Penile Botox for Sexual Wellness 

Conveniently located to serve the areas of Walnut Creek, CA

Penile Botox is a treatment that has shown promise in helping men resolve symptoms of erectile dysfunction (ED) by improving blood circulation to the penis. Botox is an injectable neuromodulator, a substance that temporarily changes the functioning of muscles. When it is applied to the face, it smoothes out the overlying skin wrinkles and helps prevent them from becoming permanent lines. However, as a penile injection, it specifically targets and relaxes the smooth muscle of blood vessels and spongy tissue of the corpora cavernosa – the tissue structures that engorge with blood to provide an erection. With penile Botox, many men find relief from their ED and gain renewed confidence in their intimate lives. 

At Evolved Medical, we stand by incorporating the most natural, research-backed methods that help patients achieve long-term wellness. Our practice, located in Walnut Creek, CA is led by the expertise of Dr. Amit Rajguru, a specialist in anti-aging and functional medicine. The staff at Evolved Medical will meet your needs with professionalism and sensitivity while also providing high-quality care that works. 

If you are interested in penile Botox for sexual wellness, consider calling (925) 433 8444 or, use our contact form to schedule an appointment with Dr. Rajguru at your earliest convenience.  

The Causes of Erectile Dysfunction 

Erectile dysfunction is an extremely common, yet complex condition. In essence, it’s defined by a man’s inability to attain an erection, keep an erection firm enough for intercourse, and/or a lower libido. There are often many other factors and conditions at play that can impact penile functioning, such as: 

  • Obesity 
  • Cardiovascular Disease 
  • Diabetes 
  • High Blood Pressure 
  • Substance Abuse 
  • Hormone Disorders 
  • Certain Medications 
  • Advanced Age 
  • Psychological Disorders and Stress (1) 

 In the past, ED was declared to be a condition affected by one’s psychological state, but like most aspects of sexual health, the issue is multifaceted. Researchers have found that ED can originate from either an endocrine or nonendocrine problem. For example, some men simply have a testosterone imbalance and require another, more comprehensive treatment, like hormone replacement therapy

When there is no hormonal component, the most common cause of ED can be attributed to blood circulation issues. (2) Oftentimes, symptoms can also worsen when it’s accompanied by stress or anxiety during intimate moments. When you book a consultation at Evolved Medical, Dr. Rajguru will be sure to review your medical history and rule out endocrine disorders that could be the cause of your ED. If it’s related to blood flow, there is an excellent chance that Botox can help. 

What is Botox? 

Botox is an injectable treatment made from botulinum toxin, a protein byproduct of the Clostridium botulinum bacteria. As a neuromodulator, it blocks the chemical called acetylcholine, a neurotransmitter that signals and regulates muscle contraction to occur. Besides its cosmetic uses, doctors have utilized Botox to relieve patients of muscle spasm disorders, migraines, neck pain, a disorder characterized by excessive sweating called hyperhidrosis, and bladder dysfunctions. When applied in small amounts, Botox is an incredibly versatile substance due to its ability to affect what happens to acetylcholine in the body. 

Candidates for Penile Botox 

Penile Botox is a safe procedure for just about any male who wishes to see an improvement in their sexual performance. Ideal candidates are healthy men who have been thoroughly evaluated for their erectile dysfunction and have all other underlying conditions well-managed. Patients who are allergic to botulinum toxin or the lidocaine present in Botox should refrain from these injections. Those with a neuromuscular disorder, such as myasthenia gravis, may not respond well to the treatment. Those with hormonal imbalances should seek another treatment to resolve their ED and other signs and symptoms related to low testosterone. 

Personal Consultation

When you book a consultation at Evolved Medical, you can expect premium quality care from Dr. Rajguru and his staff. As a specialist in functional medicine- the field of study that identifies and treats the root cause of disease and disorders- Dr. Rajguru will take the time to view your health more holistically

During your appointment, he will inquire about the severity of your erectile dysfunction and any other symptoms you may be experiencing. If he finds that you may benefit from penile Botox, he will be sure to explain the procedure in its entirety, how to best prepare, and everything you need to know about the results to expect. He will walk you through a specific procedure plan catered to your sexual wellness needs. Before the end of your meeting, you will get the chance to ask any remaining questions about Botox to ensure you make an informed decision for your health. 

If this treatment has piqued your interest, call our office in Walnut Creek, CA, at (925) 433 8444, or submit your request for a consultation online, and a staff member will gladly assist you as soon as possible. To review your other ED treatment options and overall health, read through Dr. Rajguru’s blog

How to Prepare 

Botox for the penis is a relatively simple procedure that won’t require a lot of preparation. Dr. Rajguru will review your medications and supplements and give you instructions on which ones to stop taking in the days leading up to your injection appointment. Specifically, you will have to avoid substances with blood-thinning properties since these can cause bruising. Before the appointment, make sure you shower and refrain from using any type of product on your groin region. 

How Does Penile Botox Work?  

At your procedure appointment, your injector will first begin by cleansing the area to prevent any infection from developing. They will then gently stretch out the penis and inject a small amount of Botox on either side of the middle of the shaft, careful to avoid any major blood vessels. The Botox will then target the smooth muscle lining of arterial blood vessels of the penis, effectively dilating them to encourage better blood flow. The medication will also affect the trabecular smooth muscle fibers located in the corpora cavernosa, the fibrous structures of the penis that are capable of expanding. Although you can’t voluntarily control these muscles in the same way you can move your skeletal muscles, they are directly responsible for quality erections. (4)

With just a small amount of Botox, the injections will promote healthier blood flow and encourage the penis to respond to stimulation. Each injection contains some lidocaine, a numbing compound that will make the procedure much more comfortable, we also apply a topical numbing cream. Your injector will finish the treatment in just a few minutes, and you will be able to go back to your normal daily activities, given that you follow certain aftercare instructions. 

Aftercare and Results 

After your Botox injections, your penis will likely feel sensitive and tender, so you should take extra care to avoid anything strenuous, including sex, for at least 24 hours. For at least 4 hours post-procedure, you should try to avoid putting any amount of pressure on your penis, including tight underwear or pants. Mild bruising is very normal, and it will subside within a couple of days. Even with the discomfort, you should avoid using an ice pack since it can interfere with the medication taking effect. 

After a few days have passed, you will be able to resume working out and all physical activities, including sexual activity. Botox only takes about 3 to 5 days to fully settle in, so you should see an improvement in your erections. This improvement will last approximately 3 to 4 months, the same amount of time the medication lasts in the facial muscles as well. 

Corresponding and Complementary Procedures 

Acoustic Wave Therapy for ED 

For acoustic wave therapy, Dr. Rajguru will apply low-frequency sound waves to your genitals, triggering tiny, imperceivable injuries to the penis. This facilitates a healing response that triggers improved blood flow by stimulating new blood vessel growth. This easy procedure does not require any type of anesthesia, and it only takes a few minutes to complete. Some men report very minor discomfort. Dr. Rajguru’s acoustic wave device, the Piezowave2 platform, has 3 main soundwave settings that allow the waves to penetrate at various depths within the tissue. This customization makes for a treatment that is tailored to your exact needs and severity of ED.

PRP Treatment for Men 

PRP, or platelet-rich plasma, is a substance isolated from your blood that contains various growth factors and other proteins with healing properties. For this treatment, Dr. Rajguru will take a small sample of your blood and prepare PRP into injections for the penis. Once injected, the PRP will begin tissue repair and regeneration and stimulate more vascularization in the area as well. PRP shots for men are an entirely non-surgical therapy for those seeking an all-natural alternative for their ED. 

Cost of Penile Botox in Walnut Creek 

The cost of your penile Botox will mostly depend on the dosage you receive and whether or not you continue with your treatment plan after the injections wear off. If you find that this minimally invasive treatment may be beneficial to you, Dr. Rajguru will provide you with a full review of the costs associated. To get started today, call his office near Oakland, CA at (925) 433 8444 or fill out our online form to contact the staff. We believe sexual wellness is just as important as other aspects of your health, and we are ready and willing to guide you toward a solution for your ED.


  1. Lowy M, Ramanathan V. Erectile dysfunction: causes, assessment and management options. Australian Prescriber. 2022;45(5):159-161. doi: 
  2. Yafi FA, Jenkins L, Albersen M, et al. Erectile dysfunction. Nature Reviews Disease Primers. 2016;2(1). doi: 
  3. Padda IS, Tadi P. Botulinum Toxin. PubMed. Published 2022. 
  4. Hull EM, Dominguez JM. Chapter 49 – Male Sexual Behavior. ScienceDirect. Published January 1, 2015. Accessed November 16, 2023.