Clear answers. Confidential care. Trusted guidance.
Erectile dysfunction is the inability to achieve or maintain an erection firm enough for satisfactory sexual activity. It is a common medical condition that affects men of all ages, particularly over 40
ED can be caused by a combination of factors, including:
● Age-related vascular changes
● Diabetes
● High blood pressure
● Cardiovascular disease
● Obesity
● Smoking
● Hormonal imbalances
● Psychological factors such as anxiety or depression
● Certain medications
In many cases, multiple factors contribute.
It can be either — or both.
Psychological ED may involve performance anxiety, stress, or depression.
Physical ED typically involves reduced blood flow, nerve issues, or hormonal imbalance.
A proper medical evaluation helps determine the underlying cause.
Yes. In most cases, erectile dysfunction is highly treatable with medication, lifestyle changes, or targeted therapies.
Your provider may recommend lab testing depending on your medical history. This is
determined during your consultation.
The needle used is very small. Most men report minimal discomfort after proper instruction.
Typically within 5–15 minutes.
On average, 30–90 minutes, depending on dose and individual response.
Stimulation is not required, though it may enhance response.
Prolonged erections are rare when properly dosed.Patients receive education on what to do in the unlikely event this occurs. If an erection lasts more than 3–4 hours, medical attention should be sought.
Combination therapy should only be used under direct medical supervision.
Using both without guidance increases the risk of prolonged erection.
The risk is very low when proper technique and rotation guidelines are followed.
Yes. Medication should be refrigerated and protected from heat and light.
Typically no more than 2–3 times per week to reduce the risk of scarring.
Your provider will give specific guidance.
Most medications take 30–60 minutes before sexual activity.
● Sildenafil: 4–6 hours
● Tadalafil: Up to 36 hours
Duration varies by medication and individual response.
Yes. Sexual stimulation is required for them to be effective.
Some medications, such as tadalafil, may be prescribed daily. Others are taken as needed. Your provider will determine the most appropriate approach.
Possible side effects may include:
● Headache
● Nasal congestion
● Facial flushing
● Back pain (more common with tadalafil)
● Indigestion
Your provider will review risks and safety considerations with you.
Men taking nitrate medications or certain cardiac medications should not use PDE5 inhibitors.
Your provider will review contraindications during your consultation.
Moderate alcohol may be acceptable, but excessive alcohol can reduce effectiveness and
increase side effects.
Your consultation is private, confidential, and guided by licensed medical providers. We’re here to help you make an informed decision, without pressure.
