Get an Online ED Evaluation
- Generic ED meds from $1.67/use — up to 95% less than brand-name
- Free consultation with a licensed provider, no insurance needed
- Fast, discreet shipping — extra-strength dissolvables work in 15–30 min
Online ED Provider Comparison
| Provider | Best For | Medications | |
|---|---|---|---|
| MyDrHank Top Pick | Budget-friendly starting at $1.67/use | Sildenafil, Tadalafil, Combo Dissolvables, Daily | Start Visit |
| Hims | Brand-name experience with chewable options from $30/mo | Sildenafil Chews, Tadalafil Chews, 3-in-1 Hard Mints, 3-in-1 Pill | View |
| PeterMD | Price match guarantee | Sildenafil, Tadalafil, Mt Everest Formula | View |
MyDrHank
Hims
PeterMD
Track local pharmacy prices: RX Watch monitors cash prices at pharmacies in your ZIP code and alerts you when prices drop. Free to use.
Provider Details
Online ED treatment platform offering generic Viagra and Cialis at up to 95% less than brand-name prices. Also offers extra-strength dissolvables and daily tadalafil options.
- Generic sildenafil, tadalafil, and combo dissolvables
- Extra-strength dissolvables work in 15-30 mins
- Daily tadalafil option for always-ready
- Free consultation with licensed provider
- Free discreet shipping, no insurance required
Well-known men's health brand offering a range of ED medications in discreet, easy-to-take formats — including chewables and combo pills. No awkward pharmacy trips.
- Sildenafil & tadalafil chews starting at $30/mo
- 3-in-1 Hard Mints — mint-flavored, works fast
- 3-in-1 Pill starting at $39/mo
- As-needed and daily options available
- Licensed provider consultation included
- Discreet packaging and delivery
Men's health clinic with a price match guarantee. Offers generic Viagra and Cialis at $5/tablet, plus their exclusive Mt Everest formula for enhanced results.
- Generic sildenafil & tadalafil at $5/tablet
- Mt Everest exclusive formula available
- 20% off if you find a better price
- Discreet shipping in plain packaging
- Highly rated by reviewers
Last reviewed: June 8, 2026
What Is Erectile Dysfunction?
Erectile dysfunction (ED) is the persistent difficulty achieving or maintaining an erection sufficient for sexual activity. It's a common condition that becomes more prevalent with age, though it can affect men at any stage of life.
Common Contributing Factors
- Cardiovascular conditions – High blood pressure, heart disease, and poor circulation
- Metabolic factors – Diabetes, obesity, and high cholesterol
- Psychological factors – Stress, anxiety, depression, and relationship concerns
- Lifestyle factors – Smoking, excessive alcohol, lack of exercise, and poor sleep
- Medications – Some blood pressure medications, antidepressants, and other prescriptions
- Hormonal changes – Low testosterone levels
Important: ED can sometimes be an early sign of underlying health conditions like heart disease or diabetes. Speaking with a healthcare provider can help identify any contributing factors.
First-Line ED Medications
The most commonly prescribed ED medications belong to a class called PDE5 inhibitors. These medications work by increasing blood flow when sexually aroused. They require a prescription and are not appropriate for everyone.
Sildenafil vs. Tadalafil
The two most widely used ED medications are sildenafil (generic Viagra) and tadalafil (generic Cialis). Here's how they compare:
| Factor | Sildenafil | Tadalafil |
|---|---|---|
| Brand Name | Viagra | Cialis |
| Onset | 30-60 minutes | 30-60 minutes |
| Duration | 4-6 hours | Up to 36 hours |
| Dosing | As-needed only | As-needed or daily |
| Food Interaction | High-fat meals may delay effect | Less affected by food |
| Best For | Planned intimacy | Spontaneity or daily use |
Sildenafil (Viagra)
Tadalafil (Cialis)
Other Options
Other PDE5 inhibitors include vardenafil (Levitra) and avanafil (Stendra), which may work faster or have different side effect profiles. Your clinician can help determine which option is appropriate based on your health history.
Critical Safety Note: PDE5 inhibitors should never be taken with nitrates (like nitroglycerin for chest pain) as this combination can cause a dangerous drop in blood pressure. Always disclose all medications to your provider.
Ways to Save on ED Medication
ED medication prices vary significantly based on pharmacy, insurance coverage, dosage, and whether you choose brand-name or generic versions. Generic options are typically much more affordable than brand-name.
Ways People Save
- Generic medications: Same active ingredients at lower cost
- Pharmacy discount cards: The Rx.com discount card can reduce prices at 60,000+ pharmacies
- Price comparison: Prices vary widely between pharmacies
- Higher-dose splitting: Some people split higher-dose tablets (discuss with your provider)
Track prices in your area: RX Watch lets you monitor cash prices at pharmacies in your ZIP code and get alerts when prices drop.
How to Choose an Online ED Provider
Many telehealth services now offer ED consultations and prescriptions. When evaluating providers, consider these factors:
- Licensed clinician evaluation: A real healthcare provider should review your health history
- Transparent pricing: Costs should be clear before you commit
- Legitimate pharmacy fulfillment: Medications should come from licensed U.S. pharmacies
- Discreet shipping: Packaging should protect your privacy
- Ongoing support: Access to follow-up care and dose adjustments
- No "no prescription" offers: Avoid services that don't require medical evaluation
Red flags to avoid: Services that guarantee approval without evaluation, offer prescriptions without a licensed provider, or sell medications from outside the U.S.
Performance Anxiety & Mental Health
ED isn't always physical. Psychological factors like stress, anxiety, depression, and relationship concerns can contribute significantly to erectile difficulties—especially in younger men.
Signs That Psychological Factors May Be Involved
- ED occurs in some situations but not others
- Morning erections are normal
- ED began after a stressful life event
- Performance anxiety creates a cycle of worry
If psychological factors are contributing, treatment may include counseling, sex therapy, stress management, or a combination approach. Many telehealth providers can help identify whether additional support would be beneficial.
ED can affect self-esteem and relationships. It's a medical condition—not a personal failure. Speaking openly with a partner and healthcare provider can help.
Frequently Asked Questions
What causes erectile dysfunction?
ED can result from physical factors (cardiovascular conditions, diabetes, hormonal changes), psychological factors (stress, anxiety, depression), lifestyle factors (smoking, alcohol, lack of exercise), or medications. Often, multiple factors contribute.
Is ED treatable?
Yes, ED is often treatable. Depending on the cause, treatment options include lifestyle changes, oral medications, counseling, hormone therapy, or other interventions. A healthcare provider can help determine the best approach.
What's the difference between sildenafil and tadalafil?
Both are PDE5 inhibitors that help with ED. Sildenafil (Viagra) works for 4-6 hours and is taken as-needed. Tadalafil (Cialis) can last up to 36 hours and can be taken daily or as-needed, offering more spontaneity.
Do I need a prescription for ED medication?
Yes. Legitimate ED medications like sildenafil and tadalafil require a prescription from a licensed healthcare provider who has evaluated your health history. Avoid any service offering these medications without proper evaluation.
Is online ED treatment safe?
Online ED treatment through reputable telehealth services can be safe and effective when they involve evaluation by a licensed provider and fulfillment through legitimate pharmacies. Always verify the service is properly licensed.
What medications should I avoid with ED pills?
PDE5 inhibitors should never be combined with nitrates (like nitroglycerin) as this can cause dangerous blood pressure drops. They should also be used cautiously with alpha-blockers and certain other medications. Always disclose all medications to your provider.
Can I use a discount card for ED medication?
Yes. Pharmacy discount cards like the Rx.com card can reduce the cash price of generic ED medications at participating pharmacies. This can be especially helpful for those without insurance coverage for ED medications.
Can stress or anxiety cause ED?
Yes. Psychological factors including stress, anxiety, depression, and relationship concerns can cause or worsen ED. This is especially common in younger men. Treatment may include counseling alongside or instead of medication.
How does RX Watch help with ED medication costs?
RX Watch monitors pharmacy prices in your ZIP code and sends alerts when prices drop. This helps you find the best price on generic ED medications near you, potentially saving money compared to filling at a single pharmacy.
Important Safety Information
Rx.com does not provide medical advice, diagnosis, or treatment. The information on this page is for educational purposes only and should not replace consultation with a healthcare provider.
ED medications require a prescription and are only appropriate after evaluation by a licensed clinician. Not everyone is a candidate for ED medication.
Seek emergency care immediately if you experience chest pain, an erection lasting more than 4 hours (priapism), sudden vision or hearing changes, or signs of an allergic reaction.
Prices, availability, and provider offerings may change. Information was last reviewed June 8, 2026.