Men's Health
ED Treatment & Men's Sexual Health Support Online
Sexual health concerns are common, medical, and worth addressing. A licensed provider can privately evaluate erectile difficulties, reduced desire, and concerns about ejaculation — and recommend a treatment plan including prescription medication when appropriate, screening for contributing health conditions, lifestyle guidance, or referral for lab work or in-person care.
Start a Private VisitAbout these conditions
💬 You're not alone — and this is easier to address than most men expect
Erectile difficulties, reduced desire, and concerns about ejaculation are common across adulthood. Exact prevalence varies depending on age, health, and how each condition is defined — but these concerns affect men at every life stage, and most of them have identifiable causes and effective treatments. They just rarely come up in conversation.
That's exactly why telehealth works so well for men's sexual health. Most men who need help with ED, low libido, or premature ejaculation never bring it up with their regular doctor — not because the concern isn't worth addressing, but because the conversation feels uncomfortable. A private online visit removes that barrier. You describe your symptoms, your provider reviews your history, and you leave with a clear assessment and, when appropriate, a treatment plan. No waiting room. No awkward conversation.
What we evaluate and treat on this page
Erectile dysfunction (ED), reduced libido (low sex drive), and premature ejaculation (PE). A licensed provider will review your symptoms, health history, and relevant factors to assess the most likely cause and recommend appropriate treatment. We prescribe FDA-approved oral medications including sildenafil (generic Viagra) and tadalafil (generic Cialis) when clinically appropriate and safe. We do not prescribe controlled substances or injectable ED treatments such as Trimix. When evaluation or treatment requires lab work or in-person assessment, your provider will guide you clearly.
Why these concerns often go untreated — and what changes when you address them:
- →Most men don't bring it up. The majority of men experiencing ED or low libido never discuss it with a healthcare provider. The result is months or years of avoidance, relationship strain, and declining confidence — for a condition that often responds well to treatment.
- →ED can be an early signal of other health conditions. Erectile dysfunction may be one of the first signs of cardiovascular disease, diabetes, hypertension, or hormonal changes. A provider evaluating your ED isn't just treating a symptom — they may recommend screening for underlying health factors that benefit from early attention. Depending on your history, your provider may recommend blood-pressure assessment, blood sugar or A1c, cholesterol testing, morning testosterone, medication review, sleep-apnea evaluation, or primary-care follow-up.
- →Low libido and ED are not the same condition. They often co-occur, but they have different contributors and may respond to different approaches. Low testosterone, depression, medication side effects, and relationship or life-stress factors are among the most common contributors to reduced libido — and they are addressed differently than vascular or psychological ED.
- →Effective treatment options are available for many men. Finding the right approach may require addressing underlying health factors, using a medication under the right conditions, adjusting treatment, or considering referral. A clinical evaluation is the starting point.
When to seek in-person evaluation first
PDE5 inhibitors must not be used with nitrate medications or recreational nitrites. Tell your provider about chest pain, fainting, shortness of breath with activity, uncontrolled blood pressure, significant heart disease, or a recent heart attack or stroke. Some patients need cardiovascular evaluation before sexual activity or ED medication is considered safe. Also tell your provider if you take riociguat, alpha blockers, multiple blood-pressure medications, or medicines for pulmonary hypertension, as these may affect whether and how a PDE5 inhibitor can be used.
Recognizing the signs
📋 What these conditions feel like
These conditions exist on a spectrum. You don't need to experience the most severe version of any symptom to benefit from evaluation and treatment. If something has changed — or hasn't been right for a while — that's enough reason to talk to a provider.
| Condition | What you may be experiencing | Who it affects |
|---|---|---|
| Erectile Dysfunction (ED) | Difficulty getting an erection, difficulty maintaining one long enough for satisfying sexual activity, erections that aren't as firm as they used to be, or erections that are inconsistent. Morning erections becoming less frequent or absent. | Affects men across a wide age range. More common with age, and more common in men with cardiovascular risk factors, diabetes, or significant psychological stress — but not limited to any single group. |
| Low Libido (Reduced Sex Drive) | Noticeably decreased interest in sexual activity compared to your own baseline. Feeling indifferent to sexual activity in situations that previously felt engaging, or feeling like something is "off" in your energy or drive. Prevalence varies significantly with age, stress levels, relationship factors, and hormonal status. | Common across adulthood. Frequently associated with low testosterone, depression, medication side effects, sleep problems, and chronic stress. Not simply a sign of aging. |
| Premature Ejaculation (PE) | Ejaculation that consistently occurs sooner than desired, limited ability to delay it, and resulting distress or avoidance. Lifelong PE often occurs within about one minute of penetration. Acquired PE involves a meaningful reduction from your previous pattern. Occasional early ejaculation is common and does not necessarily represent a disorder requiring treatment. | Common across adulthood. Significantly underreported and undertreated. Both lifelong and acquired PE respond to treatment in many cases. |
You don't have to fit a textbook definition to get help
If sexual activity has become a source of stress, avoidance, or frustration — whether because of erection difficulties, low interest, or concerns about ejaculation timing — that's enough reason to talk to a provider. These concerns don't have to be severe or constant to be worth addressing.
A licensed provider can evaluate your symptoms privately and help you understand your options.
Start a Private VisitWhat's behind it
🔍 What causes ED, low libido, and premature ejaculation
Understanding the cause matters because it shapes the treatment. Most cases of ED and low libido have identifiable physical, hormonal, or psychological contributors — and those contributors often respond well to targeted treatment, lifestyle change, or both. Many men assume these issues are "just in their head" or an inevitable part of aging. Both are rarely the whole story.
Common causes of erectile dysfunction:
- →Cardiovascular and vascular factors. An erection depends on healthy blood flow. Conditions that affect blood vessels — high blood pressure, high cholesterol, atherosclerosis, smoking — can impair the vascular mechanism of erection. ED may be one of the earliest vascular signals a man experiences, which is why providers sometimes recommend cardiovascular screening alongside ED evaluation.
- →Diabetes. Both Type 1 and Type 2 diabetes can affect the blood vessels and nerves involved in erection. Men with diabetes have a higher prevalence of ED and may experience it at a younger age.
- →Hormonal factors. Low testosterone can contribute to both ED and low libido, and the two often co-occur. Hormonal evaluation is part of a complete ED assessment for many patients.
- →Medications. Many common medications can cause or contribute to ED, including antidepressants (particularly SSRIs), beta-blockers, diuretics, antihistamines, and some blood-pressure medications. If ED started or worsened after beginning a new medication, this is worth discussing with your provider.
- →Psychological and emotional factors. Performance anxiety, depression, stress, and relationship factors can contribute to ED — either as the primary cause or alongside physical contributors. These are especially common in younger men and are often highly treatable.
- →Lifestyle factors. Obesity, alcohol use, smoking, sedentary habits, and poor sleep are independently associated with increased ED risk. Improvements in these areas can meaningfully support sexual function alongside medical treatment.
Common causes of low libido in men:
- →Low testosterone. Testosterone levels may decline gradually with age, but symptoms such as low libido or fatigue do not confirm testosterone deficiency on their own. Diagnosis requires compatible symptoms and consistently low early-morning testosterone results confirmed on separate testing. Other factors — obesity, sleep disorders, illness, medications — also affect testosterone levels.
- →Depression and anxiety. Both conditions can directly reduce libido. Depression in men often presents as reduced energy, low motivation, and loss of interest in previously enjoyed activities — including sexual activity — rather than classic sadness.
- →Medication side effects. SSRIs, SNRIs, and opioid pain medications are among the most common causes of medication-related low libido.
- →Stress and sleep. Chronic stress and inadequate sleep suppress libido through stress-hormone pathways. This is common and worth addressing directly rather than attributing purely to age.
Common causes of premature ejaculation:
- →Premature ejaculation is usually multifactorial. Biological sensitivity, serotonin signaling, anxiety, learned patterns, relationship factors, and co-existing ED may all contribute. Acquired PE — when symptoms develop after a period of normal ejaculatory function — may also warrant evaluation for medical contributors including prostate or urinary symptoms, thyroid conditions, or medication and substance effects.
- →Co-occurring ED. ED and PE frequently occur together. When PE develops alongside ED, addressing ED often improves PE, as the anxiety and urgency associated with inconsistent erections frequently contributes to the ejaculatory pattern.
Why identifying the cause changes the treatment
A man with ED primarily driven by performance anxiety may respond differently to treatment than one whose ED is primarily vascular. A man with low libido from medication side effects needs a different approach than one with low testosterone. Your provider will ask questions specifically to understand the most likely contributors — not just prescribe a standard solution.
How online care can help
💻 What a telehealth visit for sexual health can do
Many patients can be evaluated for oral ED medication through telehealth without an initial genital examination. A licensed provider may recommend blood-pressure measurement, laboratory testing, or in-person evaluation when symptoms, medical history, or diagnostic considerations make that appropriate. Here is what telehealth can address — and what it cannot replace.
| What telehealth can do | What may require in-person care or lab work |
|---|---|
| Evaluate ED symptoms, onset, severity, and contributing factors through a private, structured clinical intake | Physical examination, prostate assessment, or neurological evaluation when indicated |
| Prescribe oral PDE5 inhibitors (sildenafil, tadalafil) when clinically appropriate, safe, and permitted under applicable state and clinical guidelines | Testosterone replacement therapy — requires labs and ongoing monitoring (see our Testosterone & Hormonal Health page) |
| Evaluate PE symptoms and discuss appropriate treatment options based on your health history and clinical profile | Injectable ED treatments (Trimix, alprostadil) — we do not prescribe injectables; urology referral is appropriate |
| Review medications that may be contributing to ED or low libido and discuss next steps | Hormone testing (testosterone, LH, FSH, prolactin) — requires separate lab work when indicated |
| Recommend or order lab work when blood pressure, hormone levels, blood glucose, or lipid screening is appropriate | Penile Doppler ultrasound or other vascular testing for complex or treatment-resistant ED |
| Discuss lifestyle modifications that can meaningfully support sexual function alongside medication | Mental health care for performance anxiety, depression, or relationship factors — referral available when appropriate |
- →🔒 Private medical visit. Your visit is handled as confidential healthcare under applicable privacy laws and security standards. Information is used or shared only as permitted for treatment, payment, healthcare operations, or legal requirements. If a prescription is appropriate, the medication name and instructions will appear on the pharmacy label and may appear in pharmacy, insurance, payment, or patient-portal records. Patients with privacy questions can ask their pharmacy and health plan about confidential communications, notification settings, shared accounts, and mailed statements.
- →💊 FDA-approved generics are widely available. FDA-approved generic sildenafil and tadalafil contain the same active ingredients as their brand-name equivalents and must meet FDA standards. Individual response and tolerability can still vary. Your provider will help you choose an approach that fits your clinical situation and lifestyle.
- →⏰ Available same day, no specialist waitlist. Available every day, 8am–8pm ET. The visit format — secure messaging, phone, or video — may vary depending on state requirements, provider judgment, and your clinical needs.
- →💰 No required membership. Pay per visit. No subscription needed to start.
★★★★★ Patient review
"I put this off for two years because I didn't want to have that conversation with my regular doctor. I completed the visit privately from home. The provider was straightforward and nonjudgmental, and my prescription was sent to my pharmacy the same day."
Patient, MyPhysician360 — Individual results, diagnoses, and pharmacy timing vary. Complete your visit from a private location.
Treatment options
💊 How ED, low libido, and PE are treated
Treatment is selected based on your specific symptoms, health history, any medications you take, and the most likely contributing causes. What follows is for educational purposes — a licensed provider will determine what is appropriate for your individual situation.
Important medication safety — read before starting
Sildenafil and tadalafil (PDE5 inhibitors) must not be combined with nitrate medications (nitroglycerin, isosorbide) or recreational nitrites ("poppers") because the combination can cause a dangerous drop in blood pressure. Also tell your provider about riociguat, alpha blockers, blood-pressure medications, heart disease, chest symptoms, fainting, kidney or liver disease, and all other medications or supplements. These affect whether and how a PDE5 inhibitor can safely be used. Seek emergency care for chest pain during sexual activity, an erection lasting four hours or longer, or sudden vision or hearing loss. If you experience chest pain after taking an ED medication, call 911 and tell emergency personnel when you took it — do not take nitroglycerin.
Erectile Dysfunction — Oral Medications (PDE5 Inhibitors)
PDE5 inhibitors are the first-line medical treatment for ED. They work by relaxing smooth muscle in the blood vessels of the penis, increasing blood flow in response to sexual stimulation. Sexual arousal is required for them to work — they do not cause automatic erections. We prescribe the two most widely used options: sildenafil (generic Viagra) and tadalafil (generic Cialis). Common side effects can include headache, facial flushing, nasal congestion, indigestion, dizziness, and back or muscle pain, depending on the medication. Sildenafil may occasionally cause temporary changes in color perception. Tadalafil more commonly causes back or muscle aches. Rare but serious effects include priapism and sudden vision or hearing changes.
| Medication | Brand name | How it works | Notes |
|---|---|---|---|
| Sildenafil | Generic Viagra | Take 30–60 minutes before sexual activity. Effect typically lasts 4–6 hours. Food may slow absorption — taking on an empty stomach is often recommended for faster onset. | Well-established, widely available, and commonly the most affordable option. On-demand use only. |
| Tadalafil | Generic Cialis | Two options: on-demand (take 1–2 hours before activity, lasts up to 36 hours) or daily low-dose (taken every day for continuous effect). Daily tadalafil may also be appropriate for urinary symptoms related to BPH in eligible patients. | Daily tadalafil may suit patients who prefer less timing around sexual activity. Choice is based on medical history, medication use, frequency of activity, and preference — not a universal recommendation. |
On-demand vs. daily tadalafil — how to think about it
Daily low-dose tadalafil maintains a steady level in your system, removing the need to time a dose around sexual activity. On-demand tadalafil or sildenafil are taken as needed. The right choice depends on your health history, medication use, frequency of sexual activity, and personal preference — your provider will help you decide.
What we don't prescribe — and why
- →Injectable ED treatments (Trimix, alprostadil injections). These are effective options for men who don't respond to oral medications, but they require in-person training and ongoing monitoring. We don't prescribe injectables through telehealth — a urologist is the appropriate specialist for these treatments.
- →Testosterone. Testosterone replacement therapy requires lab testing, ongoing monitoring, and clinical oversight. We handle testosterone and hormonal health on a dedicated page — see our Testosterone & Hormonal Health page.
- →Controlled substances. We do not prescribe controlled substances through this service.
Low Libido — Treatment Approach
Low libido treatment depends heavily on the underlying cause. A provider can evaluate your symptom picture and help determine the most likely contributing factors:
- →If low testosterone is suspected, evaluation usually begins with an early-morning total testosterone level. A second measurement is generally needed to confirm a low result. Additional testing — such as LH, prolactin, or other labs — is ordered when clinically indicated. If testosterone deficiency is confirmed, treatment is managed through our Testosterone & Hormonal Health service.
- →If medication side effects are contributing, your provider can discuss next steps or coordinate with your prescribing doctor. SSRI-related low libido, for example, has several clinical management strategies.
- →If depression, anxiety, or stress are significant factors, your provider can discuss options and may refer you to appropriate mental health support.
- →Lifestyle factors — sleep, exercise, weight management, alcohol reduction — can meaningfully support libido when they are contributing factors.
Premature Ejaculation — Treatment Options
No medication is currently FDA-approved specifically for premature ejaculation, but several options have clinical evidence supporting their use.
- →Daily SSRIs (off-label prescription use). Daily SSRIs such as paroxetine, sertraline, or fluoxetine may be prescribed off-label for PE in selected patients. Daily use is generally better supported by evidence than on-demand use for these agents. Your provider will review your mental health history, current medications, potential interactions, screening for bipolar disorder or suicidal ideation, and monitoring needs before prescribing. Antidepressants carry an FDA boxed warning about increased suicidal thoughts and behaviors in children, adolescents, and young adults, particularly early in treatment or after dose changes. Response and side effects vary — potential effects include reduced libido, fatigue, nausea, or emotional changes in some patients. Benefits generally build over time and require follow-up.
- →Topical desensitizing products (available OTC). Topical lidocaine- or prilocaine-containing products can reduce penile sensitivity and delay ejaculation. They can also cause numbness or irritation for either partner through transfer. Follow product-specific instructions about timing, removing excess medication, and condom use to minimize transfer. Products differ in formulation and evidence — your provider or pharmacist can advise on appropriate options.
- →PDE5 inhibitors for co-occurring ED and PE. When PE and ED co-occur, treating ED with a PDE5 inhibitor often helps PE as well, by reducing the anxiety and urgency associated with inconsistent erections.
- →Behavioral and psychosexual approaches. Behavioral approaches may help some patients, particularly when anxiety, avoidance, relationship stress, or learned patterns contribute. They may be most effective when combined with medical treatment rather than used alone. Your provider can discuss whether these approaches are part of a recommended plan and refer you to appropriate psychosexual support when indicated.
Ready to find out what's right for your situation? A licensed provider will walk you through your options.
Start a Private VisitWhat to expect
🗓️ Your visit, start to finish
Here's how a sexual health visit works — from your first question to your treatment plan.
|
1
Complete your intake privately
You'll answer questions about your symptoms — when they started, how frequent, how they affect you. You'll share your health history, current medications (essential for PDE5 inhibitor safety screening), cardiovascular history, exercise tolerance, and relevant lifestyle factors. You may be asked to provide a recent blood-pressure reading. Please complete your visit from a private location. The visit format — secure messaging, phone, or video — depends on state requirements and provider judgment. |
2
A licensed provider reviews your case
Your provider reviews your intake and screens for safety considerations — particularly nitrate use, cardiovascular conditions, blood pressure, riociguat or alpha-blocker use, and kidney or liver health. They assess the most likely cause and appropriate next steps. This is a clinical evaluation — not an automatic approval process. Some patients are recommended lab work or in-person follow-up before or instead of a prescription. |
3
Receive your assessment and plan
Your provider explains their assessment and recommended approach. If prescription treatment is appropriate and safe, they'll discuss medication options and send your prescription electronically to the pharmacy you choose. Prescriptions go to your selected pharmacy — the medication name and instructions will appear on the pharmacy label and may appear in pharmacy or insurance records. Availability, cost, and coverage vary by medication and pharmacy. |
4
Follow up as needed
If a medication isn't giving you the results you hoped for, follow up. Dose adjustment, different timing, or a different medication often improves results. Many men need to try a medication more than once under the right conditions — correct dose, appropriate timing, limited alcohol, and reduced anxiety — before getting the full benefit. Your provider is here to help you through that process. |
A note on the first try
ED medications don't always work as expected the first time — this is common and doesn't mean the medication isn't right for you. Timing, food, alcohol, psychological state, and dose all influence how PDE5 inhibitors work. If a medication doesn't seem to be working, contact your provider before concluding it's ineffective. Adjustment or a different approach often resolves it.
Lifestyle and self-care
🏠 What you can do alongside treatment
Medication works best when it's supported by the right conditions. Several lifestyle factors directly influence erectile function, libido, and sexual wellbeing — and they work alongside medication rather than instead of it.
- →Cardiovascular exercise. Regular aerobic exercise directly improves vascular health, which is central to erectile function. Exercise is among the most evidence-supported lifestyle approaches for ED and supports cardiovascular health more broadly.
- →Weight management. Excess weight is associated with ED and reduced testosterone. Moderate weight loss has been shown to improve erectile function in some patients. If weight is a contributing factor, your provider can discuss this as part of your plan.
- →Quit smoking. Smoking affects the small blood vessels essential for erection. Quitting is one of the most impactful modifiable steps for vascular health and sexual function.
- →Limit alcohol. Heavy alcohol use impairs the nerve signals needed for erection and interacts with PDE5 inhibitors to increase the risk of dizziness and low blood pressure. Alcohol can reduce medication effectiveness.
- →Prioritize sleep. Testosterone is largely produced during sleep. Poor or insufficient sleep directly affects testosterone levels, libido, energy, and mood. Addressing sleep problems has meaningful effects on overall sexual health.
- →Address anxiety and mental health. Performance anxiety can become self-reinforcing — a difficult experience creates fear of another, which creates the physiological conditions for another. Breaking this cycle may involve medication, behavioral approaches, or both. If anxiety, depression, or significant stress are part of your picture, your provider can discuss options or connect you with appropriate support.
- →Communication, when the relationship allows. Open communication may reduce anxiety for some people. Involve a partner only when you want to and when the relationship feels safe and supportive. This is a personal decision — not a clinical requirement.
⚠️ Seek emergency care immediately for:
- Chest pain, fainting, or severe shortness of breath during sexual activity — call 911; tell emergency personnel when you took an ED medication and do not take nitroglycerin
- An erection lasting four hours or longer (priapism) — this is a medical emergency requiring immediate care to prevent permanent damage
- Sudden vision loss or sudden significant hearing loss after taking an ED medication
- Signs of a severe allergic reaction (hives, swelling, difficulty breathing)
📞 Contact your provider if:
- ED medication is not producing results after several attempts at the correct dose and conditions
- You experience side effects that are bothersome or unexpected
- You start a new medication that may interact with your ED treatment
- Your symptoms change significantly or new symptoms develop
Care connected to your pharmacy
🏪 Your prescription. Your pharmacy.
When prescription treatment is clinically appropriate, it is sent electronically to the pharmacy you select — your neighborhood pharmacy, a major chain, or any Surescripts network pharmacy. Generic sildenafil and tadalafil are commonly available, but price, insurance coverage, discounts, and dispensing fees vary by pharmacy. Ask your pharmacy directly about pickup, packaging, delivery, and any privacy preferences.
Already at the pharmacy and seeing a MyPhysician360 QR code? You can start your visit right there and connect with a licensed provider the same day.
- ✓Prescription sent electronically to your chosen pharmacy when clinically appropriate
- ✓FDA-approved generic sildenafil and tadalafil available at most major pharmacies
- ✓HSA and FSA eligible visits
- ✓No required membership to start a visit
- ✓If we can't help you online, you won't be charged
Frequently asked questions
❓ Questions men ask most before their first visit
Answered plainly — the things most men want to know but rarely ask out loud.
Can I get an ED prescription through a telehealth visit without an in-person exam?
Many patients can be evaluated for oral ED medication through telehealth without a genital examination. A licensed provider reviews your health history, current medications, cardiovascular health, blood-pressure status, and relevant symptoms to determine whether oral ED medication is safe and appropriate. This is a clinical evaluation — not an automatic approval. Some patients are recommended blood-pressure measurement, lab work, or in-person evaluation based on their health picture before a prescription is issued. If a prescription is appropriate, it is sent to the pharmacy of your choice. The visit format may include secure messaging, phone, or video depending on state requirements and provider judgment.
What's the difference between sildenafil (generic Viagra) and tadalafil (generic Cialis)?
Both are PDE5 inhibitors — they work the same way by relaxing blood vessels in the penis to improve blood flow during sexual arousal. The key differences are duration and dosing. Sildenafil is taken 30–60 minutes before sexual activity and lasts 4–6 hours. Tadalafil lasts up to 36 hours on a single on-demand dose, and is also available in a daily low-dose version that maintains a steady level without timing a dose around activity. The right choice depends on your health history, medication use, how often you're sexually active, and personal preference. FDA-approved generics contain the same active ingredients as brand-name Viagra and Cialis and must meet FDA standards — individual response and tolerability can still vary. Your provider can help you decide.
I'm in my 30s. Is it normal to have ED this young?
More common than most men in their 30s realize. While ED becomes more prevalent with age, it affects men of all ages — particularly those with cardiovascular risk factors, diabetes, significant stress or anxiety, or who take certain medications or substances. In younger men, psychological factors — performance anxiety in particular — are frequently significant contributors, often beginning with a single stressful experience. This doesn't make the condition any less real or less worth addressing. Most men in their 30s with ED have effective treatment options, and addressing it sooner rather than later is almost always better.
Will the medication work the first time?
Not always — and that's normal. Food, alcohol, timing, dose, and psychological state all influence how PDE5 inhibitors work on any given occasion. If a medication doesn't seem to work the first time, try again under better conditions — ideally the right timing, limited alcohol, and reduced anxiety — before concluding it's ineffective. Many men who don't get the expected result on their first attempt do well on subsequent occasions. If you've given it several tries under appropriate conditions and aren't seeing results, contact your provider. Dose adjustment, different timing, or a different medication often resolves it.
Are there ED treatments available that don't involve a pill?
Yes — though most non-pill options require in-person care. Vacuum erection devices (penis pumps) are an OTC option with reasonable evidence for men who can't or don't want medication. Penile injection therapy (Trimix, alprostadil) is effective for many men who don't respond to oral medications, but requires training and monitoring at a urology clinic — we don't prescribe injectables. Penile prosthesis (surgical implant) is an option for severe, treatment-resistant ED and requires urological surgery. For men whose ED is significantly driven by psychological factors, sex therapy and cognitive-behavioral approaches have supportive evidence. Your provider can help identify which pathway fits your situation.
I think my low libido might be from low testosterone. How do I find out?
Low testosterone is evaluated through an early-morning blood test (total testosterone). A second measurement is generally needed to confirm a low result. Symptoms such as low libido, fatigue, or mood changes alone don't confirm testosterone deficiency — the diagnosis requires both compatible symptoms and consistently low results on confirmatory testing. If your provider suspects low testosterone based on your symptom picture, they can guide you to appropriate lab evaluation. If testosterone deficiency is confirmed, treatment is managed through our Testosterone & Hormonal Health page, where testing and ongoing monitoring are handled in detail.
Is premature ejaculation treatable?
Yes — including in men who have had this concern their whole lives. Daily SSRIs such as paroxetine, sertraline, or fluoxetine may be prescribed off-label for PE in selected patients after a careful review of mental health history, current medications, screening considerations, and monitoring needs. Response and side effects vary, and benefits typically build over time with follow-up. Topical desensitizing products (OTC) are another option. Behavioral approaches may also help, particularly when anxiety or learned patterns contribute. Your provider will help determine what makes sense for your clinical picture.
Is my visit information private?
Your visit is handled as confidential healthcare under applicable privacy laws and security standards. Information is used or shared only as permitted for treatment, payment, healthcare operations, or legal requirements. If a prescription is appropriate, the medication name and instructions will appear on the pharmacy label and may appear in pharmacy, insurance, payment, or patient-portal records. If privacy is a concern, ask your pharmacy and health plan about confidential communication options, notification settings, shared accounts, and mailed statements. Please complete your visit from a private location.
Is this visit HSA or FSA eligible?
Yes. MyPhysician360 consultations are HSA and FSA eligible. Check with your plan administrator for specific coverage and documentation requirements.
You've been putting this off long enough.
A licensed provider will review your symptoms privately, answer your questions without judgment, and help you find a path forward. If prescription treatment is appropriate and safe, it goes to your pharmacy. No waiting room. No awkward conversation.
HSA & FSA eligible | Private medical visit | No charge if we can't help
Medical disclaimer & sources: The information on this page is for general educational purposes only and does not constitute medical advice. Treatment requires clinical evaluation by a licensed provider; this page does not provide or imply a diagnosis. PDE5 inhibitors (sildenafil, tadalafil) are contraindicated with nitrate medications, recreational nitrites, and riociguat and require careful evaluation of cardiovascular history, blood pressure, alpha-blocker use, and kidney and liver function. Men with significant cardiovascular disease, uncontrolled hypertension, recent heart attack or stroke, or unstable symptoms should seek in-person evaluation before starting any PDE5 inhibitor. Priapism (prolonged erection lasting more than four hours) and sudden vision or hearing loss require immediate emergency care. Chest pain during sexual activity requires emergency care — call 911 and inform personnel of any PDE5 inhibitor taken. We do not prescribe injectable ED treatments or testosterone through this service. Controlled substances are not prescribed. Off-label SSRI prescribing for PE involves medications with FDA boxed warnings regarding suicidality in younger patients and requires screening for mental health history, bipolar disorder, medication interactions, and monitoring. Individual treatment results, diagnoses, and pharmacy timing vary. Visit format depends on state requirements and clinical need. Medication availability, cost, insurance coverage, and dispensing vary by pharmacy. Privacy is maintained under applicable healthcare laws; prescription information appears on pharmacy labels and may appear in pharmacy, insurance, payment, or patient-portal records. MyPhysician360 services are available in most states. Services are not currently available in Mississippi or Alaska. Content informed by AUA guidelines on erectile dysfunction, the AUA/SMSNA guideline on premature ejaculation, and FDA prescribing information for PDE5 inhibitors.