Erectile dysfunction (ED) treatment - Online visit

Research shows that 80% of erectile dysfunction cases have an organic cause. For example, erectile dysfunction can be a sign of underlying cardiovascular issues. It can also be a normal part of aging or a side effect of certain medications, like selective serotonin reuptake inhibitors (SSRIs).

ED risk factors also include obesity, smoking, alcohol use, anxiety, and depression.

Clinical research has described PDE5 inhibitors like sildenafil (Viagra) and tadalafil (Cialis) as "revolutionary" for the treatment of ED. Why? These medications have a 60-70% success rate, they work fast, and they have an established safety profile.

If you've already tried one type of PDE5i without success, studies suggest that you should try a different PDE5i. Nearly 90% of men who've been treated with all three ED drugs at different times report improvements in their erections.

When taking ED medication, it's important to follow dispensing directions if you want the drugs to work as designed. Studies have shown that in most cases where men weren't satisfied with sildenafil (Viagra), they were taking their medication incorrectly.

Sildenafil (Viagra) and vardenafil (Levitra) are as-needed medications that you take about an hour before you plan to have sex. Clinicians recommend taking them on an empty stomach.

Tadalafil (Cialis) is the only ED medication that can be taken both as-needed and daily, in a lower dose, so it stays in your system longer. As a daily pill, it can allow for more sexual spontaneity. It may be taken with or without food.

Avanafil (Stendra) is a less commonly prescribed PDE5 inhibitor. It works faster than the other as-needed medications, but isn't available in generic form. This may make avanafil treatment more expensive.

Your clinician will consider your health history and personal preferences when prescribing treatment. The most effective medication for ED will be the one that fits your lifestyle and has the best safety profile for your unique physiology.

If your clinician determines that PDE5 inhibitors are right for you, they'll take your lifestyle, preferences, and health history into account when writing your remote prescription. A monthly supply of medication will vary depending on the customer and the medication.

Daily tadalafil (Cialis) prescriptions can be written as a 30-day supply of 30 tablets plus refills.

As-needed prescriptions for tadalafil, sildenafil, or vardenafil can be written as a certain number of tablets per month plus refills. Your prescribing clinician may consider how often you plan to use the medication.

If you run out of refills, you'll need to request a new prescription, which will require another ED consultation to make sure your medication doesn't need to be adjusted.

Yes. Your clinician needs to know your blood pressure to provide a medically appropriate treatment plan for erectile dysfunction. If you've gotten a blood pressure reading within the last 12 months, you can use that. To get a new blood pressure reading, you can visit your local pharmacy or primary care doctor, or use a home blood pressure monitor.

Yes. For premature ejaculation treatment, you can start a visit from Amazon Clinic's Premature ejaculation treatment page.

What's the difference between the conditions? Premature ejaculation is when men ejaculate too early, while erectile dysfunction (ED) is when men have trouble maintaining an erection.

Erectile dysfunction and premature ejaculation can occur at the same time. If you're experiencing both conditions, clinicians generally recommend that you seek treatment for ED first before adding premature ejaculation treatments.

No. You can't get testosterone testing or treatment through Amazon Clinic at this time. If you have symptoms of low testosterone, like low libido, see your primary care provider before you start an Amazon Clinic visit.

Video visits are available in all 50 states and D.C. Message-only visits are available in 34 states. To see your visit options, first choose your state.

Amazon Clinic doesn't accept health insurance for visits at this time. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through Amazon Clinic. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.

Amazon Clinic protects your health information by strictly following the requirements of the Health Insurance Portability and Accountability Act (HIPAA). HIPAA governs what Amazon Clinic and your healthcare providers can do with your medical information, as well as your contact and payment information. Amazon Clinic doesn’t and will never sell your personal information. Learn more on our privacy page.