FAQ's

Erectile Dysfunction

Our doctors can give you a prescription for ED medicines after an online assessment and send it to your local pharmacy same day. By getting your medicine from your local pharmacy you know you’re getting the real deal and not counterfeit drugs.

Just as importantly, we can order investigative laboratory tests to help you identify some underlying health conditions that might be the cause of your ED. These tests are optional, but we strongly recommend them.

You have ED if you can't achieve and maintain an erection sufficient for sex even though you're sexually aroused. ED is not the same as premature ejaculation and ED is not the same as lacking sex drive, low desire to have sex, or low libido.

It’s very common and affects 10% of adult men and as many as 40% of men over 40. Some men experience ED from an early age. ED is sometimes called impotence.

ED is most commonly caused by physical factors but can also be caused by psychological factors such as anxiety or depression. Sometimes ED is caused by a combination of physical and psychological factors.

ED can be the first sign of potentially more serious underlying heart or general health problems. That's why it's important to have a range of investigative tests to look for the cause even if you feel fine. We can order these laboratory tests for you as part of our service to be drawn at any Quest Diagnostics center.

Aside from the stress and relationship problems that ED can cause, from a purely medical perspective ED can be the first sign of potentially more serious underlying health conditions that need investigation.

So by providing you with a way to get treatment for ED we hope that you'll consider letting us order routine laboratory tests to investigate other potential causes of your ED that you can do something about. We can order your tests at any Quest Diagnostics center in the country and we'll explain what your test results mean.

You can use our service if you're a man who's 30 or older and younger than 73 years old, you live in one of the states where we offer services and you suffer from ED.

ED medicines are not recreational drugs and you should only request a prescription if you really do suffer from ED.

ED is not the same as premature ejaculation and ED medicines will not increase your sex drive or desire to have sex. ED medicines are not aphrodisiacs. ED medicines only help you get and sustain an erection if you're sexually aroused.

We can prescribe one of four medicines to treat ED: generic sildenafil (Revatio), branded sildenafil (Viagra made by Pfizer), tadalafil (Cialis), and vardenafil (Levitra). You can't get these medicines without a doctor's prescription and we prescribe whichever type works best if it’s safe and appropriate to do so after an online consultation with our doctors. These don’t work in women and we don’t prescribe them to women.

Each of these medicines work by making it easier for blood to flow through your penis. Each of the four medicines comes in different doses and we prescribe different number of pills.

All four medicines come with the potential for serious side effects. They're absolutely not recreational drugs.

Because it's not safe for everyone to take these prescription medicines, we ask you a detailed set of health questions to confirm that you have ED and that it's safe to give you a prescription. You’ll need to know your blood pressure to answer our health questions.

The medicines we prescribe are not aphrodisiacs and they can't give you an erection. But they can help you get and maintain an erection when you're sexually aroused and many men find them to be very effective.

The medicines we prescribe work for the majority of men, but how a medicine works for you as an individual will depend upon the underlying cause of your ED and your body's response to the medicine.

We advise patients to try a particular medicine at a particular dose at least 3 times before deciding it doesn't work.

It's very easy to use our ED service and to complete a Lemonaid visit. It takes most patients a few minutes to complete a Lemonaid visit. During business hours one of our doctors will review your visit within two hours.

To complete a visit you need to select one of the four medicines, answer our simple health questions and take a photo of yourself. To form a relationship with you it’s important that our doctors can see you. Then you select a local pharmacy where you want us to send your prescription, and finally you enter your payment details to pay our visit fee. You can select a pharmacy in your community or you can use our mail order partner PHIL. You pay the pharmacy for your medicines just like you would for a prescription from a doctor in person. In some states you’ll have a short video visit with one of our doctors immediately after making payment during normal business hours.

Our doctors will review all your information to make sure you've a good candidate for treatment and that it's appropriate for us to treat you without meeting you in person. If we need any more information we'll send you a message or call you. If appropriate to treat you we'll send your prescription to the pharmacy electronically.

We also ask if you want us to order you investigative tests. These routine lab tests look for other potential underlying causes of your ED that if left untreated could cause premature death or permanent disability. If you ask us to order these tests we'll order them at Quest Diagnostics. Quest Diagnostics has over 2,200 centers throughout the US and you can go to any of them. Asking us to order these tests does not delay your care. It simply gives you and us helpful information about potential underlying causes of your ED. We'll always explain what your test results mean and what, if anything, you should do next.

Yes. It's safe to use our ED service so long as you answer our health questions fully and accurately, and you read the information we provide about the risks and benefits of treatment and the details of how to take any medicines.

These medicines should only be used by men who are healthy enough for sexual activity. It's not safe for everyone to take these medicines. We'll base our judgment on whether it's appropriate and safe to give you a prescription on medical guidelines and all the information you provide.

Yes. Medical guidelines are clear that a doctor can diagnose ED based on a patient self-reporting their symptoms. We diagnose ED in the same way that we would if we could meet you in person – we ask you questions to confirm that you have ED. We also ask you separate questions to help us understand the likely cause of your ED.

Just like we'd do if we saw you in person, we encourage you to let us order investigative tests to look for underlying health conditions that might be causing your ED. We know that not everyone can afford or wants these tests, so it's optional whether you want us to order these tests for you. Asking us to order tests is not a requirement for obtaining treatment from us.

You need to tell us your blood pressure to answer our health questions. We need to know your blood pressure because it's not appropriate for us to give you a prescription if your blood pressure is below a certain level or above a certain level.

It's important that the blood pressure readings you give us are accurate and recent because your blood pressure measurements are an important factor in our decision as to whether it's appropriate and safe to give you a prescription.

The good news is that pharmacies in your area will have machines that can accurately measure your blood pressure for free. Most Walmart, Sam’s Club, Rite Aid and Safeway have them. Use these links to find your nearest higi station or Pursuant Health machines.

Medicines with nitrates or nitroglycerin in combination with these medicines can lower blood pressure unexpectedly and could be fatal.

We pride ourselves on the great clinical care we provide. It's really important for us that as part of the care we provide we can order lab tests for you and help you understand what the results mean. We don't charge any extra for ordering and interpreting your lab tests because helping you understand the underlying cause of your ED is part of helping manage your ED.

We pride ourselves on transparent service. You can see the names of all our doctors and the doctor who treats you is always licensed in your state and will send you a message when your prescription has been sent. You can always reach one of our doctors by sending a message in Lemonaid.

We pride ourselves on sending your prescription to your local pharmacy because we want to part of your healthcare team and not separated from it.

We pride ourselves on using video visits in states that require it. We always work within the regulations, not outside of the regulations.

If you've tried one of the medicines at a particular dose at least three times and it doesn't work, don't give up hope and instead send us a message in Lemonaid or complete another visit. Based on what you tell us we may be able to increase the dose of the same medicine or move you to one of the other two medicines.

If we've tried you on different medicines and doses and it's still not helping your ED, we'll recommend that you go and see a doctor in person. There are other treatments available and it's best to discuss these with a doctor in person.

The cost of the treatments varies but generic sildenafil (Revatio) is the most cost effective and can cost less than $1 per treatment. If you have to pay for your medicines then in general brand name Viagra costs $65 per pill, Cialis costs $65 per pill and Levitra costs $50 per pill. Your insurance may cover the cost of the medicines but it will depend upon your plan and your medical history.

Most Walmart, Sam’s Club, Rite Aid and Safeway have machines that can accurately measure your blood pressure for free. Use these links to find your nearest higi station or Pursuant Health machines.

It's important to use a blood pressure monitor that has a cuff for the upper arm and has a label on the box that says 'clinically validated'. You can buy them in most pharmacies or online. Always read the instructions carefully. We don't recommend using finger and wrist monitors as they tend to be less accurate.

Rest for at least 5 minutes before taking your readings. Wait at least 30 minutes after smoking, eating, drinking caffeine, or exercising.

Make sure the cuff for the upper arm fits properly. A cuff that is the wrong size will give an inaccurate reading. You should have just enough room to fit your fingertips between the cuff and your arm.

Make sure you put the cuff on the correct part of your arm. The lower edge of the cuff should be about an inch above your elbow. Rest your elbow on a table so that the cuff is at the same level as your heart.

Take 2 readings in both arms and give us the highest number you record.

There are several alternative treatments you should consider including lifestyle changes, other medicines, penile vacuum pumps, and surgical options.

Penile vacuum pumps may be effective for some men. Other medicines including penile injections or penile suppository may be more effective for some men who still have symptoms despite taking oral ED medicines. Those with ED due to nerve damage or who don't respond to medicines may also benefit from surgical options. It’s always okay to see another doctor in person who may be able to provide you with additional options.

You also always have the option of taking no treatment. You can often improve the symptoms of ED by improving your health overall. This includes eating healthier foods, stopping smoking if you smoke, reducing alcohol consumption, and exercising regularly. If you have health problems such as high blood pressure or diabetes, it's also important to make sure they're under good control.

To make sure you are in optimal health you should also consider the investigative tests we offer that can help diagnose some causes of ED including problems with your overall health.