We specialize in diagnosing and treating all types and causes of erectile dysfunction.
While other online clinics make you fill out an online questionnaire before sending you medication, We focus on understanding the cause of your E.D. to optimize treatment results. After talking with us, you can feel confident with your results and stamina when the moment arises.
(Active ingredient in Viagra)
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Available in higher dosages (110mg)
No water needed
Can dissolve fast under tongue
(Active ingredient in Cialis)
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Long lasting ( up to 36 hours)
Available in daily or on-demand dosing
Can be taken with or without food
(Active ingredient in Staxyn & Levitra)
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Rapid onset (within 15 min)
Rapidly dissolve under tongue
Less side effects compared to Viagra
Erectile dysfunction (ED) is not a result of getting older. In fact, men can experience ED as early as twenty years old. The causes of ED may be different depending on a man’s age and other health conditions.
The most common causes of ED include lifestyle habits such poor eating habits, weight gain, poor exercise, smoking, low testosterone, and inadequate sleep. Medical conditions such as high blood pressure, high cholesterol, diabetes, heart conditions, or just feeling nervous during intimacy can make it difficult to get an erection.
Up to 30 million men across the United States have experienced ED. Treatment for ED can be as simple as taking a tablet daily. Understanding why a man has erectile dysfunction is paramount to protecting your health and getting the right treatment.
Members can reorder anytime or chose another ED medication . Let the Specialists know if anything has changed in your medical history, if there are any changes in your blood pressure, or any new medications you are taking.
We look aim to provide fast, simple, professional and convenient ED care.
Our affiliated pharmacies provide a variety of ED meds and formulations to best meet your lifestyle. You can take our ED meds without water or even daily. Our unique medication selection can formulated at higher dosages or combined with other ingredients to improve stamina, sensation and rigidity.
Members can reorder anytime and fast.
The etiology of ED is classified into 5 main categories. When a physician is treating a patient for ED it is important to understand and ascertain the etiology, so the correct therapy can be recommended and effective. The etiologies of ED include:
1) Vascular (Arthritogenic Vs. Venous Leak)
2) Neurogenic
3) Psychogenic – depression, performance anxiety, stress
4) Endocrine – thyroid disorder, low testosterone, hyperprolactinemia
5) Medication
There are a variety of medications that can interfere with a man’s ability to get an erection. An erection is a vascular phenomenon. Any medication that impedes the ability of blood vessels to expand can cause ED. Medication examples include:
1) Anti hypertensives – beta blockers, thiazide diuretics, clonidine and methyldopa
2) Anti depressants – lithium, tricyclics, phenothiazines
3) Medication that can lower testosterone levels- cimetidine, spironolactone
4) Others – Alcohol, any sedatives or sleeping agents, smoking and cannabis use
The most common medical conditions that can cause ED include: Low testosterone, renal failure, hypertension, obesity, high cholesterol, any cardiovascular condition, atherosclerosis, coronary artery disease, diabetes, liver failure, alcoholism, neurological disease and thyroid disease.
A complete work up for ED includes a complete medical evaluation. Its important for a physician to asses a patient’s (i) sexual history, (ii) frequency of sexual activity and (iii) expectations of therapy. With regard to sexual history it is important to tell your Specialists about:
1) When did the ED start? Does it happened every time or occasionally?
2) How hard (rigid) are your erections? Are they strong enough for sex?
3) Do you have difficulty sustaining erection or getting an erection?
4) Do you lose an erection when you are on your back only?
5) Are you still able to have an orgasm and ejaculation?
6) Any pain with erection?
7) What medications, interventions or therapies have you tried thus far and their success?
8) When was the last time you had sexual intercourse?
9) Do you get erections in the morning, upon waking up ?
10) Are you able to get an erection without your partner present?
11) Do you have any curvature to the penis when erect, this could be related to a condition called Peyronie’s Diease?
12) Any history of trauma or injury to the penis?
13) How strong is your sex drive, libido, and desire for sexual activity?
14) What is your relationship status?
15) Do you use protection, condoms for instance?
16) Do you lose an erection when putting on a condom?
It is a common misconception that ED medication such as Viagra or Cialis are not safe if an underlying heart condition exists. This is not true, in fact Viagra was initially investigated to be a cardioprotective medication. Patients who have a known history of coronary artery disease (CAD) or heart failure who take an ED medication do not exhibit any worsening of their cardiac function, condition or are at increased risk of worsening hemodynamics.
Men who have a history of angina ( chest pain ) or myocardial infarction may be on a nitrate medication for chest pain. Nitrates work by causing vasodilation in the coronary (heart) vessels. If taken with an ED medication this could cause a man’s blood pressure to drop. Therefore men who take nitrates for chest pain should be advised to avoid taking such nitrates when using ED medication.
Vardenafil, brand name Staxyn or Levitra, is contraindicated in men with QT-prolongation. QT prolongation is a heart condition in which the heart takes longer than normal to recharge for the next contraction. Vardenafil may interfere with anti-arrhythmic medication patients with QT-prolongation usually take.
There are several important differences between Viagra and Cialis.
Cialis (Tadalafil)
Can be taken with or without food
Duration of action 36 hours (last longer than Viagra)
Can be taken daily to improve spontaneity
Side effect: stuff nose, congestion
Viagra (Sildenafil)
Must be taken on an empty stomach
Duration of action 6 hours
Can only be taken for on – demand activity
Side effect: blurry vision, blue hue to vision
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