Start ED Questionnaire

Start your consultation

In just a few steps, your order will be ready to go

Answer a few quick questions
Pick and confirm your treatment
Review your order and pay

If your reviewing physician decides that you aren't a good candidate for treatment your order will be cancelled and refunded in full. We will only charge you for products that are shipped to you.

Which state are we shipping your order to?

We can provide services and ship to most US states. Let's make sure that we can provide service in the state that you live in.

State

Call us at 1-877-853-0340

Is this your first time seeking treatment to help obtain or maintain an erection?

Yes

Call us at 1-877-853-0340

How long have you been having difficulty getting or maintaining an erection?

0-6 months

6-12 months

More than 1 year

Call us at 1-877-853-0340

How concerned are you about this problem?

Not at all

Somewhat

Very

Call us at 1-877-853-0340

Which medications/devices for erectile dysfunction have you used in the past?

Viagra (Sildenafil)

Cialis (Tadalafil)

Levitra

Device (Vacuum Pump/Implants)

Other

None apply

Call us at 1-877-853-0340

Did the medication or device help?

They DID NOT help

They helped SOMEWHAT

They WERE NOT helpful

They WERE VERY helpful

Call us at 1-877-853-0340

Does any of the following apply to you?

I have been told that I am not healthy enough to have sex

Within the last year I have experienced chest pain AND/OR significant shortness of breath while exercising

I have experience unexplained blurry vision or headaches

I am unable to walk 1 mile on a flat surface

I have been diagnosed with "low blood pressure"

None apply

Call us at 1-877-853-0340

Do you have any of the following conditions?

Retinis pigmentosa or anterior ischemic optic neuropathy

Severe aortic stenosis OR Hyperthropic obstructive cardimyiopathy (HOCM)

Pulmonary Hypertension

Sickle cell anemia, myeloma, or leukemia

Multiple sclerosis (MS) or similar disease, spinal injuries or paralysis

None apply

Call us at 1-877-853-0340

Within the past 6 months, have you had a heart attack or cardiac surgery?

Yes

Call us at 1-877-853-0340

Have you ever had any physical abnormalities with your genitals?

Previous priapism (erection lasting longer than 4 hours requiring medical treatment)

Peyronie's disease

Significant bend in penis which IS painful upon erection

Genital surgery (not including infant circumcision)/Pelvic trauma

None apply

Call us at 1-877-853-0340

Do you have any of the following?

History of kidney failure/kidney disease AND CAN PROVIDE lab tests results within 6 months that include your Creatinine, CrCI, or GFR

History of kidney failure/kidney disease AND CANNOT PROVIDE lab tests results within 6 months that include your Creatinine, CrCI, or GFR

Have seen a kidney specialist (nephrologist)

Severe kidney disease (stage 3 or ESRD or CrCI < 35)

Previously or currently on dialysis

History of kidney transplant

None apply

Call us at 1-877-853-0340

Have you done any of the following recreational drugs in the past 3 months? Please note: death can result if ED meds are used in conjunction with recreational drugs.

Poppers or Rush (Amyl Nitrate or Butyl Nitrate)

Cocaine

Methamphetamine (crystal meth)

None apply

Call us at 1-877-853-0340

Do you take any of the following medications? Please note: death can result if ED medications are used in conjunction with nitrates (often prescribed for chest pain/angina) or other medications. Please be accurate

Adempas (Riociquat), which is used to treat pulmonary hypertension

Alpha blockers (ex: alfuzolin, terazosin, doxazosin, tamsulosin)

Cimetidine, erythromycin, OR digitoxin

Ketoconazole/itraconazole (oral only, NOT topical)

Ritonavir or Saquinavir

Trazodone

None apply