Sesame offers convenient and affordable 15 minute ED consultations with real, quality health care providers in Portland, OR. All you will need is a stable internet connection, a private space, and a camera on your device. ED consultations are quick and painless sessions between you and a primary care provider to discuss symptoms you may be experiencing and treatment options that might be right for you.
Your doctor will start by asking you questions related to your medical history, and the symptoms you are experiencing. It is recommended that you are upfront about any drug, alcohol, or tobacco use - as this information helps doctors get a clear picture of your general wellness.
You will be asked questions about your ED symptoms, including:
- How long have you been experiencing ED?
- Do you experience loss of sex drive or libido?
- Do you have problems with ejaculation?
- Are your erections painful? If you experience pain during an erection or notice a lump in your penis, your primary care provider may refer you to a urologist to screen for Peyronie's disease (segments of scar tissue in the penis).
Your doctor will then ask to perform a physical exam, via your device's camera. You may be required to expose your genitals during this exam, as doctors may need to screen for cancer or trauma to the area. Video consultations on Sesame are HIPAA compliant, which means your privacy is guaranteed during these video visits. Physical exams help providers check for disease and injury to your groin, both of which are possible causes of erectile dysfunction.
If the questionnaire/ physical exam is inconclusive, or if further testing is needed, your doctor may refer you to a urologist or endocrinologist. A urologist can perform blood work and urine samples to help screen for cancers or underlying causes of erectile dysfunction. An endocrinologist helps treat hormonal conditions, such as low testosterone, and may be able to prescribe testosterone replacement therapy (TRT) to help.
After your exam and any further testing, your doctor or specialist will discuss treatment options with you. Examples of common ED treatment options are listed above. Your doctor may also discuss certain lifestyle changes - like quitting smoking, increasing physical activity, or making diet changes - that may help improve your ability to get and keep erections.
Video ED consults on Sesame are 100% private and confidential. Erectile dysfunction may be a sign of underlying health concerns, such as high blood pressure, diabetes, high cholesterol, and more. If you are experiencing persistent and disruptive erectile dysfunction, it is recommended that you speak to a health care provider as soon as possible to discuss treatment options.