ED Treatment

Sildenafil (Viagra) takes effect in 30-60 minutes, lasts 4-6 hours, taken on-demand. Tadalafil (Cialis) takes effect in 30 minutes, lasts 24-36 hours, available daily (2.5-5mg) or on-demand (10-20mg). Daily tadalafil suits spontaneous intimacy; on-demand sildenafil suits scheduled. Both equally effective in head-to-head trials.

Generic sildenafil $5-30/month (50-100mg, telehealth tier). Generic tadalafil $5-40/month (5-20mg). Brand Viagra ~$80/pill retail. Brand Cialis ~$70/pill retail. Major insurance often covers brand with prior auth; generics typically out-of-pocket regardless.

ED meds (PDE5 inhibitors) modestly lower BP — combined with nitrates (sublingual nitroglycerin, isosorbide) causes severe hypotension. Hard contraindication. Otherwise, ED medications are not heart-damaging — they're often safe in stable cardiovascular disease. ED is often the early warning of underlying cardiovascular disease — get evaluated.

Yes — a licensed clinician must review history, vital signs, and current medications before prescribing. Telehealth services (Hims, Ro, Bluechew) use video or async written intake with a licensed US clinician. The medications are not OTC.

Compare on five things: clinical model (who's prescribing and their credentials), full out-of-pocket pricing (not just headline price), what's included (medication, coaching, follow-up), cancellation terms, and state availability. Our assessment surfaces the program most aligned with these factors based on your answers.

It depends on the program. Some ed treatment services are in-network with major insurers (especially mental health, BP, cholesterol). Others are cash-pay only (most compounded GLP-1 and on-demand ED). Use the assessment to filter for insurance-friendly options.

For many chronic conditions, online care is clinically equivalent and often more accessible, the FDA and major medical bodies now recognize telehealth as a valid model. However, in-person evaluation is still required for some procedures and emergencies. The partner programs we compare all use licensed US providers.

If you pay cash, no, there's no claim filed. If you use insurance, the partner brand bills under standard CPT codes, which may appear on your explanation of benefits. Each partner discloses their billing approach during intake.

Every partner we list lets you cancel at any time. Most also offer a money-back guarantee or first-month refund if results don't meet expectations. We surface cancellation policies in each program's review.