1 / 3
How often does this affect you?
Licensed clinician approves every Rx · HIPAA compliant
ED Program
Often same-day
prescription from a licensed clinician
Understanding ED
More common than
most men admit. Fully treatable.
Over 30 million men in the US experience ED at some point. For most, it's not a permanent condition — it's a clinical issue with straightforward, effective treatments. The only barrier is asking.
Situational ED
Happens in certain circumstances
Stress, anxiety, alcohol, or relationship dynamics affect performance. On-demand medication is usually all that's needed. Occasional and manageable.
Frequent ED
Happens most of the time
Vascular, hormonal, or neurological contributors more likely. Low testosterone often co-occurs. Daily low-dose medication and underlying cause evaluation recommended.
ED + low testosterone
Common combination
Low T reduces libido and can contribute directly to ED. Your clinician may recommend a testosterone panel alongside ED treatment if symptoms suggest it.
Performance anxiety
One bad experience becomes a pattern
A cycle that builds on itself. On-demand medication breaks the pattern by restoring reliability. Most men find anxiety resolves once performance concerns are removed.
Clinician-prescribed options
The right treatment
for how you want to live.
Your clinician matches the medication to your lifestyle — not the other way around. On-demand for spontaneity. Daily for consistency.
Most prescribed
Sildenafil
On-demand · Generic of Viagra
30 min
onset · lasts 4–6 hrs
Take 30–60 minutes before. Works with sexual stimulation. Most cost-effective option. Can be taken as-needed without daily commitment.
Longest lasting
Tadalafil (daily)
Daily low-dose · Generic of Cialis
Always
ready — no planning needed
2.5–5mg daily. Maintains constant low levels so you're always ready. Preferred by men who want spontaneity. Also used for prostate symptoms.
On-demand option
Tadalafil (as-needed)
On-demand · 10–20mg
36 hrs
duration — the "weekend pill"
Take when needed, works up to 36 hours. More flexibility than sildenafil. Good option if you want on-demand but prefer a longer window.
Safety. It matters.
Our intake includes specific screening questions for contraindications. Here's what your clinician checks:
Hard stop
Nitrates
If you take nitrates for heart conditions, PDE5 inhibitors cannot be prescribed safely. This combination causes dangerous blood pressure drops. Your clinician will discuss alternatives.
Dose adjustment
Alpha blockers
Alpha blockers can interact. Your clinician starts at a lower dose and monitors. This is manageable — not a barrier to treatment in most cases.
Usually fine
Blood pressure medications
Most BP medications are compatible. Your clinician reviews your specific medication list. The large majority of men on antihypertensives can safely use ED medications.
Discreet. Private.
Shipped to your door.

Plain packaging. No indication of contents on the outside. Your prescription and health information are protected under HIPAA. Your care team sees your records — no one else does.

🔒
Private by design
HIPAA-compliant records. Plain packaging. No external indication of contents.
✅
Async encounter available
Most ED prescriptions are issued through an async intake review — no video visit required unless clinically indicated.
⚡
Often same-day
Clinician review typically completed within 2–4 business hours. Rx issued if appropriate. Ships within 2 business days.
💊
One-time Rx available
No subscription required. Order as-needed. Or choose a monthly plan for savings and convenience.
Questions
Good questions.
Do I need a video visit for ED treatment? ▾
Most ED prescriptions are issued through an async intake review — you answer a medical questionnaire and our clinician reviews it, typically within 2–4 business hours. A video visit is scheduled only if the clinician needs to discuss something specific with you.
What's the difference between on-demand and daily tadalafil? ▾
On-demand (sildenafil or higher-dose tadalafil) is taken 30–60 minutes before. Daily low-dose tadalafil (2.5–5mg) is taken every day, keeping a constant level in your system so there's no planning required. Men who want spontaneity usually prefer daily.
How much does it cost? ▾
One-time prescription starts at $89. Monthly subscription from $79/month — includes clinician review, medication, and free shipping every cycle. HSA and FSA accepted.
Do these medications work for everyone? ▾
PDE5 inhibitors are effective for the majority of men with ED. They require sexual stimulation — they don't cause spontaneous erections. Your clinician will discuss expectations and alternatives if needed.
ED Treatment Program
From $79/month · Licensed clinician · Discreet delivery