DOCTOR ALEXA · ONLINE CARE
Erectile Dysfunction Treatment Online
Private, convenient care from home
Considering erectile dysfunction treatment online? Discuss erection difficulties confidentially with a licensed clinician through Doctor Alexa. A medical review can assess contributing health conditions and whether prescription options such as sildenafil or tadalafil may be appropriate.
- Private online consultation
- No insurance required
- Prescription considered after medical review

Private online care
Licensed healthcare providers
Treatment guidance from a clinician
SIMPLE 3-STEP PROCESS
How Online Care Works
Get a confidential ED evaluation and learn which treatment options may be suitable.
01

Tell Us About Your Symptoms
Describe when erection difficulties began, your medical conditions, current medications, prior ED treatments, and any associated symptoms.
02

Get Evaluated Online
A clinician reviews cardiovascular risks, medications, and possible causes. ED medicines may not be suitable for people using nitrates or with certain medical conditions.
03

Pick Up Your Prescription
Get personalized recommendations, including follow-up testing or in-person care if needed. A prescription may be sent to your pharmacy only when appropriate.
Ready to start your online consultation?
AT A GLANCE
Four Things to Know About Erectile Dysfunction
Quick facts on treatment, testing, and follow-up. Read the detailed guide below.
SYMPTOMS
ED Symptoms & Evaluation
Erectile dysfunction can involve difficulty getting or maintaining an erection suitable for sexual activity. Your medical history helps guide evaluation.
MEDICATION & TREATMENT
Sildenafil, Tadalafil & ED Treatment
Sildenafil and tadalafil are common prescription treatments for ED. A clinician selects the medication and dose based on health history and other drugs.
TESTING & CARE
When In-Person Care May Be Needed
Persistent ED, penile pain or curvature, or cardiovascular symptoms may require an in-person examination or additional testing.
FOLLOW-UP
What to Expect After ED Treatment
Follow prescribed dosing instructions for your ED medication. Seek medical advice if treatment is ineffective or causes troubling side effects.
YOUR TREATMENT GUIDE
Erectile Dysfunction Treatment: What You Need to Know
Clear answers about symptoms, testing, prescription treatment, and next steps.
01 · SYMPTOMS
ED Symptoms & Evaluation
ED may involve trouble getting an erection, losing an erection before sexual activity is complete, or erections that are not consistently firm enough for sex. Many patients can begin with an online medical evaluation. Blood work, a physical examination, or other testing may be recommended when symptoms suggest diabetes, low testosterone, cardiovascular disease, or another underlying condition.
02 · TREATMENT
Sildenafil, Tadalafil & ED Treatment
Prescription PDE5 inhibitors are a common first-line treatment for ED. Sildenafil and tadalafil are two commonly used options. The medication, dose, and dosing schedule depend on your health history, other medications, previous response to treatment, and how frequently you expect to use ED medication. These drugs should not be used with nitrate medications such as nitroglycerin.
03 · TESTING & CARE
When In-Person Care May Be Needed
Further evaluation may be recommended for unexplained or persistent ED, penile pain or curvature, symptoms of low testosterone, significant cardiovascular symptoms, or ED that does not improve with initial treatment. An in-person clinician can perform an examination and order additional testing when needed.
04 · FOLLOW-UP
What to Expect After ED Treatment
Follow the prescribed dose and instructions for your ED medication. Sildenafil and tadalafil require sexual stimulation to help produce an erection. Contact your healthcare provider if the medication is not working well or causes troublesome side effects. An erection lasting more than four hours requires emergency medical care.
Ready to talk to a provider?
AFFORDABLE ONLINE CARE
Simple, Transparent Online Care Pricing
Start with a one-time consultation, or choose a membership for ongoing care. Select your payment option during checkout.
FOR ONE-TIME CARE
One-Time Consultation
$59.99
One-time payment. No membership required.
- Pay only when you need care
- Provider evaluation
- Testing and treatment guidance
FOR ONGOING CARE
Quarterly Membership
$69.99
Billed every 3 months · about $23.33/month equivalent
- Unlimited consultations
- Prescription refill requests
- 24/7 support
Annual membership also available for $225/year during checkout.
Choose your payment option during checkout. Quarterly and annual memberships renew automatically until canceled. You can cancel according to the membership terms. Prescriptions are subject to provider approval. Medication, laboratory testing, and in-person treatment costs may be separate.
What Patients Say About Doctor Alexa

Excellent 4.5 out of 5 from 565 reviews on Trustpilot
I was able to get the care I needed and now am much better. Very happy I was taken care of so quickly
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Such a great easy service answers. All your question in a timely matter. I feel like I’m in good hands with Dr. Alexa and their staff.
Trustpilot Review
My transaction with Dr. Alexa went flawless…my pharmacy received the prescription quick and trouble free. And the meds did their job!
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It was a quick and easy process. They questionnaire was thorough to ensure they addressed my concerns.
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Frequently Asked Questions
Can I get erectile dysfunction treatment online?
Yes. Erectile dysfunction treatment online can include a medical evaluation, review of your medications and health history, and prescription ED treatment when appropriate.
Some patients need blood tests, a physical examination, or additional evaluation to identify an underlying cause.
Can I get a Viagra prescription online?
Yes. A licensed healthcare provider can evaluate you online and prescribe Viagra or generic sildenafil if it is appropriate for you.
The provider will review your cardiovascular history, current medications, previous ED treatment, and other health conditions before prescribing.
Can I get a same-day Viagra prescription?
A same-day Viagra prescription may be possible if your consultation is completed, a provider determines sildenafil is appropriate, and the prescription can be processed that day.
Same-day pickup also depends on the pharmacy’s hours and inventory.
How can I get Viagra today?
Complete an online ED consultation with a licensed healthcare provider. If sildenafil or Viagra is appropriate, the prescription can be sent to your selected local pharmacy.
Whether it is ready the same day depends on provider review and pharmacy availability.
Can I get a sildenafil prescription online?
Yes. Sildenafil can be prescribed after an online medical evaluation if a provider determines it is appropriate and safe for you.
Generic sildenafil contains the same active ingredient used in Viagra.
Can an online ED prescription be sent to my local pharmacy?
Yes. If ED medication is prescribed, the prescription can be sent electronically to your selected local pharmacy for pickup.
Pharmacy stock and processing times vary.
Can I get sildenafil for same-day pickup?
Same-day sildenafil pickup may be available after your online evaluation and prescription.
The exact timing depends on when your consultation is reviewed and whether your selected pharmacy has the medication in stock.
Can I get a Cialis prescription online?
Yes. A licensed provider can prescribe Cialis or generic tadalafil after an online ED evaluation if it is appropriate for your health and treatment needs.
Tadalafil may be prescribed for as-needed use or, for some patients, daily use.
What is the difference between sildenafil and tadalafil?
Sildenafil and tadalafil are both PDE5 inhibitors used to treat erectile dysfunction.
Sildenafil is usually taken as needed and has a shorter duration of action. Tadalafil lasts longer and may be prescribed either as needed or as a daily medication.
What dose of sildenafil should I take?
The appropriate sildenafil dose depends on your health, other medications, previous response, side effects, and other clinical factors.
Take only the dose prescribed for you. Do not take extra tablets because the first dose did not work as expected.
What dose of tadalafil should I take?
Tadalafil dosing depends partly on whether it is prescribed for occasional use or daily use, along with your medical history and other medications.
Your provider will select the appropriate dose and instructions for your situation.
Can I take Viagra or sildenafil with nitroglycerin?
No. Sildenafil, Viagra, tadalafil, Cialis, and other PDE5 inhibitors should not be taken with nitrate medications such as nitroglycerin.
Combining them can cause a dangerous drop in blood pressure. Tell your provider about all medications you take before receiving ED treatment.
Is there an over-the-counter alternative to Viagra?
Sildenafil, Viagra, tadalafil, and Cialis require a prescription in the United States.
Over-the-counter products marketed for sexual enhancement are not equivalent to prescription ED medication, and some may contain undeclared or unreliable ingredients.
Does Viagra cause an erection automatically?
No. Sildenafil helps improve blood flow involved in an erection, but sexual stimulation is still required.
It does not automatically cause an erection and does not increase sexual desire.
What should I do if sildenafil or Cialis doesn’t work?
Do not take more medication than prescribed. Timing, food, sexual stimulation, dosage, or the underlying cause of ED can affect how well treatment works.
A provider may adjust the treatment plan, recommend another medication, order testing, or refer you for additional evaluation if ED continues.
Get Erectile Dysfunction Treatment Online Today
Connect with a licensed healthcare provider from the privacy of your home and find out whether online treatment for Erectile Dysfunction is appropriate for you.
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