Online Erectile Dysfunction Treatment
Start a consultation for erectile dysfunction now, with no appointment and no waiting room. A board-certified doctor reviews your symptoms, medical history, and current medications. If treatment is medically appropriate, your prescription can be sent to the pharmacy of your choice the same day.
Available 24/7, whether this is your first conversation about ED or a prescription refill.
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Hi Dr. Nicole, I am experiencing issues with my erection. Is it because of erectile dysfunction?
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Our online doctors can help you with your medical issues and give you prescriptions.
Prescription
Viagra 50mg
Take about 1 hour before sex, once a day at most.
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What are the treatment options for erectile dysfunction?
Erectile dysfunction is treated in more than one way, and the right starting point depends on what is causing it. These are the options a doctor will go through with you.
- Oral PDE5 inhibitor tablets to improve blood flow to the penis, so an erection is possible with sexual stimulation.
- Lifestyle changes, such as stopping smoking, cutting back on alcohol, becoming more active, and reaching a healthier weight.
- Counseling, on your own or with your partner, when anxiety, stress, or low mood is part of the picture.
- Treating the underlying condition, such as diabetes, high blood pressure, and low testosterone.
- Injectable medicines when tablets have not worked
- A vacuum erection device, which draws blood into the penis mechanically
- Surgery, such as a penile implant, which is considered last
Tablets are the usual first step, and PDE5 inhibitors have an overall success rate of up to 76%. Our doctors prescribe the tablets and can help with lifestyle and counseling. Testosterone, injections, devices, and surgery are handled in person, so we will tell you when to book a urology appointment instead.
What ED medications can we prescribe online?
PDE5 inhibitors
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PDE5 inhibitors
Learn More PDE5 inhibitors
Learn More PDE5 inhibitors
Learn More What is erectile dysfunction?
Erectile dysfunction, or ED, is the repeated inability to get an erection firm enough for sex, or to keep one long enough to finish. No time limit is built into that definition, though specialists generally look for the problem to have lasted around six months before calling it ED. One difficult night is not the condition. A pattern is.
Between 30 and 50 million men in the United States have ED, around 40% of men at age 40 and about 70% by age 70.
What are the symptoms of erectile dysfunction?
These are the three signs doctors ask about:
- Getting an erection sometimes, but not every time you want sex
- Getting an erection that does not last long enough for sex
- Not being able to get an erection at all
A drop in sex drive is not the same thing as ED, though the two often turn up together.
What causes erectile dysfunction?
An erection needs healthy blood vessels, working nerves, enough testosterone, and the wish to have sex. Here are a few factors that lead to erectile dysfunction:
- Blood vessel and heart conditions, including atherosclerosis, high blood pressure, and stroke.
- Diabetes, chronic kidney disease, COPD, and excess weight.
- Low testosterone and thyroid imbalance.
- Nerve damage from multiple sclerosis, spinal cord injury, or pelvic surgery.
- An enlarged prostate, or Peyronie’s disease.
- Anxiety, depression, stress, low self-esteem, and loneliness.
- Smoking, heavy drinking, inactivity, and recreational drug use
- Side effects of antidepressants, blood pressure tablets, diuretics, antihistamines, some pain relievers, and sedatives
Do not stop a prescribed medicine on your own. If you think one of them is behind it, raise it during the online consultation with the doctor and ask about the alternatives.
Is it safe to get ED medication online?
Online erectile dysfunction treatment is safe when a licensed doctor is the one prescribing. What is not safe is skipping the doctor and buying the medication without a prescription.
- Talk to a clinician before you order anything.
- Get a real prescription, filled by a licensed pharmacy.
- Tell your doctor what else you take. A PDE5 inhibitor, together with a nitrate medicine, can drop blood pressure to a dangerous level.
- Skip the over-the-counter male enhancement and testosterone booster pills, as these products are likely to be contaminated with hidden prescription drug ingredients, are not guaranteed to work, and have sent people to the hospital.
- Get urgent help for an erection lasting longer than 4 hours, or for sudden vision or hearing loss after a dose
A consultation at Your Doctors Online is a real consultation. The doctor can decline to prescribe and will say so if a tablet is not the right answer for you.
FAQs about erectile dysfunction treatment online
Can I get a prescription for erectile dysfunction without visiting a doctor?
Yes. You can be assessed and prescribed for erectile dysfunction without going to a clinic. A board-certified doctor reviews your symptoms, your medical history and your current medicines in the chat, and if a PDE5 inhibitor is appropriate the doctor issues it through our online prescription service and sends it to your pharmacy. Sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Stendra) can all be prescribed this way.
Does radiation treatment for prostate cancer cause erectile dysfunction?
Yes, and it usually develops gradually rather than straight away. In the Prostate Cancer Outcomes Study, men treated for localized prostate cancer had declines in sexual function across 15 years of follow-up, and by 15 years radiotherapy and surgery had reached a similar level. Erectile dysfunction after prostate cancer treatment is treatable, so raise it with the doctor following your cancer care.
How do online doctors treat erectile dysfunction?
By assessment and prescription rather than examination. You describe the problem in the chat, the doctor asks about your general health and the medicines you already take, and if an oral treatment is appropriate the prescription goes to your pharmacy. The medicines prescribed for ED are sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra) and avanafil (Stendra). If the doctor thinks the cause needs blood tests or a physical exam, they will tell you that instead of prescribing.
What is the maximum dose of Tadalafil for erectile dysfunction?
For erectile dysfunction, 20 mg is the highest as-needed dose of tadalafil, and it should not be taken more than once in any 24 hours. Most men start at 10 mg. If your doctor puts you on the once-daily version instead, the dose is 2.5 mg or 5 mg. Do not increase either on your own, because side effects rise with the dose.
What is the best testosterone booster for erectile dysfunction?
There is no over-the-counter testosterone booster that is proven to treat erectile dysfunction. The FDA warns that products sold for sexual performance are likely to be contaminated with hidden prescription drug ingredients such as sildenafil and tadalafil, are not guaranteed to work, and have led to hospital admissions. If low testosterone is the reason for your ED, it is diagnosed with a blood test and treated with prescription testosterone under a doctor’s supervision, which is in-person care rather than something prescribed online.
Which pill is best for erectile dysfunction?
There is no single best pill. Sildenafil (Viagra) and tadalafil (Cialis) are the two prescribed most often, and the choice usually comes down to timing: sildenafil is taken about an hour before sex, while tadalafil stays active far longer and can also be taken as a low daily dose. Your other medicines and health conditions narrow it down further, which is what the doctor checks.
How long will I stay hard with Cialis?
Tadalafil (Cialis) improves erectile function for up to 36 hours after a dose, which is longer than any of the other ED tablets. That is a window in which an erection is easier to get with sexual stimulation, not 36 hours of constant erection. Talk to one of our licensed doctors about getting Cialis prescribed online.
Which is better, Cialis or Viagra?
Neither is better for everyone. Sildenafil (Viagra) is taken about an hour before sex and wears off the same evening, which suits men who can plan around it. Tadalafil (Cialis) works for up to 36 hours from one dose and can be taken as a low daily dose instead, which suits men who would rather not time anything. Your other medicines matter more than either of those, so talk to a doctor before choosing.
What vitamins are good for erectile dysfunction?
No vitamin is an approved treatment for erectile dysfunction. Correcting a genuine deficiency is worth doing for your general health, but it will not clear ED on its own, and supplements sold for sexual performance are exactly the products the FDA keeps finding contaminated with hidden prescription drugs. If you want something proven, a PDE5 inhibitor prescribed by a doctor is the first-line treatment.
How long does temporary erectile dysfunction last?
There is no fixed answer. Erectile dysfunction from a short-lived cause, such as a stressful stretch, heavy drinking or a new medicine, often settles once the cause does. What matters more than the length is whether it keeps happening, because a pattern is what doctors treat and it can also be the first sign of a circulation or blood sugar problem. If it has been going on for a few weeks, get it looked at.
My boyfriend has erectile dysfunction; what should I do?
The most useful thing is to take the pressure off and make it easy for him to see a doctor. Erectile dysfunction is a medical problem with treatments that work, not a verdict on the relationship. Talk about it outside the bedroom, offer to sit in on the consultation if he wants that, and support the lifestyle side, since smoking, heavy drinking and inactivity all make ED worse. If anxiety or low mood is part of it, counseling helps, and it can include you.
Why does my erection go away so fast?
Losing an erection quickly can come from anxiety, alcohol, tiredness or erectile dysfunction itself, and it can also point to an underlying health condition such as high blood pressure or diabetes. One difficult night is not a diagnosis. If it keeps happening, talk to a doctor so the cause gets identified rather than guessed at.
How long after quitting smoking does erectile dysfunction improve?
Quitting helps, but there is no set timetable. In an analysis of 6,754 men, former smokers had significantly less erectile dysfunction and less low libido than current smokers. Improvement is gradual and depends on how long you smoked and what else is affecting your circulation, so treat stopping as part of the treatment rather than a fix with a date on it.
How to avoid erectile dysfunction on steroids?
Anabolic steroids suppress the testosterone your body makes, and erectile problems and low sex drive are common both while using them and for a period after stopping. There is no way to keep using them and reliably avoid that. If you are using them and having erectile problems, tell a doctor what you are taking, because it changes what is safe to prescribe, and coming off them should be done with medical supervision.
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