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About Erectile dysfunction

Erectile dysfunction is a condition that occurs when you are unable to achieve and maintain an erection firm enough for sexual activity. In some cases, men who experience ED are unable to get an erection at all, while others are unable to get or maintain an erection firm enough for sex. Many people will experience difficulties with their erections from time to time; however, you should seek help from a medical professional if it is a frequent and ongoing issue. Erectile dysfunction may also be a sign of an underlying health problem or a risk factor for heart disease.

Symptoms of Erectile Dysfunction

The most common symptoms of erectile dysfunction include:

  • Reduced desire to have sex
  • Difficulty getting an erection
  • Difficulty maintaining an erection hard enough for sex

Erectile Dysfunction Causes

The prevalence of ED cases can be attributed to aging. However, men of all ages experience sexual dysfunction caused by a wide range of health conditions. There are several physical factors and health concerns that may cause sexual dysfunction in both men and women. Aside from age, common causes of ED include:

  • Poor vascular health (heart disease, high blood pressure, lack of blood flow)
  • Substance abuse
  • Diabetes
  • Obesity
  • Multiple sclerosis (MS)
  • Psychological problems (such as depression or anxiety)
  • Peyronie's disease (scar tissue inside the penis)
  • Spinal cord injuries
  • Medications

Risk Factors for Erectile Dysfunction

There are several risk factors that may contribute to the development of erectile dysfunction. These include:

  • Medical conditions: Certain medical conditions like diabetes and heart disease can increase your risk of developing sexual problems like erectile dysfunction.
  • Substance/ alcohol use: Drug and alcohol abuse has been linked to the development of erectile dysfunction.
  • Tobacco use: Smoking tobacco constricts blood vessels, which can make it difficult to achieve and maintain an erection firm enough for sex.
  • Obesity: Being overweight or having obesity has been linked to the development of sexual problems like erectile dysfunction.
  • Medication use: Certain medications, like some antidepressants, antihistamines, diuretics, antihypertensives (blood pressure medication), and medications for an irregular heartbeat have been liked to erectile dysfunction.
Common Medication
Treatment Options

Below is a list of common medications used to treat erectile dysfunction.

Note that all prescriptions are at your provider's discretion.

Sildenafil(generic Viagra)
Tadalafil(generic Cialis)
ED is a common occurrence in men over the age of 50. However, there are several treatment options you can use to reverse erectile dysfunction and prevent it from occurring persistently.
Sildenafil is a phosphodiesterase inhibitor (PDE-5) used to treat erectile dysfunction (ED). It works by increasing blood flow and oxygen to the penis, helping you more easily attain an erection.
Tadalafil-commonly sold under the brand name Cialis-is a prescription medication that is used to treat erectile dysfunction (ED). It is classified as a phosphodiesterase (PDE) inhibitor, a group of medications that relaxes muscles and increases blood flow to certain areas of the body.
Avanafil is a prescription medication used for the treatment of erectile dysfunction. It works by increasing blood flow and oxygen to the penis, making it easier to get and maintain an erection. Though avanafil helps treat ED, it neither cures the condition nor increases sexual desire. Avanafil does not protect against the spread of sexually transmitted infections (STIs) or prevent pregnancy.
Vardenafil is a prescription medication used for the treatment of erectile dysfunction. It widens blood vessels to encourage blood flow to the penis during sexual stimulation.

- Exercise: Moderate to vigorous physical activity done several times a week can increase blood flow by lowering blood pressure. This can help blood move through blood vessels in the body easily during sexual stimulation. Obesity, high blood pressure, and poor vascular health are all underlying causes of erectile dysfunction. Adopting a regular exercise routine can help reverse these effects.

- Routine Physical Exams: Some cases of ED can be caused by underlying medical conditions. Routine physical examinations are recommended for all adults, as they can help catch serious health problems and conditions early. ED might signify problems such as high blood pressure, diabetes, low testosterone, and more. If you are experiencing persistent ED, talk to your physician about any symptoms or concerns you may have. A primary care physician can screen for diseases, and discuss treatment options with you.

- Quitting Smoking: Smoking causes blood vessels to narrow, limiting blood flow to different parts of your body. This can seriously affect your ability to get and maintain an erection. Additionally, chemical addiction can lead to psychological side effects, further complicating your ability to respond to sexual stimulation. Quitting smoking is a major lifestyle change that can positively impact your sexual health, your vascular/ cardiovascular health, and your mental health.

Therapy is sometimes recommended as part of a larger treatment plan for erectile dysfunction. Your doctor may recommend that you, or you and your partner, see a psychologist or counselor if your erectile dysfunction is caused by stress, anxiety, or depression, or if the condition is causing stress and relationship conflict.
Sesame FAQs

Frequently asked questions about ED treatment on Sesame

Sesame offers convenient and affordable online men's health visits with licensed health providers across the country. If you are experiencing the signs and symptoms of erectile dysfunction, book a visit right away for a diagnosis and treatment plan.

Online doctor visits can be conducted in the comfort and privacy of your own home. During your visit, you will be asked about your symptoms and health history. If your health care provider suspects that your ED is being caused by an underlying health issue, you may be asked to undergo follow-up testing. Should you need more testing, Sesame will reach out to you about next steps.

If your doctor determines that you are experiencing some form of sexual dysfunction, they will discuss a treatment plan with you. This may include medication and/or therapy. If appropriate, your doctor can prescribe medication through Sesame. Depending on the medication, you can have your prescription delivered to your home or ready for same-day pickup at a pharmacy of your choice. Book a visit today to get started on treatment right away.

Erectile dysfunction is a common condition that makes it hard to get or maintain an erection. During your ED prescription visit, your clinician will ask about your symptoms and devise a treatment plan just for you. ED can often be treated with a simple prescription. Simply connect with a doctor over video, describe your symptoms, and pick up at a pharmacy of your choice. Yep, it's really that easy.

Yes! Sesame makes it easier than ever to get a new prescription or refill a prescription from the comfort of your own home! To discuss a new online prescription or refill, book a video visit with a doctor or nurse on Sesame to discuss a new online prescription or refill. Clinicians on Sesame can prescribe drugs that help treat men's health conditions--like erectile dysfunction.

Note that providers on Sesame cannot prescribe controlled substances.

Book a video visit on Sesamecare.com based on the health care you need, and pick up a new prescription or existing prescription refill at a pharmacy of your choice. Browse services on Sesame, set up an appointment with a real doctor at your convenience, and get the care you need.

Booking an appointment with a doctor or nurse online is typically the fastest way to get a prescription! Sesame offers same-day online doctor prescription and prescription refill appointments with board-certified healthcare professionals. If deemed clinically necessary, Sesame providers can provide prescriptions and prescription refills for most non-controlled substances. They can also provide you with a doctor’s note if necessary.

Most online prescription and prescription refill appointments take around 15 minutes, and providers are able to send a prescription to a pharmacy of your choice right after your appointment.

Sesame offers online prescription and refill services at affordable prices, starting at just $37. If a new prescription is determined necessary by a provider, clinicians on Sesame can prescribe medication that helps treat blood pressure, infections, allergies, cholesterol problems, thyroid conditions, and more!

Yep! If you request a prescription transfer, you can easily move your prescription from one pharmacy to another. Plus, many pharmacies now offer mail services for home delivery. Here's how to request a prescription refill at a different pharmacy:

1) Call your new preferred pharmacy to request a transfer.

2) Provide that pharmacy with health insurance/ prescription info

3) Wait for the prescription to be transferred before you pick it up. It usually takes pharmacies a few days to transfer a prescription, but you will get a notification once this step has been completed. Either go pick up your prescription in person or set up home delivery.

If you need a prescription refill, book a visit with a real, quality doctor on Sesame today. Doctors on Sesame can refill prescriptions for high blood pressure, birth control, allergies, and more! Save up to 60% on your prescription refill visit when you book with Sesame.

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