What is ED treatment?

Erectile dysfunction is a common medical condition that can affect your confidence, relationships, and overall well-being. It’s especially common as men age, experience stress, or deal with health changes. But it’s not something you have to tolerate.

At Yakima Men’s Clinic, I offer care that’s personalized, evidence-based, and judgment-free. ED care is part of your primary care here, so you never need to feel embarrassed about asking for help. 

I currently offer:

  • Oral medications (such as sildenafil or tadalafil)
  • Testosterone Replacement Therapy (TRT) when low testosterone is contributing
  • Lifestyle support for whole-body health
  • Peptides to promote vascular and hormonal support (where appropriate)
  • Penile injections using Trimix or compounded medications for cases where oral meds aren’t effective

Penile injections: A powerful option when pills don’t work

For men who don’t respond well to oral ED medications or can’t take them due to other health conditions, penile injections offer a powerful alternative. These injections deliver medication directly to the site of action, producing a reliable and sustained erection in most cases.

At Yakima Men’s Clinic, I now offer Trimix injections and other compounded medications to patients whose ED is not adequately controlled with pills. These medications combine vasodilators like alprostadil, papaverine, and phentolamine to increase blood flow quickly and effectively.

To ensure effectiveness and safety:

  • We start with a test dose in the office
  • You’ll be monitored for response and side effects
  • Once the right dose is found, I’ll provide detailed instructions for self-administration at home

This is a proven and widely used treatment option that has helped many of my clients regain satisfying, spontaneous intimacy. And without relying on pills or planning around timing.

What to expect

ED treatment at Yakima Men’s Clinic is straightforward, private, and built around your needs:

  1. Initial consult: We’ll talk about your symptoms, health history, and any past treatments you’ve tried.
  2. Testing if needed: Lab work may be done to check hormone levels, blood sugar, or cardiovascular health.
  3. Treatment plan: You’ll get a tailored plan, whether that’s oral meds, TRT, penile injections, or a combination.
  4. Ongoing care: Follow-ups, dose adjustments, and support are included in your membership.

There’s no shame. No sales pressure. Just a respectful approach to helping you feel like yourself again.

Combining ED treatment with TRT

It’s very common for ED to be linked with low testosterone. Many men experiencing erectile dysfunction also report low libido, fatigue, or difficulty recovering from workouts. At my clinic, I often combine ED treatment with TRT for a more comprehensive and long-lasting solution.

By improving both blood flow and hormone balance, many patients see stronger results and better overall quality of life.

Is ED treatment right for you?

You might benefit from ED treatment if:

  • Erections are weak, inconsistent or absent
  • Libido has dropped
  • You feel less confident or avoid intimacy
  • Oral medications don’t work or cause side effects
  • You want a more reliable, fast-acting treatment option

You’re not alone. ED affects millions of men, and it’s highly treatable. Whether your symptoms are new or have been building for years, I can help.

Let’s talk

Don’t settle for feeling disconnected or defeated. If you’re ready to feel confident again, let’s chat. ED treatment is safe, effective, and available right here at my clinic.

FAQ:

ED can result from hormone imbalances, blood flow issues, medication side effects, stress, or even past trauma. I’ll help identify the underlying cause and match you with the right treatment.

Most patients are surprised by how little discomfort is involved. The needle is very fine, and I’ll teach you exactly how to use it safe and effectively. The results are often worth it!

Yes, many patients use both.

TRT addresses underlying hormonal causes while injections provide immediate, physical support.

Yes.

As with all medical therapies, I monitor each patient closely for side effects and ensure dosing is appropriate. Starting with in-office testing helps reduce risks.

My membership is cash-pay. You’re welcome to use your insurance for labs and medications if they’re covered.

Membership is $50/month. This includes all visits, follow-ups, messaging, and my medical advice. It also includes ED treatment, since ED meds aren’t controlled substances.

If you’re prescribed a controlled substance (like testosterone), there’s an additional $50/month for controlled substance management.

So if you’re doing TRT, your total is $100/month.
If you’re just doing ED treatment, it’s $50/month.
If you’re doing both, it’s still $100/month.

Medications and labs aren’t included, but I’ll help you find the best prices whether that’s through your insurance or with my discounted cash-pay options.

Have more questions about ED treatment options at Yakima Men’s Clinic?

Give us a call! 509-509-5797, or email info@yakimamensclinic.com.

Struggling with performance? Feeling frustrated, disconnected, or less confident in the bedroom?

At Yakima Men’s Clinic, I provide discreet and effective ED treatment for men who want real solutions without judgment. This is more common than you think, and you don’t have to go through it alone.

Let’s get things working again.

Pricing

  • Core (primary care) $200/month

    ED treatment, including prescriptions, monitoring, and counselling, is included in your membership.

    Please note there’s a $50 controlled substance fee that only applies if you’re prescribed a controlled medication, like testosterone. ED treatment is not a controlled substance, so it’s included in your regular membership at no extra charge.

    No hidden fees.
    Just real help when you need it.

Our Testimonials


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Miguel
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Dr. Kobayashi is an exceptional medical professional whose expertise and compassion truly set him apart. From the very first appointment, I was impressed by his ability to listen carefully, explain medical information clearly, and approach each concern with genuine care. His attention to detail and calm demeanor create a space where you feel supported and confident in your treatment plan. What makes Dr. Kobayashi truly remarkable is his commitment to treating the person, not just the condition. He takes time to understand your overall health, lifestyle, and goals, making his care both thorough and personalized. Whether for routine visits or more complex issues, Dr. Kobayashi consistently provides top-tier care and reassurance. I would highly recommend Dr. Kobayashi to anyone seeking a trusted, knowledgeable, and empathetic physician. His professionalism, kindness, and deep understanding of medicine are a rare combination.
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Justin
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Dr. Kobayashi takes the time to listen to any issues you are having and listens to your feedback on what kind of treatment you may prefer under his guidelines. He took the time to sit down and go through my lab results one by one and tell me what looked good and bad, which has definitely not been my experience with other medical clinics in the Yakima area (I'd be lucky to get a phone call about my results at other places). If you are looking for good care in this area, I would definitely recommend Yakima Men's Clinic.
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Robert
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This place man, absolute, amazing personalized health care. Dr. Kobayashi makes me feel like a heard, important, patient. I’ve never been happier with medical treatment and to not be gaslit as well in the process is the cherry on top of the icing here. You respect him, he’ll respect you. Life hasn’t been this good in a long time.
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Jeff
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I’ve had the best medical experience of my life working with Dr. Kobayashi and the Yakima Men’s Clinic. I was beyond frustrated working with my old, insurance-driven PCP. I was diabetic, overweight with no clear path for improvement. Now, after working with Dr. Kobayashi and his staff, my A1C is in the normal range and my weight is under control. It’s not hyperbole to say that Yakima Men’s Clinic saved my life. I cannot recommend them high enough. I’m healthier, happier and feel as though I’m actually heard when I communicate. Please consider making this facility a part of your life.
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Charley
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Very easy to talk to, addressed all my concerns appropriately, scheduled follow-up quickly. I am very grateful for Dr's professionalism.
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Tommy
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had a great experience with Dr. Kobayashi. Highly recommend!
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Jahmez
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Dr listened to me, spent time reviewing bloodwork, and made suggestions that make sense. 1000% the place to go!
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Matt
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Absolutely amazing team and atmosphere. Finally medical care that actually cares about their patients. I highly highly highly recommend Yakima Men's Clinic!!
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James  profile picture
James
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Great staff! Down to earth and personable. What doctors should be like. Great first experience! I'm all in!
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Courtney
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Dr. Kobayashi is an excellent doctor and is changing the way medicine is done! Highly recommend his services!