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Complete a short questionnaire about your health online, all from home.

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ED medication that gets
rave reviews


“Hims Sildenafil has given me my life confidence has no doubt been boosted and I feel like I’m back in my 20’s”

Matthew H.

“I’m more confident, happier, and it has brought back a dynamic to my marriage that makes planning date nights exciting again.”

Brandon T.

“Thanks for Hims, I feel like I am 18 again and my relationship with my girlfriend has never been better...thanks Hims!”

Frequently asked
questions about ED

What is the main cause of erectile dysfunction?
Erectile dysfunction can be caused by psychological factors, medical conditions and certain medications. In younger men with variable or situational ED, stress and anxiety can restrict blood flow to the penis at exactly the wrong moment. In men with ED that doesn’t vary with different partners or different situations, underlying problems with nerves, blood vessels or hormone production may be present.
The providers through our platform can help identify the erectile dysfunction cause and treat your ED. In addition, they can recommend testing to make sure that you don’t have undiagnosed underlying health problems (i.e. cardiovascular disease that could predispose to a heart attack).
How do ED pills work?
Get stimulated and the pills can take it from there.
Sexual arousal triggers a response in your body that then triggers nitric oxide production, which relaxes the blood vessels and smooth muscle in the penis. This lets blood rush into the penis, which gets hard as a result. There is an enzyme in the penis called phosphodiesterase that shuts this process off when sex is over. ED pills work by blocking PDE5 and preventing this shut off. That keeps your erection going longer and stronger.
What is the safest drug for erectile dysfunction?
Your provider will help determine which drug for erectile dysfunction is most appropriate for you. All of the oral medications available in the United States for ED treatment are approved by the FDA based on extensive, high quality clinical trials. These trials have uniformly demonstrated that ED medications are safe and effective for the vast majority of men. Just like with any doctor’s visit, it is important to be honest during your online ED visit so that your provider can identify risks that these medications might pose to you based on your specific medical history and medications. ED pills may not be right for you If you have chest pain with mild exertion, very low blood pressure or take certain medications such as nitroglycerin. If you fall into these categories, consult with a urologist in person about alternative treatments such as MUSE urethral suppositories or penile injection therapy.
Which erectile dysfunction drug is best?
Head to head clinical studies have generally demonstrated that no particular erectile dysfunction medication is superior to the others. Rather, each medication has particular advantages and disadvantages that are important to understand when selecting the treatment that is best for you.
What is the most effective pill for ED?
The most effective pill must work in concert with your body, lifestyle and, in some cases, your mind. Although all PDE5 inhibitors have all been clinically proven to be effective for treating ED, some may act faster, last longer, work regardless of food intake, etc. With enough information, a qualified medical provider can help you find an ED medication and dosage that is right for you. You may connect with providers and receive ongoing care through our platform.
What are the side effects of ED medications?
In general, ED treatment side effects are mild and temporary. Common side effects include headaches, flushed skin, nasal congestion (stuffy nose), runny nose, back pain and upset stomach. Medical providers can help you address side effects from ED medication such as PDE5 inhibitors. You may connect with providers and receive ongoing care through our platform.
However, ED medications can very rarely cause serious side effects such as priapism (a prolonged, painful erection that can result in permanent erectile dysfunction if not treated immediately). Serious adverse events such as hearing or vision loss have also been reported in patients taking ED pills, although it is not clear if these adverse events were caused by the ED medication.
Are ED drugs available over-the-counter?
In the United States, erectile dysfunction medications are prescription drugs and cannot be legally sold over-the-counter. Any website, doctor or person who sells ED medications without a prescription is breaking the law and may be selling potentially dangerous counterfeit drugs. According to Pfizer, the manufacturer of Viagra, Viagra is one of the most counterfeited drugs in the world.
Hims offers access to safe, effective care that is more convenient than visiting a doctor in-person for ED medication. You’ll be connected to a board-licensed medical provider, who will evaluate you, and can prescribe FDA-approved ED treatment if indicated for your situation. If prescribed, treatment is delivered straight to your home.
Can you take Viagra or other PDE5s with a heart condition?
FDA recommends that men who’ve suffered from all heart disturbances, heart attacks as well as strokes exercise caution regarding ED drugs.
If you suffer from high blood pressure, heart disease and erectile dysfunction, talk to a medical provider to learn which ed treatments are appropriate and which are not. For example, alternative treatments or reduced dosage medication may be advisable while dangerous interactions between common heart medications (ie, nitrates) and PDE5s should be avoided.
What blood pressure medication does not cause erectile dysfunction?
Diuretics, alpha blockers and beta blockers are some of the high blood pressure medications commonly associated with ED. However, untreated high blood pressure can also cause erectile dysfunction, so it is important to get your blood pressure under control for both your health and your erection. If you start experiencing erectile dysfunction after beginning BP medication, talk to the prescribing doctor.
How can I improve my erectile dysfunction?
The best way to improve your erectile function is to take a holistic approach. ED medications work best in the long term when combined with positive lifestyle changes that promote overall health. Eating a heart-healthy diet, exercising, and avoiding health-harming behaviors like cigarette smoking can make a big difference and allow you to enjoy a whole lifetime of healthy sexual function.
Therapy: If your erectile dysfunction has a psychological cause, therapy can provide useful, practical tools that help in the moment, and may help you to deal with the root cause of anxiety or depression.
Reduce alcohol consumption: If you frequently experience ED after drinking alcohol, the alcohol may actually be the cause of your erectile dysfunction. Try having sex without alcohol to see if that solves the problem.
Can an enlarged prostate cause ED?
No, an enlarged prostate cannot cause ED. However, ED and prostate enlargement (also called BPH, benign prostatic hypertrophy) are both common problems that occur with increasing frequency as men age. Interestingly, once a day Cialis (tadalafil) is not just an FDA-approved treatment for ED. It is also approved to treat urinary symptoms that can result from an enlarged prostate like a weak stream, urinary frequency, and urinary urgency. If you have both ED and symptoms from an enlarged prostate, once daily Cialis (or generic tadalafil) might be a great treatment option.
Can low testosterone cause ED?
Yes, low testosterone can cause ED in some men. However, the threshold level of testosterone needed to maintain normal erectile function is actually fairly low. Although testosterone deficiency is a common condition, most affected men have symptoms other than erectile dysfunction. You should be evaluated for testosterone deficiency if you have ED and have noticed that you are more fatigued than you would expect, have low desire, and/or trouble maintaining your muscle mass. Testosterone deficiency is not likely to be the cause of ED in men with normal sexual desire, energy and physical strength.