Question 1

What is erectile dysfunction (ED)?

Accepted Answer

Erectile dysfunction (ED) is the inability to achieve or maintain an erection firm enough for satisfactory sexual activity. It includes difficulty getting an erection, losing an erection during sex (going soft), and reduced firmness. ED affects approximately 30 million men in the US alone and becomes more common with age, though it can affect men of any age.

Question 2

What are the main causes of ED?

Accepted Answer

ED causes fall into several categories: psychological (stress, anxiety, depression, performance pressure), vascular (poor blood flow due to heart disease, diabetes, high blood pressure), lifestyle (smoking, excessive alcohol, obesity, lack of exercise), medication side effects (antidepressants, blood pressure drugs, antihistamines), and hormonal (low testosterone). Most cases involve a combination of factors.

Question 3

What ED medications are available?

Accepted Answer

The main FDA-approved ED medications are PDE-5 inhibitors: sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra). Generic versions are widely available and significantly more affordable. These medications require a prescription and work by increasing blood flow. Effectiveness varies by individual; consult a healthcare provider to determine the best option.

Question 4

Can I get ED treatment online?

Accepted Answer

Yes. Telehealth platforms like Hims, Ro (Roman), and BlueChew offer online consultations with licensed physicians who can prescribe ED medication. The process typically involves a health questionnaire, a virtual consultation, and discreet home delivery. Many offer generic medications at lower prices than traditional pharmacies.

Question 5

How common is ED in young men?

Accepted Answer

ED is more common in younger men than many people realize. Studies suggest that about 26% of men under 40 experience some degree of ED. In younger men, psychological factors (performance anxiety, stress, relationship issues) are often the primary cause. The good news is that these causes are highly treatable.

Question 6

How much does ED treatment cost?

Accepted Answer

ED treatment costs vary widely. Generic sildenafil through telehealth platforms can cost as little as $2-$6 per dose. Brand-name Viagra or Cialis costs significantly more. Most telehealth consultations range from $0-$25. Many platforms offer subscription plans that reduce the per-dose cost. Insurance coverage for ED medications varies by plan.

Question 7

Are ED medications safe?

Accepted Answer

FDA-approved ED medications are generally considered safe when prescribed by a licensed physician. Common side effects include headache, facial flushing, nasal congestion, and indigestion — usually mild and temporary. However, they are contraindicated with nitrate medications (used for chest pain) and certain heart conditions. Always consult a healthcare provider before starting any ED medication.

Question 8

How does this self-assessment work?

Accepted Answer

Answer 8 questions about your symptoms, frequency, psychological state, lifestyle, medical history, age, and treatment goals. The tool scores 5 potential cause categories and ranks them by priority. For each top cause, you'll see recommended telehealth options. It's free, anonymous, and no account is required. This is not a medical diagnosis — consult a healthcare provider for personalized advice.