It's Not About Age.
It's About Chemistry.
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.
- 40+ biomarkers
- Focused hormone axis testing
- 60 minute evaluation
- Personalized protocol
ED Is a Symptom. What's the Cause?
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.
ED & Low T Often Go Hand in Hand
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.
Hormone Optimization
Foundation of ED treatmentTRT, 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.
Viagra, Cialis & Alternatives
Targeted reliefSildenafil (Viagra), tadalafil (Cialis), and compounded alternatives. Clinical trials show 69% of intercourse attempts were successful (vs. 22% on placebo). We use these strategically alongside root-cause treatment, not as the only answer.
PT-141 (Bremelanotide)
FDA-Approved peptideWorks 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.
Cardiovascular Optimization
Blood flow & circulationMetabolic health, lipid management, blood pressure optimization, and lifestyle medicine. Improving endothelial function restores blood flow where it matters.
Your ED Evaluation
We start with a focused hormone work-up to understand what's driving your ED. No guessing, no generic prescriptions. A treatment plan built around your biology.
Purchase Your Evaluation
Select the Focused Hormone Evaluation ($299). Includes a focused hormone panel (40+ biomarkers) covering the male hormone axis and the supporting markers needed to identify what's driving your ED, plus a 60 minute consultation with your provider and your personalized treatment plan.
Complete Lab Work
Visit any Labcorp location. We test the male hormone axis (total and free testosterone, estradiol, SHBG, LH, FSH, PSA) plus the supporting markers needed to dose treatment safely. Results typically come back within a few business days.
Consult with Your Clinician
Review your results via telehealth or in-clinic. Your clinician explains exactly what's causing your ED, walks through treatment options, and builds your personalized protocol.
Begin Treatment
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 for ongoing prescriptions and monitoring.
Ongoing care with the Asymmetric Health team?
Most patients continue with a membership for prescriptions, lab monitoring, and protocol adjustments.
View membership options →Choose Your Recommended Evaluation
Pick the eval that fits the depth of your goals. Both include advanced lab work and a personalized treatment plan. 100% confidential.
For testosterone, menopause/BHRT, erectile dysfunction, or thyroid concerns.
- 40+ biomarkers
- Focused hormone axis testing
- 60 minute evaluation
- Personalized protocol
A broader endocrine and metabolic assessment for patients with multiple concerns or complex symptoms.
- 50+ biomarkers
- Multi-axis hormone testing (HPA, HPG, thyroid)
- Cardiometabolic and nutrient screening
- 60 minute evaluation
What Our Patients Say
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.
Frequently Asked Questions About ED Treatment
Common questions from men considering erectile dysfunction treatment with Asymmetric Health in Lacey, WA.
What causes erectile dysfunction?
ED is rarely caused by a single factor. The most common root causes include low testosterone, cardiovascular disease, insulin resistance, high blood pressure, medication side effects, stress, and sleep disorders.
At Asymmetric Health, we test for all of these rather than guessing with a prescription. Learn about our root-cause approach.
How is ED related to low testosterone?
Research shows that approximately 30-35% of men presenting with ED also have clinically low testosterone. Low T reduces libido, impairs nitric oxide production (essential for erections), and contributes to fatigue and mood changes.
Treating the hormone deficiency often resolves or significantly improves ED. Take our free Low T quiz to screen yourself.
Do you prescribe Viagra or Cialis?
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.
What lab work do you order for ED?
The Focused Hormone Evaluation covers the male hormone axis (total and free testosterone, estradiol, SHBG, LH/FSH, PSA) plus the supporting markers needed to identify common drivers of ED, including hematocrit and a metabolic panel.
If your history or symptoms suggest a wider issue (cardiovascular risk, thyroid dysfunction, insulin resistance), your clinician can step you up to the Complete Hormone Evaluation for full thyroid, adrenal, and cardiometabolic depth.
Can ED be an early warning sign of heart disease?
Yes. Research shows that ED symptoms typically appear 2-5 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.
What treatments do you offer beyond medication?
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.
Do you offer telehealth for ED treatment?
Yes. Our providers see 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.
Is this treatment confidential?
Absolutely. Asymmetric Health 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 your clinician.
Not sure which evaluation is right for you?
Answer a few quick questions about your symptoms and goals. asymmetrichealth will match you to the right evaluation.