with your ability to get an erection. Long-term heavy drinking can cause permanent damage.
Lack of Exercise
A sedentary lifestyle contributes to obesity, cardiovascular disease, and poor circulation—all of which can lead to ED. Regular physical activity improves blood flow and boosts overall health.
5. Medications and Treatments
Prescription Medications
Certain medications, including those used to treat high blood pressure, depression, and anxiety, can cause ED as a side effect. If you suspect your medication is affecting your sexual health, talk to your doctor about alternatives.
Surgery or Injury
Procedures or injuries affecting the pelvic area or spinal cord can damage nerves and blood vessels involved in erections, leading to ED. For severe ED, consulting a doctor for personalized recommendations is crucial, especially if traditional treatments have not been effective.
What Is Low Intensity Shockwave Therapy?
Low-intensity shockwave therapy is a non-invasive treatment that uses targeted sound waves to stimulate the creation of new blood vessels in the penis. By addressing inadequate blood flow—the root cause for many—it helps restore natural erectile function.
Shockwave therapy has a long and proven medical history; for decades, high-intensity versions have been used to treat kidney stones. Today, low-intensity shockwave therapy sends sound waves to the penis to create new blood vessels.
This process is called angiogenesis. Shockwaves might promote neovascularization by increasing vascular endothelial growth factor (VEGF) secretion, enhancing receptor sensitivity, and contributing to vascular regeneration. This helps with issues such as scar tissue and Peyronie's disease, while also promoting nerve regeneration.
In one study, this treatment had a 72% success rate in men with a certain type of ED called vascular ED. That’s when the ED is caused by problems with blood flow.
There are two types of Shockwave Therapy
Therapy Type | Penetration Depth | Best Used For |
Focused Shockwave | Deep tissue | Targeted areas and more severe cases of ED. |
Radial Shockwave | Shallow, broader area | Less severe cases or as a supplementary treatment. |
These therapies work by triggering the body’s natural repair mechanisms. Patients typically experience gradual improvements in erectile function, with the best results seen after a full course of therapy, which usually consists of multiple sessions over several weeks.
Comparison to Other ED Treatments
When it comes to treating erectile dysfunction, there are several options available. Traditional treatments include oral medications like Viagra, vacuum erection devices, penile injections, and even surgery.
However, low-intensity shockwave therapy (LiSWT) is emerging as a promising alternative.
Unlike other treatments, LiSWT is non-invasive and doesn’t require medication or surgery. It works by using sound waves to improve blood flow to the penis, which can enhance erectile function. This makes it an attractive option for those looking for a less invasive solution.
What to Expect
The treatment usually takes place over 6-12 sessions. Each session lasts about 15-20 minutes, and during that time, the device sends 3,000 to 6,000 pulses to the penis. It's quick and straightforward, so you can get back to your day right after.
Is It Safe and Legit?
It's important to know that shockwave therapy is considered "off-label" in the U.S. This means it's experimental and not officially approved by the FDA for treating ED. So while it shows promise, it's still considered new and not fully proven.
Most studies report minimal side effects. Less than 1% of patients experience mild discomfort or bruising after treatment. That's a reassuring safety profile, showing that the treatment is generally safe for most men.
Try Shockwave Therapy for Ed at Home
Did you know that you can now bring the benefits of shockwave therapy into your own home? Instead of relying on expensive clinic visits and scheduled appointments, you have the option to purchase a shockwave therapy machine for personal use.
At-home shockwave therapy offers several advantages: it’s convenient, allowing you to treat yourself on your own time without the hassle of traveling to a clinic. It’s private, giving you the discretion to address your needs without feeling uncomfortable. Plus, over time, it’s cost-effective—saving you money compared to repeated sessions at a clinic.
How Shockwave Therapy Works for ED
During this therapy, a clinician employs a handheld device, similar to a small wand, that emits focused sound waves. That might be the most uncomfortable part about shockwave therapy, which is why there is also a growing number of Shockwave therapy machines for home use.
These waves penetrate the skin and tissue without discomfort, often described as a mild tapping feeling that’s generally painless. Shockwave therapy is a non-invasive treatment that's done at a clinic. Non-invasive means there's no cutting or surgery involved. No Needles, No Surgery. You won't need anesthesia (which is medicine that makes you sleep or feel no pain). Some people might feel a little discomfort during the treatment, but there's no real pain.
A study in 2010 found that patients had no serious side effects from the treatment. If you're curious about how non-invasive shockwave therapy is used in other treatments, such as for knee pain, you might find this article on shockwave therapy for jumper's knee interesting.
How Often Do You Need It?
Typically, you'll have two sessions per week for 3 to 6 weeks. The best part? You can go back to your regular activities right after each session. There's no downtime, so it won't mess up your schedule.
No Need for Anesthesia: Why This Therapy Is a Breeze
Most patients don't need any pain relief during the procedure. The discomfort is minimal and manageable, so you won't have to worry about feeling pain during or after the sessions.
The Science Behind Shockwave Therapy
Shockwave therapy research has shown promising results. A review of 14 studies found that 60-70% of men found Shockwave therapy effective in improving their erectile function after the treatment.
On average, their IIEF scores (which measure erectile function) increased by 6-7 points. This is solid evidence that this treatment works for many men.
Is It Right for Your Type of ED?
Shockwave treatment is especially effective for vasculogenic ED, which is when your ED is caused by blood flow problems. It’s particularly helpful for men who haven’t had success with oral medications like Viagra.
In fact, 76% of men with mild to moderate vasculogenic ED saw improvement with shockwave therapy. That’s a big win for those looking for alternatives.
Placebo Effect: Could Vascular Endothelial Growth Factor Play a Role?
In one study, about 9% of patients in the placebo group (who didn't actually receive the real treatment) reported improvements.
This shows that while shockwave therapy is effective, a small part of its success might come from the placebo effect, where people feel better simply because they believe they're being treated.
Clinical Trials and Study Results
Several clinical trials have explored the effectiveness of low-intensity shockwave therapy for treating ED. For instance, a 2016 study published in the Journal of Urology found that LiSWT improved erectile function in 60% of participants.
Another study, published in the Journal of Sexual Medicine in 2018, reported that LiSWT not only improved erectile function but also reduced symptoms of ED in men with mild to moderate ED. While these results are promising, it’s important to note that more research is needed to fully understand the benefits and risks of LiSWT for treating erectile dysfunction.
Risks and Side Effects
While shockwave therapy for erectile dysfunction is generally considered safe, there are some potential risks and side effects to be aware of. These may include:
Mild Pain or Discomfort
Temporary Bruising or Swelling
Increased Sensitivity or Numbness
Rare Serious Side Effects
Who is a Good Candidate for Shockwave Therapy?
Shockwave therapy works best for men over 40 and those whose ED has lasted less than 5 years. These patients tend to see the most significant results. If this sounds like you, shockwave therapy might be a good option.
Will It Work for You?
However, the treatment is less effective for men with severe diabetes or those who’ve had prostate surgery. Shockwave therapy is being explored as a method to treat erectile dysfunction, with varying effectiveness based on individual health conditions.
Vascular health (how well your blood vessels work) plays a big role in how well the treatment works. So, if you have other health issues affecting your blood flow, the results might not be as good.
Importance of Vascular Health
Men who are otherwise healthy but have isolated ED (ED that's not caused by other health problems) respond best to shockwave therapy. Good cardiovascular health is key to seeing positive results, so it's important to be in good overall health for the best outcomes.
What's your main reason for exploring alternative treatments like shockwave therapy for ED?
Traditional medications haven't worked for me
I want to avoid side effects from pills or injections
I'm looking for a long-term solution, not just a quick fix
I prefer non-invasive treatment options
Long-Term Efficacy and Safety
The benefits of shockwave therapy can last up to two years. Ongoing maintenance sessions may be necessary, and the variability in treatment protocols can affect long-term efficacy. However, about 40% of patients might need follow-up sessions to maintain these improvements. It’s not necessarily a permanent fix, but it can offer long-term relief for many men.
Will You Need Follow-Ups?
To keep the benefits going, some men may need maintenance treatments. This is something to consider when planning long-term care. It's a bit like getting your car serviced regularly—it helps keep everything working smoothly.
Costs of Shockwave Therapy for ED
Shockwave therapy isn't cheap. In the U.S., sessions cost between $400 and $600 each.
Depending on how many sessions you need, the total cost can range from $2,400 to $7,200. It's a significant investment, so it's important to weigh the costs against the potential benefits.
Does Insurance pay for Shockwave Therapy ?
Most insurance plans don't cover shockwave therapy for ED. It's considered an elective, non-essential treatment. That means you'll likely have to pay out of pocket, which can be a big financial commitment.
Cost: Shockwave Therapy vs Long-Term Medication
Oral ED medications, like Viagra or Cialis, cost about $50 per dose. Over time, these costs add up. If shockwave therapy works for you, it might be more cost-effective in the long run because you could reduce or eliminate the need for ongoing medication.
Insurance and Payment Options
As of 2024, neither Medicare nor most private insurance plans cover shockwave therapy for ED. A survey by the American Urological Association found that 75% of men are prepared to pay out of pocket.
This shows that many people are willing to invest in a solution, even without insurance coverage.
Out-of-Pocket Spending: How to Make It Affordable
Paying out of pocket can be a big financial commitment. Some patients look into financing options or payment plans that clinics offer to make the treatment more affordable. It's worth asking about these options if you're considering shockwave therapy.
If you're ready to explore treatment options, you can search for clinics offering shockwave therapy near me to find a convenient location close to you.
Payment Plans and Accessibility: Making It Work for Your Budget
Many clinics offer financing or payment plans. These options can spread out the cost, making the treatment accessible to more people. If the upfront cost is too high, a payment plan might be a good way to manage the expense.
Treat ED at Home
You can now perform shockwave therapy at home using personal machines like the STORZ MEDICAL MASTERPULS ONE or PSP20 Per Vita. These FDA-cleared devices offer the same blood-flow improving technology as clinical machines, but with added privacy and long-term cost savings.
Dealing with ED can feel overwhelming, but treating it at home changes everything. Shockwave therapy machines let you take control privately, at your own pace. No awkward clinic visits, no rushing to appointments—just the freedom to focus on you.
With the right machine and proper use, you’ll see real progress, feel more confident, and take charge of your health.
Cost vs. Benefit of Shockwave Therapy for ED
If shockwave therapy gives you results that last for at least two years, the cost might be worth it. According to The Journal of Sexual Medicine, the cost per quality-adjusted life year (QALY) could be justified compared to other treatments.
In other words, if it improves your quality of life for a long time, it might be a good investment.
Long-Term Savings Potential: Could You Save Money Over Time?
If the therapy works well for you, you might be able to cut down or even stop using ED medications. This could save you thousands of dollars over time, making the initial investment in shockwave therapy more worthwhile.
Alternative Treatments for ED
While shockwave therapy may be a promising treatment for erectile dysfunction, it’s not the only option available. Other treatments for ED include:
Treatment Type | How It Works |
Oral Medications | PDE5 inhibitors (like Viagra/Cialis) increase blood flow temporarily. |
Vacuum Devices (VEDs) | Creates a vacuum around the penis to draw blood and cause an erection. |
Penile Injections | Medication injected directly into the penis to induce an erection. |
Penile Implants | Surgical options (inflatable or malleable) to help achieve an erection. |
Lifestyle Changes | Exercise, weight loss, and stress reduction to improve natural function. |
Counseling | Therapy to address underlying psychological or emotional issues. |
Is Shockwave Therapy for ED Worth It?
A survey found that 68% of patients felt the cost of shockwave therapy was worth it, especially those who saw positive results. Many urologists now strongly endorse the treatment, particularly for men with vascular ED who want to move away from traditional pills.
Some urologists do endorse shockwave therapy, especially for men with vascular ED who haven't had success with other treatments.
Shockwave therapy for erectile dysfunction is now considered one of the most promising methods when medications like Viagra or Cialis are no longer effective enough. Focused shock waves, in particular, have been shown in studies to improve blood flow in the penis and thus enhance erectile function. Dr. Stefan Buntrock, Urologist and Sexual Medicine Specialist
While clinical trials show the data, real-world experiences highlight the personal impact. Here is what actual patients have to say about their treatment:
The results were amazing. Even after the first session, I found it easier to obtain and maintain an erection. As the weeks went by, the improvements continued. I have even started to have spontaneous erections again. Neil
Initially, I was skeptical of the shockwave treatment... After the course of all 6 treatments over a 6-week period, the results have been fantastic. My erections are far stiffer and definitely more frequent. I have my life back and a renewed confidence. Nick
Pros and Cons of Shockwave Therapy
Pros of Shockwave Therapy | Cons of Shockwave Therapy |
Non-invasive with no surgery or needles | High cost, typically $2,400 to $7,200 total |
Minimal side effects reported in trials | Not covered by most insurance plans |
Potential long-term improvement | May require ongoing maintenance treatments |
May reduce need for ongoing ED meds | Still considered experimental (Not FDA-approved) |
The Reality of Shockwave Therapy: Candidates, Longevity, and Cost
While shockwave therapy is a promising non-invasive alternative to intracavernosal injections, major medical associations still strictly consider it "investigational." Here are the essential facts you need to know before booking a session:
Who is the Ideal Candidate?
Best fit: It is primarily effective for men with mild-to-moderate vascular ED, particularly those who no longer respond to oral medications like sildenafil (Viagra).
Poor fit: It is generally ineffective for ED caused by nerve damage, psychological issues, severe vascular disease, or blood clotting disorders.
Note: Ensure the clinic uses true focused shockwave therapy, which is distinct from (and more effective than) radial wave therapy.
What is the Treatment Protocol?
Because the treatment is still experimental, there is no universal medical consensus on the ideal energy levels or exact number of sessions. However, a typical regimen consists of exactly 6 treatments. Each session lasts about 15 minutes and requires no anesthesia.
How Long Do the Results Actually Last?
The effects are not permanent. While it stimulates blood flow, clinical data tracking results beyond the 1-year mark is limited. Improvements reliably decline after 1 to 2 years, meaning patients will likely need additional rounds of therapy to prolong the diminishing effects.
The True Cost
A single session typically costs between $400 and $500. Because the treatment lacks official FDA approval for ED, health insurance will not cover it, making it a strictly out-of-pocket expense.
Other Proven Uses for Shockwave Technology
While highly beneficial for ED, the regenerative power of sound waves extends far beyond urology. Many patients discover this treatment through sports medicine or orthopedics. Today, chiropractic clinics frequently use this non-invasive technology for joint and muscle recovery, targeting conditions like plantar fasciitis, back pain, and even arthritis to reduce inflammation and promote tissue repair.
Wrapping It Up
Shockwave therapy for ED is emerging as a promising alternative for men seeking a non-invasive solution to improve their erectile function.
With studies showing success rates between 60-70%, particularly for those with vascular ED, this treatment offers hope for those who haven't found success with traditional medications.
I was seeking spontaneous, hard erections without the use of pills or surgery... Things got longer and stronger as I saw time pass from the end of my treatments. I'm glad I anted up. It was money most certainly well spent. V.D.O.
However, it's important to consider that shockwave therapy is still considered experimental and isn't FDA-approved for ED treatment in the U.S.
While the cost of treatment can be significant, ranging from $2,400 to $7,200, the potential for long-term benefits and the possibility of reducing or eliminating the need for ongoing medication might make it a worthwhile investment for some.
Keep in mind that ongoing maintenance sessions may be necessary to maintain results, and insurance coverage is unlikely, so most patients will need to pay out of pocket.
Frequently Asked Questions
Does shockwave therapy for erectile dysfunction really work?
Yes, shockwave therapy for ED works by using a wand like device to stimulate blood flow and create new blood vessels in the penis. A recent systematic review and meta analysis of multiple included studies showed a statistically significant improvement in erectile function, especially for men with vasculogenic erectile dysfunction.
Is low intensity shockwave therapy effective for severe ED?
It is most effective for mild to moderate erectile dysfunction. Men with severe erectile dysfunction, prostate cancer, or severe diabetes may not see the same clinical outcomes and might need to discuss more invasive treatments or intracavernosal injections with their doctor.
How does it compare to ED medications and other treatments?
Unlike ED medications that only temporarily improve blood flow, erectile dysfunction shockwave therapy triggers a natural healing process for long term results. It is a great alternative for men who want to avoid pills, invasive treatments, or a lifetime of treating symptoms rather than the root cause.
How is this proven in a clinical trial?
In a randomized clinical trial or double blind, sham controlled clinical trial, some patients receive the actual shockwave treatment while others get a sham treatment (placebo). Studies suggest those receiving the real therapy score significantly higher on the international index of the erectile function domain, proving its real-world efficacy.
Will insurance cover this therapy for erectile dysfunction?
No. Because it is still considered experimental and not fully FDA approved to treat ED, it is an out of pocket expense. However, many patients find the benefits and restored sexual function worth the upfront cost.
How long do I need to treat ED with this method?
Standard treatment protocols for radial wave therapy or focused waves usually involve two sessions per week for roughly six weeks. Repeating treatment or doing maintenance sessions a year or two later may be needed to maintain increased blood flow and overall sexual function.
