What is erectile dysfunction (ED)?

Inability to get and/or keep an erection firm enough for sex. Symptoms include:

  • Trouble getting an erection

  • Trouble keeping an erection

  • Reduced sexual desire

Treatment Options

Viagra/Sildenafil

This medication needs to be taken 30 minutes before sexual activity for treatment of ED. This medication can stay in your system for up to 6 hours and typically starts to lose effectiveness at 3-4 hours.

cialis/Tadalifil

This can be taken 30 minutes to 4 hours before sexual activity. This medication can stay in your system for up to 36 hours at a time. This allows you to be more spontaneous with your partner.

FAQs

  • If you are taking Viagra currently for pulmonary hypertension or ED.

    If you are using nitroglycerin patches or sublingual it can drop your blood pressures.

    If you have recently had a heart attack, heart failure or atrial fibrillation (A-fib) in the past 6 months.

    If you’ve had a stroke in the past 6 months.

    If you have chronic kidney disease or liver disease you will need labs first to determine if this medication is safe for you to take.

    If you have a history of uncontrolled hypertension (blood pressure).

    If the practitioner feels this medication is inappropriate for you based on your history, labs, or exam.

  • We require an office visit either in person or virtually to discuss concerns. Labs will need to be drawn. Then, we determine a treatment plan that is suitable for your needs and goals. Prescriptions are sent to a local pharmacy or we can have them shipped to your home for privacy.

  • ED can have multiple causes. Sometimes ED can be due to low testosterone levels and it can be corrected when a man’s testosterone levels are raised with testosterone injections or pellets. Other times, it maybe necessary to have Cialis or Viagra as treatment as well.