You have ED if you can't achieve and maintain an erection sufficient for sex even though you're sexually aroused. ED is not the same as premature ejaculation and ED is not the same as lacking sex drive, low desire to have sex, or low libido.

It’s very common and affects 10% of adult men and as many as 40% of men over 40. Some men experience ED from an early age. ED is sometimes called impotence.

ED is most commonly caused by physical factors, but can also be caused by psychological factors such as anxiety or depression. Sometimes ED is caused by a combination of physical and psychological factors.

ED can be the first sign of potentially more serious underlying heart or general health problems. That's why it's important to have a range of investigative tests to look for the cause even if you feel fine.

Aside from the stress and relationship problems that ED can cause, from a purely medical perspective ED can be the first sign of potentially more serious underlying health conditions that need investigation.

You can use our service if your assigned birth sex is male and you are between 30 and 73 years old. We can’t help men in MN, ND or SC as state law prohibits us from prescribing ED meds.

ED medicines are not recreational drugs and you should only request a prescription if you really do suffer from ED.

ED is not the same as premature ejaculation and ED medicines will not increase your sex drive or desire to have sex. ED medicines are not aphrodisiacs. ED medicines only help you get and sustain an erection if you're sexually aroused.

We can prescribe 5 medicines to treat ED: generic sildenafil (‘Generic Viagra’), generic tadalafil (‘Generic Cialis’), generic Cialis Daily, branded Viagra and branded Cialis. All the medicines require a doctor’s prescription.

Sildenafil is the active ingredient in Viagra. Generic sildenafil in 20mg pills is the most cost effective way to get ED meds. We recommend our patients take 3 (60mg total) or 5 pills (100mg total) at a time, depending upon everything we learn about you. We also prescribe the 25mg, 50mg or 100mg pills but they cost more.

Many of our patients prefer generic Cialis (tadalafil) over sildenafil, because the benefits last longer and let you be more spontaneous. With generic Cialis you don’t have to plan sex to the same extent.

With the exception of the Cialis Daily 5mg prescription, our doctors and nurse practitioners are able to write prescriptions for 10 treatments at a time with 11 refills - the number of tablets in each fill will be dependent on the medicine and dosage you’re prescribed. The Cialis Daily 5mg prescription will contain 30 tablets per fill, for a month’s worth of medication, with 11 refills available to you.

The medicines we prescribe work for the majority of men, but how a medicine works for you as an individual will depend upon the underlying cause of your ED and your body's response to the medicine.

Each of these medicines work by making it easier for blood to flow through your penis.

We advise patients try taking an ED medicine at a particular dosage at least 3 times before deciding it doesn't work.

If the medicine we prescribe doesn’t work you shouldn’t give up hope. Instead, message us to make sure you’re taking it correctly, and if you are taking correctly, ask our medical team about whether you should be on a different dose or on a different medicine.

It's very easy to use our ED service and to complete a GoMDUSA consultation. In fact, it only takes most patients about 10-15 minutes. During business hours (M-F 8am-5pm Pacific, and Saturday & Sunday 8am-12pm Pacific) we try to make sure one of our doctors or nurse practitioners will review your information within 24 hours.

To complete a consultation you need to select one of the ED medicines, answer our simple health questions and take a picture of yourself and your photo ID (unless your state requires a live video consultation, then no pictures will be required). After you’ve created your GoMDUSA account you’ll make payment for your consultation with a card. We’ll only charge you for the cost of the medicines once a doctor or nurse practitioner has reviewed everything and sent your prescription to our mail order pharmacy.

Depending upon your state, you may require a short video consultation immediately after you answer our health questions or in some states one of our doctors or nurse practitioners will need to give you a call.

Our doctors or nurse practitioners will review all your information to make sure you're a good candidate for treatment and that it's appropriate for us to treat you without meeting you in person. If we need any more information we'll send you a message or call you. If appropriate to treat you we'll send your prescription to the pharmacy electronically and our pharmacy will ship the medicines to your door.

We also ask if you want us to order you investigative tests. These routine lab tests look for other potential underlying causes of your ED that, if left untreated, could cause premature death or permanent disability. If you ask us to order these tests we'll order them at Quest Diagnostics. Quest Diagnostics has over 2,200 centers throughout the US and you can go to any of them. Asking us to order these tests does not delay your care - it simply gives you and us helpful information about potential underlying causes of your ED. We'll always explain what your test results mean and what, if anything, you should do next.

Yes. It's safe to use our ED service so long as you answer our health questions fully and accurately, and you read the information we provide about the risks and benefits of treatment, as well as the details of how to take any medicines.

These medicines should only be used by men who are healthy enough for sexual activity. It's not safe for everyone to take these medicines. We'll base our judgment on whether it's appropriate and safe to give you a prescription on medical guidelines and all the information you provide.

All ED medicines come with the potential for serious side effects. They're absolutely not recreational drugs. The medicines we prescribe are not aphrodisiacs and they can't give you an erection.

Yes. Medical guidelines are clear that a doctor or nurse practitioner can diagnose ED based on a patient self-reporting their symptoms. We diagnose ED in the same way that we would if we could meet you in person – we ask you questions to confirm that you have ED. We also ask you separate questions to help us understand the likely cause of your ED.

Just like we'd do if we saw you in person, we encourage you to let us order investigative tests to look for underlying health conditions that might be causing your ED. We know that not everyone can afford or wants these tests, so it's optional whether you want us to order these tests for you. Asking us to order tests is not a requirement for obtaining treatment from us.

You need to tell us your blood pressure to answer our health questions. We need to know your blood pressure because it's not appropriate for us to give you a prescription if your blood pressure is below a certain level or above a certain level.

It's important that the blood pressure readings you give us are accurate and recent because your blood pressure measurements are an important factor in our decision as to whether it's appropriate and safe to give you a prescription.

The good news is that pharmacies in your area will have machines that can accurately measure your blood pressure for free. Most Walmart, Sam’s Club, Rite Aid and Safeway stores have them. Use these links to find your nearest higi station or Pursuant Health machines.

Medicines with nitrates or nitroglycerin in combination with these medicines can lower blood pressure unexpectedly and could be fatal.

We pride ourselves on the great clinical care we provide. It's really important for us that as part of the care we provide we can order lab tests for you and help you understand what the results mean. We don't charge any extra for ordering and interpreting your lab tests because helping you understand the underlying cause of your ED is part of helping manage your ED.

We pride ourselves on transparent service. You can see the names of all our medical providers, and the specific provider who treats you is always licensed in your state and will send you a message when your prescription has been sent. You can always reach one of our providers by sending a message in your GoMDUSA account.

We pride ourselves on using video visits in states that require it - we always work within state-specific regulations.

If you've tried one of the medicines at a particular dose at least three times and it doesn't work, don't give up hope - instead send us a message in your GoMDUSA account or complete another visit. Based on what you tell us we may be able to increase the dose of the same medicine or move you to one of the other two medicines.

If we've tried you on different medicines and doses and it's still not helping your ED, we'll recommend that you go and see a doctor or nurse practitioner in person. There are other treatments available and it's best to discuss these with a doctor or nurse practitioner or nurse practitioner in person.

Our mail order pharmacy based in St Louis, Missouri, offers transparent fair pricing. You can see the prices on our website. The prices listed include free fast delivery in plain packaging.

It's important to use a blood pressure monitor that has a cuff for the upper arm and has a label on the box that says 'clinically validated'. You can buy them in most pharmacies or online. Always read the instructions carefully. We don't recommend using finger and wrist monitors as they tend to be less accurate.

Rest for at least 5 minutes before taking your readings. Wait at least 30 minutes after smoking, eating, drinking caffeine, or exercising.

Make sure the cuff for the upper arm fits properly. A cuff that is the wrong size will give an inaccurate reading. You should have just enough room to fit your fingertips between the cuff and your arm.

Make sure you put the cuff on the correct part of your arm. The lower edge of the cuff should be about an inch above your elbow. Rest your elbow on a table so that the cuff is at the same level as your heart.

Take 2 readings on both arms and give us the highest number you record.

There are several alternative treatments you should consider including lifestyle changes, other medicines, penile vacuum pumps, and surgical options.

Penile vacuum pumps may be effective for some men. Other medicines including penile injections or penile suppository may be more effective for some men who still have symptoms despite taking oral ED medicines. Those with ED due to nerve damage or who don't respond to medicines may also benefit from surgical options. It’s always okay to see another doctor or nurse practitioner in person who may be able to provide you with additional options.

You also always have the option of taking no treatment. You can often improve the symptoms of ED by improving your health overall. This includes eating healthier foods, stopping smoking if you smoke, reducing alcohol consumption, and exercising regularly. If you have health problems such as high blood pressure or diabetes, it's also important to make sure they're under good control.

To make sure you are in optimal health you should also consider the investigative tests we offer that can help diagnose some causes of ED including problems with your overall health.