Frequently asked questions about E.D.

We use telemedicine technology and U.S. licensed doctors to provide erectile dysfunction treatments discreetly, conveniently, and inexpensively.

It starts with your online doctor visit. Your doctor needs to know about your health (e.g., your medications, lifestyle issues, prior surgeries) and how ED affects you. They also need a recent blood pressure (one done in the last 6 months), and personal ID so they know who they will be helping in the coming year. They review everything, determine if you’re a candidate for telemedicine and, if so (most people are), they will craft a personalized treatment plan.

Their treatment plan will include a great deal of information about ED. It is important you take the time to read it all. You will be better prepared to manage your condition as a partner—and not just a patient. Also, erectile dysfunction is often a symptom of a more serious underlying condition—like heart disease, diabetes, high blood pressure, or even depression. That’s why we want you to learn as much as you can. Nothing would be a sign of our success more so then if you could resolve the condition that causes your ED instead of needing to use the medications your doctor prescribes. We strongly recommend optional laboratory tests. You do not need to get them to receive treatment but it can be one of the best things you can do for your health in the long run.

We’ll analyze your results for free. If there’s anything that requires further evaluation, we will let you know to follow up with your primary care physician or a specialist. You can get your test at any Quest lab or have them performed at your next physical with your primary doctor.

It may not be obvious but paying attention to the strength and frequency of your erection might actually save your life. Regular erections are a great barometer of your overall health.

Viagra’s FDA approved prescribing information claims that “82% of patients reported an improvement in their erections.” Other PDE-5 inhibitors (Cialis) showed similar results.

Oral ED medication is considered highly effective and studies show it works on the majority of men. But no medication works for everyone and ED medication is no exception. Everyone’s reaction to a medication is unique and anything potent enough to help is strong enough to have side effects. If the medication isn’t working, it is important to tell your doctor. Sometimes it is a matter of needing a higher dose. Also, it has been shown that it takes 6 to 8 tries using the medication to experience the best result.

Your Ro-affiliated physician may recommend trying the medication under different circumstances. Using the medication the first time can be anxiety provoking so they may suggest using it alone until you are familiar with its effect or side effects. If you’ve been prescribed ED medication on the Ro platform, please contact a physician if you have any questions. You are not alone. Use every tool you can and asking questions when you need answers is one of them.

According to the American Urological Association, oral PDE-5 inhibitors should be offered as a “first line of therapy for erectile dysfunction.” The most common PDE5 oral medications they prescribe are:

  • Sildenafil (the active ingredient in Viagra)[IMPORTANT SAFETY INFORMATION], and
  • Tadalafil (the active ingredient in Cialis) [IMPORTANT SAFETY INFORMATION]

The FDA requires that drugs go through a clinical testing process to establish that they’re safe and effective to treat a particular condition. Healthcare providers generally may prescribe the drug for an unapproved use when they judge that it is medically appropriate for their patient. This type of prescribing is called “off-label” prescribing. Off-label prescribing practices are sometimes validated by clinical experience and research and may be a widely recognized clinical practice. Roman-affiliated providers have the discretion to prescribe certain drugs off-label based a patient’s unique medical history, symptoms, and preferences.

Your blood pressure is an important part of determining whether it’s safe for you to take ED medication. It can be dangerous to take ED medication if your blood pressure is excessively elevated or too low.

To complete a comprehensive medical history during your online visit, you need to enter your most recent blood pressure reading within the last 6 months. If you haven’t had your blood pressure taken within the last 6 months, you can get a free blood pressure reading at thousands of locations across the country.

Enter your location into higi or Pursuant Health to find a place near you that offers free, clinically verified blood pressure readings.

Frequently asked questions about P.E.

We use telemedicine technology and U.S. licensed doctors to provide premature ejaculation treatments discreetly, conveniently, and inexpensively.

It starts with your online doctor visit. Your doctor needs to know about your health (e.g., your medications, lifestyle issues, prior surgeries) and how P.E. affects you. They also need to see a personal ID to confirm your identity and know who they will be helping. They review everything, determine if you’re a candidate for telemedicine and, if so (most people are), they will craft a personalized treatment plan.

Their treatment plan will include a great deal of information about P.E. It is important you take the time to read it all. You will be better prepared to manage your condition as a partner—and not just a patient.

If you qualify, our doctors will provide a diagnosis, behavioral therapy tips and prescribe the right course of treatment to help you last longer during sex.

One of the problems with the diagnosis and treatment of PE is that until recently there has not been agreement on what constitutes premature ejaculation. Many men believe they orgasm more quickly than they should only to discover that their time to orgasm is well within the average range. Other men might orgasm in 2 minutes but find it is neither a cause for concern for them nor for their partner.

  1. According to the International Society of Sexual Medicine (ISSM) premature ejaculation is a male sexual dysfunction characterized by the following: Ejaculation that always or nearly always occurs prior to or within about 1 minute of vaginal penetration from the first sexual experience—Lifelong Premature Ejaculation (LPE), OR a clinically significant reduction in latency time (time it takes to reach orgasm after engaging in sex), often to about 3 minutes or less–Acquired Premature Ejaculation (APE);
  2. The inability to delay ejaculation on all or nearly all vaginal penetrations; and
  3. Negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy.

All three elements must be included for PE to be diagnosed. Men with PE generally fall into two groups: those who have it from their first sexual experience and those who develop it later. The good thing is that many of the interventions work for both groups.

Another definition of PE that has been suggested by the World Health Organization (WHO) is “persistent or recurrent ejaculation with minimal stimulation before, on, or shortly after penetration and before the person wishes it, over which the sufferer has little or no voluntary control which causes the sufferer and/or his partner bother or distress.” This second definition is more flexible. It is also inclusive of gay men and their partners, which is a welcome addition to the definition.

Although no single treatment works for everyone, most men can be treated successfully. Just be sure to stay in touch with your physician. There are multiple medications that can be tried, different topical therapies, and varied techniques that can be used alone or in unique combinations. Some people see immediate results. Others will find they need to try a few different methods before finding the right solution. If things don’t go as planned or if you experience an adverse side effect, don’t give up. You have options and we are here to help you find the best solution.

In addition to behavioral tips, there are several medication options that your doctor may recommend, depending on your unique health situation.These include the most effective treatments recommended by the American Urological Association.

The simplest effective treatment is usually the best choice, so your provider will try to prescribe the medication that is most likely to work well for you. Based on your feedback, however, your management may change over time by switching to another medication choice or using a combination of agents. Some men use an oral medication and apply a topical anesthetic that they then cover with a condom. They get the sensations they want, experience the prolonged pleasure of an extended sexual experience, and orgasm at a time both they and a partner find satisfying. For other men, such a combination is overkill. That is why your personal experience is so important.

The FDA requires that drugs go through a clinical testing process to establish that they’re safe and effective to treat a particular condition. Healthcare providers generally may prescribe the drug for an unapproved use when they judge that it is medically appropriate for their patient. This type of prescribing is called “off-label” prescribing. Off-label prescribing practices are sometimes validated by clinical experience and research and may be a widely recognized clinical practice. Roman-affiliated providers have the discretion to prescribe certain drugs off-label based a patient’s unique medical history, symptoms, and preferences.

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