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The course in three phases

After the active treatment phase (8 to 12 weeks), the biological work truly begins. New blood vessels do not form in days, but in weeks and months. This explains why the maximum effect only becomes noticeable later.

Week 2 to 4

First signs

Some men notice improvement in morning erections and sensitivity. The biological processes of blood vessel formation and tissue repair have started, but are not yet complete. This is not the time to draw conclusions.

Month 3 to 6

Maximum effect

The maximum effect is typically reached between month 3 and 6. New blood vessels have formed and are functional. The IIEF score reaches its highest improvement point. At this point, the physician evaluates your progress with the same measurement instruments as at baseline.

Month 6 to 12

Stabilisation

The effect stabilises. Depending on your response, a maintenance session may be recommended. Follow-up continues to monitor the long-term result.

How we measure

We do not rely on feelings. At fixed points (baseline, after 1, 3, 6, and 12 months) we use the same validated questionnaires: IIEF-EF, EHS, and SEP-2/3. That yields not an impression, but a measurement.

The physician discusses the results with you and assesses whether the programme is showing the expected effect. If it is not, we honestly discuss what the options are. Sometimes the answer is: no further treatment.

What if it does not work?

Not every man experiences improvement. The Cochrane review (2025) confirms that the average improvement is mild and not noticeable in everyone. That is a fact we are transparent about, both before and after treatment.

If your scores show no improvement after 3 months, we look together at other options. There are always options. Think of additional PRP sessions, a vacuum pump, lifestyle adjustments, or a combination. If the cause turns out to be primarily psychosomatic, we refer you to a sexual health specialist. You stay with the same physician, who oversees the bigger picture and determines with you what the next step is.

4
Measurement points in 12 months
3
Validated questionnaires per measurement
3-6
Months to maximum effect

The first step towards
a new chapter.

The hardest step is the first one. Everything after that is easier than you think.

You are not alone. More than half of all men over 40 recognise this.

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