Men’s hormones and sexual health · Peoria, AZ

Men’s Testosterone Therapy and ED Treatment in Peoria, AZ

Medically reviewed by Melynda Fenn, FNP-C · Updated October 2026

AZ Vitality and Wellness helps men in Peoria with low testosterone, low sex drive, erectile dysfunction (ED) and bladder leaks. Our nurse practitioners check your testosterone with labs drawn right here, then build a plan that may include testosterone therapy, ED medication, EMSELLA or weight and metabolic care.

Most men put off this conversation for a long time. You don’t need to have it figured out before you come in. We listen, test when it will help, and tell you plainly what your results mean and what we’d do about them.

Book a Men’s Hormone Consultation

Free EMSELLA Consult

Questions first? Call or text 602-540-3547

Not sure it’s testosterone? Start with our hormone imbalance guide →

Melynda Fenn, FNP-C, drawing blood from a male patient for hormone labs at AZ Vitality and Wellness in Peoria

Men’s Hormone and Sexual Health Care at a Glance

Who you’ll see

Melynda Fenn, FNP-C, and Kenra Johnson, FNP-C

What we treat

Low testosterone, low sex drive, erectile dysfunction, bladder leaks

Testing

Morning hormone labs drawn on-site in Suite 115

Options

Testosterone therapy, ED medication, EMSELLA, weight and metabolic care

Paying

Men’s membership $179/month with testosterone included. HSA and FSA cards welcome.

Part of our hormone care

1Hormone Imbalance

Start here: signs, testing, women and men

2Men’s Hormones and Sexual Health

You’re here: treatment for men

Lab Testing

Drawn here in Peoria

Men’s Wellness

Energy, weight, recovery and more

What we help with

Signs of Low Testosterone and Other Concerns We Treat in Men

These usually creep in slowly, so many men chalk them up to age, work or stress. If several sound familiar, they’re worth a closer look.

Hormones

Low Testosterone

Lower sex drive than you used to have
Fewer morning erections
Tired even after a full night’s sleep
Losing muscle or strength, gaining belly fat
Irritability, low mood or less drive

Sexual function

Erections and Desire

Trouble getting or keeping an erection
Erections that aren’t as firm as they were
Worry about performance that makes it worse
Changes after starting a new medication
Less interest in sex, even when everything works

Often overlooked

Pelvic Floor and Bladder

Dribbling after you urinate
Leaking when you cough, lift or sneeze
Sudden urges that are hard to hold
A weak pelvic floor after years of sitting

Things that often travel with them

High blood pressure
Prediabetes or diabetes
Extra weight around the middle
Poor sleep or snoring
Stress and burnout

See every sign of a hormone imbalance, for women and men →

The honest answer

Low Sex Drive or ED: Is It Low Testosterone?

Sometimes, but not always. Testosterone drives desire more than it drives erections. Erections depend mostly on healthy blood flow and nerves, so ED is more often linked to blood pressure, blood sugar, cholesterol, smoking, extra weight, poor sleep, stress, alcohol or a medication.

Low testosterone and ED often show up together, which is why we check both. Low testosterone is confirmed with symptoms plus at least two early-morning blood tests, not one number on its own. Then we treat what’s actually driving it.

Stress, low mood or burnout in the mix? See mental wellness care →

When to See Your Doctor or a Urologist First

ED along with chest pain or getting winded easily
Blood in your urine or semen
A lump, swelling or pain in a testicle
A new curve or pain with erections
A weak stream or trouble emptying your bladder

We work alongside your primary care doctor and urologist, not instead of them.

Treatment options

Testosterone Therapy, ED Treatment and Other Options for Men

Your plan is built from your symptoms and results, not a package. These are the options we use most, on their own or together.

Hormonal · prescription

Testosterone Replacement Therapy (TRT)

When your symptoms and two morning blood tests confirm low testosterone, TRT can improve sex drive, energy, mood and muscle. Most men use a weekly injection, and your membership includes the testosterone and supplies. We recheck your levels, red blood cell count and PSA to keep it safe.

How hormone replacement therapy works →

Non-hormonal · prescription

ED Medication (Sildenafil and Tadalafil)

FDA-approved pills that improve blood flow so an erection can happen when you’re aroused. Sildenafil is taken about an hour before sex. Tadalafil lasts up to 36 hours and also comes as a low daily dose. Neither is safe with nitrate heart medicines, so we review your heart health and medications first.

Which ED pill fits you →

Peptide · off-label for men

PT-141 (Bremelanotide) for Low Desire

A peptide that works on desire pathways in the brain, not on blood flow. It’s FDA-approved only for premenopausal women, as Vyleesi, so for men it’s used off-label. Your provider will go over the evidence and side effects like nausea and flushing before you decide.

About peptide therapy →

A man seated fully clothed on the EMSELLA chair at AZ Vitality and Wellness

In-office · non-surgical

EMSELLA for Men

An FDA-cleared chair for urinary incontinence in men and women. You sit fully clothed for about 30 minutes while focused electromagnetic energy works your pelvic floor muscles, usually over 6 sessions. Some men ask about it for erections. That use isn’t FDA-cleared and the research is early, so we’ll be straight with you about what to expect.

Learn about EMSELLA →

Styku 3D body scanner used for body composition scans at AZ Vitality and Wellness

Often the first step

Weight and Metabolic Care

Extra weight, insulin resistance and poor sleep can lower testosterone and make ED worse. For men carrying extra weight, losing it usually raises testosterone on its own. Our medically supervised program, with GLP-1 medication when it’s appropriate, is sometimes the first step before anything else.

Medical weight loss in Peoria →

Provider performing an EXOMIND treatment on a reclining patient at AZ Vitality and Wellness in Peoria

Mind and mood

Support for Stress and Low Mood

Depression, anxiety and burnout can lower desire and make erections harder, and some antidepressants can too. We look at this side of the picture as well. For depression, we offer EXOMIND, an FDA-cleared, non-drug TMS treatment done in our office.

Learn about EXOMIND →

Often part of the plan too: In-house lab testing →IV therapy and wellness shots for energy and recovery →Everything we do for men →

Side by side

Comparing Your Options, and When You May Notice a Difference

Men’s testosterone and sexual health treatment options at AZ Vitality and Wellness compared
Option	Often used for	How it’s given	When you may notice a difference
Testosterone therapy	Low testosterone confirmed by labs: low desire, fatigue, mood, muscle loss	A weekly injection, monitored with labs	Desire and energy often in 3 to 6 weeks; muscle and body fat over 3 to 6 months
ED medication	Trouble getting or keeping an erection	A pill before sex, or a low daily dose of tadalafil	The same day; the dose is fine-tuned over the first few tries
EMSELLA	Bladder leaks and a weak pelvic floor	About 30 minutes fully clothed, typically 6 sessions	Builds over the course of treatment
PT-141	Low desire	A small injection before sex (off-label for men)	Within hours; judged over a few tries
Weight and metabolic care	Extra weight, insulin resistance and low testosterone that travel together	A supervised program, with medication when appropriate	Over months; testosterone often rises as weight comes down

Timelines are typical, not promises. Everyone responds differently, and individual results vary.

Your first visit

How Men’s Testosterone and ED Care Works at Our Peoria Clinic

Start with a consultation

Your first visit runs about 30 to 40 minutes at our Happy Valley Road clinic. We go over your symptoms, sexual health, sleep, stress, medications, heart health and whether you plan to have kids. Nothing is off-limits, and nothing is rushed.

Get your labs drawn here, in the morning

Testosterone runs highest in the morning, so we draw it early. We typically check total and free testosterone, estradiol, LH, a complete blood count, PSA, thyroid, A1c and cholesterol. Low results are confirmed with a second morning test. About our lab testing →

Go over your results and your plan

Your provider walks through each result and what it means for how you feel, then builds a plan. It may include testosterone therapy, ED medication, EMSELLA, weight and metabolic care, or a combination. You leave knowing what we’re treating and why.

Follow up and adjust

On testosterone, we recheck your levels, red blood cell count and PSA at about 6 to 12 weeks, then every 6 to 12 months, and adjust your dose as you go. If your red blood cell count runs high, we can do a therapeutic blood draw right here.

Which Visit Do I Book?

Testosterone, low sex drive or ED

Book a men’s hormone consultation ($250). You get a $100 credit toward it if you join the Hormone Optimization Membership ($179/month, testosterone and supplies included) the same day.

Book a Hormone Consultation

EMSELLA

Book a free consultation. There’s no cost and no obligation.

Book a Free Consultation

Not sure? Call or text 602-540-3547 and our front desk will point you to the right visit.

Your providers

Care From Nurse Practitioners Who Listen

Melynda Fenn, FNP-C, and Kenra Johnson, FNP-C, are board-certified family nurse practitioners. Both see men for testosterone, ED and sexual health concerns, and both take the time to explain your options in plain language.

Meet the whole team →

Melynda Fenn

FNP-C · Founder and Medical Director

Kenra Johnson

FNP-C · Nurse Practitioner

Patient reviews

What Our Patients Say

4.9 average from 195+ Google reviews

         Posted on Google  
   
   mila carew-gunderson 
 
 
 
 Trustindex verifies that the original source of the review is Google. brianna and melynda were great
  
 
      Posted on Google  
   
   Amie Hofmann 
 
 
 
 Trustindex verifies that the original source of the review is Google. Run don’t walk. I wasted years going so so many doctors frustrated with my hormones and weight gain.
I dieted and worked out to loos a few pounds.
They all said the same thing work out more eat less.
I finally made an appointment with Melinda and she explained everything to me and made me feel like someone was listening for the first time.
Three months in I am sleeping through the night, no more hot flashes and am losing weight.
Put yourself first, make the call and you will be so happy you did. My only regret was not calling sooner.
  
 
      Posted on Google  
   
   Melissa Serna 
 
 
 
 Trustindex verifies that the original source of the review is Google. Melynda is great, she's the 1st person who has listened to me about what i need. Everyone was professional, kind and so helpful.
  
 
      Posted on Google  
   
   Shonda Dickson 
 
 
 
 Trustindex verifies that the original source of the review is Google. Highly recommend Melynda Fenn, she has been a tremendous help for me.  She is so knowledgeable and truly listens, has made a huge impact for me.
  
 
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   Hydi Burrows 
 
 
 
 Trustindex verifies that the original source of the review is Google. Amazing experience and amazing individuals working here. I could not have achieved my almost 100lb loss without them!!
  
 
      Posted on Google  
   
   Hydi Burrows 
 
 
 
 Trustindex verifies that the original source of the review is Google. I’ve been coming for a few years and I always have an amazing experience wouldn’t go anywhere else!!! I’m almost down 100lb and wouldn’t have been able to achieve and maintain without AZ Vitality!!
  
 
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   Brandon 
 
 
 
 Trustindex verifies that the original source of the review is Google. Melynda has been a a huge help. The whole team is very nice and supportive.
  
 
      Posted on Google  
   
   Cuddle Bug 
 
 
 
 Trustindex verifies that the original source of the review is Google. Best place for healing!!!
  
 
      Posted on Google  
   
   Sarah Manzouri 
 
 
 
 Trustindex verifies that the original source of the review is Google. Melynda is amazing! I visited her clinic a few months ago for a gut issue I had been dealing with and wanted to explore different wellness options that could help. I had done some research on peptides and was also interested in learning more about holistic approaches.

Melynda was by far the most knowledgeable person I spoke with. She took the time to explain my options, answer my questions, and help me feel confident about the next steps. I was able to get exactly what I needed and had a great experience overall.

I will definitely be coming back and would highly recommend Melynda for anything wellness-related!
  
 
  
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Read all reviews on Google →

FAQ

Testosterone and Men’s Sexual Health FAQs

Is testosterone therapy safe?

For men with confirmed low testosterone who are monitored, current evidence is reassuring. TRAVERSE, a large trial published in 2023 in men at higher heart risk, found no increase in heart attack or stroke with testosterone compared with placebo. In 2025 the FDA added those results to testosterone labels, took the heart-risk language out of the boxed warning and added a blood pressure warning. In June 2026 HHS and the FDA began updating the labels again. Testosterone can raise your red blood cell count and isn’t right for everyone, so we check your history and labs first and keep checking them.

How do I know if I have low testosterone?

It takes both symptoms and blood work. Low testosterone is diagnosed when you have symptoms and at least two early-morning blood tests show low levels. The American Urological Association uses a total testosterone below 300 ng/dL as a reasonable cutoff. One low reading, or a test drawn in the afternoon, isn’t enough to start treatment.

Can low testosterone cause erectile dysfunction?

It can contribute, but it’s rarely the only cause. Testosterone mainly drives desire, while erections depend on healthy blood flow and nerves. If your testosterone is low, treating it can help desire and sometimes erections, and many men still use ED medication alongside it.

Can ED be a sign of a heart problem?

It can. The blood vessels in the penis are small, so they often show trouble before the heart does, sometimes years earlier. That’s why we check your blood pressure, blood sugar and cholesterol, and send you to your doctor when something needs a closer look.

Which is better for ED, sildenafil or tadalafil?

Both work well for most men. The main difference is timing. Sildenafil works for about 4 hours and is best taken about an hour before sex, on a lighter stomach. Tadalafil lasts up to 36 hours, and a low daily dose means you don’t have to plan. Neither is safe with nitrate heart medicines such as nitroglycerin.

Will testosterone therapy affect my fertility?

It can. Testosterone from outside the body signals your testicles to make less sperm, and for some men sperm counts drop very low. If you want children now or in the next few years, tell us at your first visit. Testosterone therapy may not be the right choice, and we’ll talk through other options or refer you to a specialist.

How long does testosterone therapy take to work?

Many men notice more desire and energy within 3 to 6 weeks. Mood often improves in the first month or two, while changes in muscle and body fat take 3 to 6 months. We recheck your labs along the way and adjust your dose to how you feel and what the numbers show.

Do I have to stay on testosterone forever?

Not necessarily. Many men stay on it because their body isn’t making enough on its own, but it’s your choice. If you stop, your levels usually drift back toward where they started, so we plan any change with you and recheck your labs.

Does losing weight raise testosterone?

Often, yes. Extra body fat is linked to lower testosterone, and in men carrying extra weight, losing it usually brings testosterone up and can help erections too. For some men, medical weight loss is the first step, before or instead of testosterone therapy.

Can EMSELLA help men?

EMSELLA is FDA-cleared to treat urinary incontinence in men and women, including dribbling and leaks when you cough or lift. Some men also ask about it for erections. That use isn’t FDA-cleared and the research is still early, so we’ll tell you honestly whether it fits your goals. The consultation is free.

How much does testosterone therapy cost?

At AZ Vitality and Wellness, the men’s Hormone Optimization Membership is $179 a month and includes your testosterone injections and supplies, up to 3 follow-up visits a year and 2 to 3 hormone lab panels a year. The first consultation is $250, with a $100 credit if you join the same day. Some additional medications can change your monthly cost. See membership details on our pricing page.

Do you take insurance?

We don’t bill insurance. Many patients pay with an HSA or FSA card for eligible treatments, and Cherry payment plans are available.

General hormone questions, like what causes an imbalance? See the hormone imbalance FAQs →

This page is for general education and isn’t a substitute for medical advice. Your provider will recommend treatment based on your health and history. Individual results vary.

You Don’t Have to Just Live With It

Low energy, a lower sex drive and ED are common, and they’re treatable. Start with a conversation and, if it will help, a morning lab draw at 7984 W Happy Valley Rd., Suite 115, Peoria, AZ 85383.

Book a Men’s Hormone Consultation

Call or text 602-540-3547