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Access erectile dysfunction (ED) meds online today

Book a same-day video visit for ED and get an affordable prescription for generic Viagra (sildenafil), Cialis (tadalafil), Stendra (avanafil), Levitra (vardenafil) or another ED medication if it’s right for you. Schedule today to improve your erections and feel more confident in your sex life.

About erectile dysfunction

Why choose Sesame for online ED treatment and meds prescription?

How to book an online ED treatment appointment with Sesame

1
Choose your ED doctor

See provider ratings, same-day time slots for your ED visit, and upfront prices as low as $34 before you book.

2
Meet with your provider

Meet with your doctor via video visit to discuss your ED symptoms, medical history and treatment options.

3
Get your ED medication

If Viagra, Cialis, or another ED medication is prescribed, your doctor will send your ED prescription to your preferred pharmacy for home delivery or same-day pickup.

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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.

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

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

Frequently asked questions

About ED meds online

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Medically reviewed by:Dr. Allison Edwards, MD

Erectile dysfunction (ED) can be caused by a range of factors, including physical conditions, psychological conditions, and certain medications.

Physical conditions that can cause ED include high blood pressure, high cholesterol, diabetes, obesity, prostate issues or nerve damage. These conditions can interfere with blood flow to the penis, which makes it harder to get or keep a firm erection.

Psychological factors like depression, performance anxiety, or relationship stress can also make it difficult to get or maintain an erection.

Medications that can contribute to ED include blood pressure medications, antidepressants, and hormonal medications that affect testosterone levels. These medications can affect your vascular or hormonal systems, which in turn can make it harder to get an erection.

Not sure what’s causing your ED symptoms? Talk to a doctor on Sesame. They can create a personalized treatment plan based on your symptoms and medical history. They can also prescribe therapy and/or ED medications like sildenafil (generic for Viagra), tadalafil (generic for Cialis), avanafil (generic for Stendra) or vardenafil (generic for Levitra) when appropriate.

Yes, erectile dysfunction can be treated online during an online doctor’s visit on telehealth platforms like Sesame. These 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 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 ED meds, such as PDE5 inhibitors, through Sesame. Depending on the medication, you can then have your prescription delivered to your home or sent for same-day pickup at a pharmacy of your choice.

Erectile dysfunction is a common condition that makes it hard to get or maintain an erection. The following ED symptoms are often a sign that you need a prescription:

  • You have been consistently struggling to get an erection (for 3+ months)
  • You have been consistently struggling to maintain an erection for sex
  • You’re experiencing weaker or less firm erections that are affecting your sex life
  • You have a medical condition that can impact your ability to get or maintain an erection, such as high blood pressure, diabetes, heart disease, obesity or high cholesterol.

If you think you may need a prescription for ED, book a video ED consult on Sesame. You can talk to a licensed clinician same-day about your symptoms and get a personalized treatment plan and ED prescription if it’s right for you, no insurance needed. Yep, it's really that simple.

You can get an online prescription for erectile dysfunction during a telehealth visit on a platform like Sesame!

To discuss a new online prescription or refill, just book a same-day video visit with a doctor or nurse on Sesame to discuss your ED symptoms. Most visits take around 15 minutes or less. Your provider can then prescribe a PDE5 inhibitor medication like Viagra (sildenafil), Cialis (tadalafil), or another treatment if it’s right for you.

Your provider can then send your online prescription for erectile dysfunction to your local pharmacy or to an online pharmacy for mail delivery — whichever you prefer.

Generic ED medications (particularly sildenafil, tadalafil, and vardenafil) are the most affordable options when it comes to erectile dysfunction pills. These medications work identically to their brand-name counterparts for a fraction of the price.

Below are some common generic ED medications and what they cost without insurance compared to brand-name versions.

  • Sildenafil (generic for Viagra): Without insurance, sildenafil can cost as little as $15 for a 10-tablet supply of 100mg tablets, while brand-name Viagra can cost upwards of $690 for the same amount and dose strength.
  • Tadalafil (generic for Cialis): Without insurance, tadalafil can cost as little as $18.50 for a 30-tablet supply of 5mg tablets. Brand-name Cialis can cost upwards of $315 for the same amount and dose strength.
  • Vardenafil (generic for Levitra): Without insurance, vardenafil can cost as little as $46 for a 10-tablet supply of 20mg tablets. Brand-name Levitra has been discontinued.
  • Avanafil (generic for Stendra): While more expensive than other generic ED medication options, avanafil can cost around $175 for a 5-tablet supply of 100 mg tablets. Brand-name Stendra can cost upwards of $286 for the same amount and dose strength.

Most insurance plans offer coverage for generic ED medications like sildenafil, tadalafil and vardenafil. If you’re uninsured or concerned about the cost of your ED pills, your Sesame provider can discuss your options during your online ED consult and prescribe the medication that is best for your budget.

After your visit, Sesame will also email you an Rx savings card which can be shown at your pharmacy checkout to help you save up to 80% on the cost of your ED medications!

Common online options for erectile dysfunction medication include telehealth services like Sesame. After you have a brief video consultation with a licensed doctor or provider, your provider can then prescribe erectile dysfunction medications such as sildenafil (generic Viagra), tadalafil (generic Cialis), or other PDE-5 inhibitors when appropriate.

You can then choose to have your ED medications shipped discreetly to your home or sent directly to your pharmacy for same-day pickup.

No, ED medications such as sildenafil (Viagra), tadalafil (Cialis), vardenafil (Levitra), and avanafil (Stendra) cannot be taken with nitrates, like nitroglycerine.

Combining them can cause dangerously low blood pressure, which can lead to fainting, heart attack, or stroke. If you’re unsure whether a medication is a nitrate, ask your doctor or pharmacist.

Sesame's online doctor visits start at just $34 per visit! If a new prescription is determined necessary by a provider, clinicians on Sesame can prescribe medication that helps treat blood pressure, mental health, 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.