1. At the first examination, a thorough screening is made of the degree of your erection problem, physical and mental health status. We talk about it openly about it and any lifestyle issues.
2. Together we'll find out if it's a constant lack of erection or if it's more situational (psychological factors). I recommend that you include your doctor in the process, as we need to ensure that all blood values and any co-morbidities are under control
3. I do an ultrasound scan of the penis and pelvic floor, as well as a brief screening of the heart's pumping function. If necessary, also the prostate and bladder.
4. Advanced body composition measurement and screening of body balance and health with the Inbody770 system. Read more below.
5. You will be guided on which pelvic floor exercises to start.
6. Together we will set expectations for the treatment and what level we expect to be able to move you to, based on the results of the examination and the measures we agree on.
7. Your process is planned so you can feel comfortable with the process
8. You will receive first treatment with shockwave and EMTT if you wish.

We'll go in depth to make sure we can put the right treatment strategy in place to restore quality to your sex life. If dietary and lifestyle adjustments are needed, we use external partners.

During the initial examination, I will perform an ultrasound scan of your heart, penis and pelvic floor (including prostate and bladder if necessary) to tailor the treatment to your needs. The following are examined:

1. Blood flow in the 2 arteries of the swollen limb
2. Is there calcium, fat or plaque in the swelling membrane or connective tissue?
3. Muscles in the pelvic floor that can indicate if there is balance in the hormonal system.
4. Size and risk factors around the heart and prostate.
5. Are there risk factors for developing erection problems in the future (we can see it long before the problem occurs).
6. Your control over the pelvic floor muscles.

The clinic has the latest and most advanced ultrasound scanning equipment from Sonosite, with different probes targeting the various relevant organs, superficial structures and vessels. I am also one of the few in the Nordic countries to offer such comprehensive ultrasound scans for erectile dysfunction, and I have extensive experience in converting the images into a concrete treatment plan.

• The use of shockwave creates new small blood vessels in the penis and cleans the "dirt" in the swellings. The nerves, muscles and blood vessels of the diaphragm are also stimulated, giving you a stronger and better erection again. Completely without the unpleasant side effects seen with other treatments.
• The program usually lasts 6-8 weeks and is tailored to your needs and the severity of the problem in relation to your desired sex life. All with the aim of you having a high quality of life and good self-esteem. You get the tools to make a difference for yourself, your feelings as a man and not least your erection, so you avoid problems again in the future. A course of treatment usually consists of 6, 9 or 12 sessions, with 90% of our clients experiencing a better and more powerful erection.
• In cases of severe illness or medication, ongoing maintenance may be required, but I will advise you on this at the first consultation after the initial examination.
• I clarify what the triggers are for you the first time you come to the clinic for an examination. This way you will also be able to continue working with different tools yourself. Recent research and experience from our German colleagues show that it is recommended to supplement with an additional course of 6 treatments after 6 months. This has been shown to give a longer lasting effect (several years, at the level achieved).
• Others choose to have regular maintenance with a few treatments throughout the year, to have a high nerve activity.
• A single shockwave treatment in combination with EMTT costs from 1,500-2,000 Danish kroner, depending on how advanced a solution you choose. I was the first in Denmark to work with the combination of Shockwave and EMTT , where we see a higher effect than Shockwave alone and have set the standard for ED treatment both in Denmark and abroad. If you want pure shockwave without EMTT, it costs DKK 1,200.
• At the first consultation, you can choose whether you only want a conversation and examination, which costs from 1,700 DKK, or start the treatment right away.
• If you want to see a review of different studies, you can see them here: Studies on ED

• The treatment of erection problems (Erectile Dysfunction) with focused shockwave is done by treating the diaphragm and shaft of the penis with shockwave. Here, the sound waves will increase blood flow and the formation of new blood vessels, as well as break down any calcifications and cholesterol build-up in the swelling membranes. It loosens up tense muscles, allowing good blood flow back to the penis from the pelvic floor.
• The shockwave treatment itself lasts about 10-15 minutes, based on research-based protocols and the equipment available at the clinic, which is the latest available.
• The treatment is painless for youand cannot be compared to if you have previously had it in a shoulder, for example. You will only feel a slight tingling sensation. You are of course welcome to bring your partner to the treatment if it gives you more reassurance.
• There are no risks and sideeffects of the treatment. You will also be able to have sexual activity as usual throughout the course of treatment. However, it can positively affect bladder control, as well as the quality of ejaculation.

With the specialized solutions in the clinic, I work with more than just the traditional shockwave treatment. There are 2 levels of extended processing.

ED Plus is treated with a combination of EMTT and Shockwave. In this way, we significantly increase the formation of blood vessels and stimuli on nerve pathways compared to standard treatment. This will also provide increased control over the pelvic floor muscles

At the same time, there is an increased treatment focus on the central nervous system and cognitive function (CNS), which also has an important impact on our erectile function when choosing the executive solution. This helps to provide a higher quality nerve signal to the penis from the CNS.

ED Plus and Executive are especially targeted at those with severe erectile dysfunction, where there are other diseases in the body that can counteract traditional measures.

If you want more information about this type of treatment, you will be guided the first time you visit the clinic.

We also have the possibility to combine the shockwave treatment with the brand new EMTT technology, which provides an increased stimulation on the nervous system and elasticity of the tissue in the pelvic floor, as well as an increased release of growth factors, and other building blocks for increased cell quality. Therefore we stimulate a wider area than with shockwave alone. In order to have a good and strong erection, the tissue in the penis must be able to expand up to 20-25 times, therefore flexible tissue is important.

With this combination, a stronger effect is seen than with shockwave alone. This is also supported by our clients who have previously received shockwave as a standalone. We expect this combination to become the standard for the treatment of erectile dysfunction in the future.

We are the clinic in Denmark that introduced EMTT back in 2020 and were the first to offer this innovative combination treatment, which will give you a better result and a stronger erection. Other clinics have since adapted Michael's protocols in their treatments.

After surgery for prostate cancer, it is common to see severe erection problems. Usually, the surgeon will try to preserve one of the 2 nerves running along the prostate, which has an impact on the ability to erect. If the nerve is preserved, we can use shockwave to increase erection, if possible in combination with pills or injections. Thus, you will be able to maintain sexual activity and a good erection.

However, it is important to come soon after surgery, as there is an open window for the first 6 months after surgery to stimulate the nerve tissue. This is also where we have the best chance of reducing inappropriate scarring of the pelvic floor after surgery.

Every week I have clients in the clinic who have had surgery several years ago. Here, the treatment still has a good effect in terms of increased erectile function and sensation. But where I see the biggest effect is when starting treatment a few weeks after surgery.

Most recently, shockwave treatment has been started as early as 3 weeks after surgery at Odense University Hospital, where, just like here in the clinic, they see an increased effect on the regeneration of nerve tissue. This also increases erectile function and limits potential nerve damage in the long run. In order to do the treatment so close to surgery, it requires that all cancer has been removed.

A man's self-esteem is the source of his potency and who he is. If your self-image is eroding and you feel that you have no greater value for who you are or what you can accomplish, it can lead to a wide range of psychological issues. This can manifest as shame and performance anxiety and, in severe cases, depression and stress.

When self-esteem disappears and feelings of inferiority arise, the desire for sex and, in the most severe cases, the ability to have sex can disappear. This will only create a further downward spiral, further affecting self-image and sexual function. For him, this will need to be addressed in order for you to regain successful sexual functioning.

Self-esteem may also be affected by childhood and possible trauma, which may have affected self-image and relationship formation and may form the basis for a greater need for counselling to address the issue.

Alongside shockwave therapy, I can help you with tools for increased self-esteem if you are open to working with yourself

In the context of sexual activity, a feeling of inferiority in the man can lead to performance anxiety. This is especially true if you have put your partner on a pedestal and do not feel that they are on the same level. Or colloquially, that you/he feels you have overscored. It may be by virtue of the following questions:

Am I good enough? Is my dick big enough for her? Can I satisfy her? What happens if I disappoint her? Will I be abandoned if she doesn't have an orgasm?

There is no limit to the thoughts that can come up in the situation, but common to all of them is that it reduces the ability to erect to a greater or lesser extent. For some men, this means they don't want to have sex at all and start to withdraw when they're about to be intimate with their partner, for fear of failing.

I'll help you understand these elements too.

There are many different causes of erection problems in men, besides age. The clinic helps you at the first examination to understand why you have got your erection problem. Below are the most frequently seen

• Diabetes
• Overweight
• Different types of medications (cholesterol, insulin, blood pressure regulators as the most frequent)
• Physical inactivity
• Heart problems
• Alcohol/smoking
• Stress / lack of sleep
• Use of steroids.
• After prostate surgery, due to nerve damage
• Tense muscles in the pelvic floor due to frequent cycling
• Performance anxiety
• Self-esteem problems
• Lack of sex drive
• Abuse
• Guilt and shame
• Relationships
• Lack of knowledge

In general, some degree of erectile dysfunction will affect about 50% of men over the age of 50, and increases with age from there. But there are also many young people aged 20 to 40 who suffer from erection problems, and this group accounts for about 30% of those the clinic helps. So it's not just a question of "high" age.

One of the latest treatment options for erection problems with focused shockwave and EMTT, used in the clinic at MS Insight.

• Physical activity
• Vacuum pump
• Shockwave/EMTT
• Sexological therapy
• Stem cells (not offered in the clinic)
• Injections/pills (not offered in the clinic)
• Surgery (with pump insertion)

To give you even more insight into your health status and to see if there are any risk factors in relation to your general health, an advanced analysis is offered at the first treatment with an InBody770.

The InBody 770 is an advanced body analysis machine used to measure body composition, muscle mass, body fat percentage and much more. This machine is able to provide accurate and detailed measurements, making it suitable for analysis to complement treatment. This can provide an increased qualification of what response to shockwave treatment can be expected in relation to the body's state of health.

It can also help track progress in training and dietary changes. Therefore, I also offer that you can have new measurements made in connection with any booster treatments after the initial course. Then you can see what effect your lifestyle changes have and how it affects your erection ability.

"Despite regular exercise, a healthy diet and a continued active sex life, through my fifties I have experienced a gradual deterioration in my ability to achieve a proper and sustained erection. In fact, the process probably began even earlier.

Pills I have never really liked, and although an easy and effective short-term effect is achieved here. I was curious when I read about Michael and MS Insight. I took the test and gave myself a birthday present by buying what in my case was 6 recommended treatments.

You quickly get used to the formless and in no way painful treatment with shockwave therapy of the diaphragm and penis. The treatment is painless and you quickly get used to relaxing with the "tingling" waves from the shockwave machine.

Can you convince yourself that there's not much difference between opening your mouth and dropping your pants in private with your therapist? Then the experience is on a par with a dental cleaning. Michael is very orderly and has always handled the treatments of me and the interaction in the private room in a good and relaxed way.

After my 6 treatments I experienced a noticeable change in both the ability to have and the frequency of having a natural good erection. Cosy when you wake up in the morning, and nice when you're with your girlfriend.

Although it's not cheap, it's been worth it for me and I might go again in 5 or 10 years if I later lose the level I've now regained."