Dr. Benjamin H. Krasne, M.D.
Board-certified physicianBoard-certified in anesthesiology, he reads medications and metabolism with a pharmacologist's eye, which shapes how he doses weight loss and longevity care.
Private ED treatment, prescribed online
Erectile dysfunction treatment online
A short phone or video visit with a licensed U.S. clinician to talk through your symptoms, health history and options. If medication suits you, a prescription is written and plans start from $39 a month.
- Free 5–10 minute consultation
- Generic sildenafil or tadalafil
- Plans from $39 a month
Free to book. You pay only if you go ahead with treatment.
$39starting price, per month
Licensed U.S. clinician review
First consult: Free, no insurance needed
From $39/motransparent price
5–10 minphone or video
No insuranceneeded
LicensedU.S. clinicians
Why get ED treatment through My IV Doctors
Private and quick
Talk with a licensed U.S. clinician by phone or video in about 5–10 minutes, with no waiting room and no insurance needed.
Matched to your routine
Your clinician helps you choose between as-needed sildenafil, as-needed tadalafil or a daily low dose, based on how you live.
A wider health check
Because ED can be an early sign of heart disease or diabetes, your visit also looks at your overall health, not just a prescription.
Ongoing support
Message the care team about side effects or dose changes, and get discreet delivery when you fill through our pharmacy partners.
How to get ED treatment online
- 1
Pick a time for your free visit
Pick a time and choose phone or video. There is no charge for the first consultation and you do not need insurance.
- 2
Talk with a licensed clinician
In about 5–10 minutes, you go over your symptoms, medical history, current medicines and what you want from treatment. Be open about heart symptoms and any nitrate use.
- 3
Get your ED prescription
If medication is appropriate, your clinician writes a prescription and explains how and when to take it. If not, they tell you why and what to do next.
- 4
Check in and adjust
Message the care team if the dose is too strong or not strong enough, or if it causes side effects. Your clinician can change the dose or switch medicines.
Who online ED treatment is for
Unreliable erections
You have had trouble getting or keeping an erection for several weeks or longer, and you would like a treatment that works when you need it.
ED after starting a new medicine
Some antidepressants and blood pressure drugs affect erections. Your clinician can review your list and suggest options without you stopping anything on your own.
Want private, fast care
You prefer to talk about sexual health by phone or video from home, at a time you choose, rather than in a waiting room.
Want a broader health check
ED can travel with high blood pressure, diabetes, high cholesterol or low testosterone. Your clinician can suggest labs or a visit with your regular doctor when that is sensible.
Not for nitrate users or some heart conditions
If you take nitroglycerin or other nitrates, use riociguat, have had a recent heart attack or stroke, or have been told sex is unsafe for your heart, ED pills are not appropriate through an online visit.
Sildenafil vs. tadalafil vs. Triple Action Blend
| Feature | Sildenafil | Tadalafil | Triple Action Blend |
|---|---|---|---|
| How you take it | As needed, about 1 hour before sex | As needed or a low daily dose | Dissolvable tablet, as needed |
| Timing flexibility | Shorter window | Longer lasting | Longer lasting (tadalafil) |
| Helps with desire | No | No | Contains PT-141 and oxytocin |
| FDA status | FDA-approved generic | FDA-approved generic | Compounded, not FDA-approved |
| Price | Plans from $39/mo | Plans from $39/mo | $99 |
What is erectile dysfunction?
Erectile dysfunction (ED) means having trouble getting or keeping an erection firm enough for sex, often enough that it bothers you. An occasional off night is normal. A pattern that lasts weeks or months is a medical issue, and the National Institute of Diabetes and Digestive and Kidney Diseases notes that ED is not a routine part of getting older, even though it becomes more common with age.
An erection depends on several systems working together: nerves, hormones, blood vessels and your state of mind. Narrowed arteries, diabetes-related nerve damage, some blood pressure and antidepressant medicines, low testosterone, poor sleep, heavy drinking, smoking and stress can each interfere. Because ED can be an early sign of heart disease or diabetes, the visit is also a chance to look at your wider health, not only to get a prescription.
For most men, the first treatment is a PDE-5 inhibitor taken by mouth. Sildenafil (the active ingredient in Viagra) and tadalafil (the active ingredient in Cialis) are the two most often prescribed. Your clinician will explain how each one works, which fits your routine and when another approach makes more sense.
How ED medication works
When you are aroused, nerves release nitric oxide in the penis. That signal raises a messenger molecule called cGMP, which relaxes smooth muscle so blood can flow in. An enzyme called PDE-5 breaks cGMP down. Sildenafil and tadalafil slow that enzyme, so the signal lasts longer and the erection is easier to get and keep.
These medicines do not create desire and do not cause an erection on their own. You still need sexual stimulation. That is why they are usually safe to take before a date without unwanted effects during the rest of the day.
Sildenafil vs. tadalafil vs. the Triple Action Blend
Your clinician will match the medicine to how you live. The main differences are how long each one lasts and how flexible the timing is.
- Sildenafil: taken as needed, ideally about an hour before sex (anywhere from 30 minutes to 4 hours). A heavy, fatty meal can slow it down. No more than once in 24 hours.
- Tadalafil as needed: taken at least 30 minutes before sex, and its effect lasts much longer than sildenafil, so timing is less critical. No more than once in 24 hours.
- Tadalafil daily: a lower dose taken at the same time every day, so you can be intimate at any point without planning around a pill. Tadalafil is also approved for symptoms of an enlarged prostate.
- Triple Action Blend ($99): a compounded dissolvable tablet with tadalafil 10 mg, PT-141 2000 mcg and oxytocin 100 IU, for some men whose concern includes desire as well as erections. Compounded products are not FDA-approved.
- Brand-name Viagra or Cialis can be prescribed if you prefer, but brand medications may cost extra.
How well ED treatment works and what to expect
Many men notice a clear difference with the first few doses, though it can take several tries at a given dose to judge it fairly. Nerves, alcohol and tiredness can all blunt the effect. If one medicine does not help after a fair trial, your clinician may adjust the dose, change the timing or switch you to the other option.
If pills are not enough, other treatments exist, such as vacuum devices, penile injections or referral to a urologist. Treating the cause, for example better blood sugar control, quitting smoking or addressing low testosterone, can also improve erections over time.
ED medication side effects and safety
PDE-5 inhibitors are widely used and generally well tolerated, but they are not right for everyone. Tell your clinician about every medicine, supplement and recreational drug you use.
- Never combine ED pills with nitrates (such as nitroglycerin or isosorbide) or with recreational 'poppers'. Together they can cause a dangerous drop in blood pressure. Riociguat is also off limits.
- Alpha-blockers and some blood pressure medicines can add to the blood-pressure-lowering effect, so your clinician may adjust the dose or timing.
- Common side effects include headache, flushing, stuffy nose, indigestion and, with tadalafil, back or muscle aches.
- Get emergency care for an erection that lasts more than 4 hours, or for chest pain, fainting or severe dizziness during sex.
- Stop and call a doctor right away if you have sudden loss of vision or hearing.
- Tell any emergency team that you take an ED medicine and when you last took it, because it affects which heart treatments they can use.
Physicians who oversee your care
Independently licensed U.S. physicians supervise every treatment we offer.
Dr. Johnathan Chance Miller, M.D.
PhysicianTrained at Columbia and Washington University, he pairs prescriptions with practical habits around food, training and sleep.
Dr. Vanessa Niles, R.N., M.D., F.A.C.O.G.
OB-GYN, board certifiedAn OB-GYN for more than 40 years and a Fellow of ACOG, she leads women's health care, from perimenopause to PCOS.
ED treatment FAQs
Still deciding? The first consultation is free and takes about 5–10 minutes.
Book a free consultationIs it legal to get ED medication online?
Yes. A licensed clinician must first evaluate you and decide the medicine is appropriate, which is what happens in your phone or video visit. Prescriptions are only written when treatment makes medical sense for you.
How much does ED medication cost without insurance?
Plans start from $39 a month for generic medication. The first consultation is free and you do not need insurance. The Triple Action Blend is $99, and brand-name Viagra or Cialis may cost extra.
Which is better, sildenafil or tadalafil?
Neither is better for everyone. Sildenafil works for a shorter window and is best taken on a lighter stomach, while tadalafil lasts longer and comes in a daily low-dose option. Your clinician will help you choose based on how often you are intimate and how you respond.
How long does an online ED visit take?
The consultation takes about 5–10 minutes by phone or video, whichever you pick when you book. Have a list of your current medicines ready so the clinician can check for interactions.
Do I need lab tests for ED treatment?
Not always. Many men can start medication after the visit alone. Your clinician may suggest blood tests, such as glucose, cholesterol or testosterone, if your history points to a cause worth checking.
Is ED a warning sign of heart disease?
It can be. The blood vessels in the penis are small, so narrowing can show up there before it causes heart symptoms. If you have risk factors such as smoking, diabetes or high blood pressure, it is worth getting your heart health checked.
Can men in their 20s and 30s get ED?
Yes. In younger men, stress, performance anxiety, alcohol, some medicines and sleep problems are frequent contributors. Medication can still help, and your clinician may also suggest ways to address the underlying cause.
Will ED pills make me last longer?
They are designed to help with erections, not with timing of ejaculation. If finishing too quickly is the main concern, ask about premature ejaculation treatment, which uses different medicines.
Can I drink alcohol with ED medication?
Small amounts are usually fine, but heavy drinking makes erections harder and can add to dizziness or low blood pressure. Keep alcohol modest on the days you take a dose.
What if sildenafil or tadalafil doesn't work?
Give it a few attempts with sexual stimulation and without heavy meals or heavy drinking. If it still falls short, your clinician can raise the dose, switch medicines or suggest other treatments.
Can you take ED medication with testosterone therapy?
Often, yes. The two are commonly used together, and your clinician will review both to make sure the combination is suitable.
Is ED medication shipped discreetly?
Orders filled through our pharmacy partners ship in plain packaging. You can also ask to have your prescription sent to a local pharmacy instead.
Does insurance cover ED pills?
Coverage varies and many plans limit or exclude ED drugs. You do not need insurance to use this service, and the price is shown before you commit.
Start ED treatment with a free consultation
Book a free 5–10 minute phone or video visit. If medication is right for you, a licensed clinician writes your prescription, with plans from $39 a month.
Related treatments
References
- MedlinePlus: Erectile dysfunction
- NIDDK: Erectile dysfunction
- MedlinePlus: Tadalafil drug information
- MedlinePlus: Sildenafil drug information
Medically reviewed October 2026. This page is general information and not a substitute for advice from your own clinician. Read our editorial policy.
$39starting price, per month
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