Erectile dysfunction (ED)

Amazon One Medical offers multiple ways to get care from the comfort of your own home.

If you're a One Medical member and you live in a state where One Medical has offices, you can schedule Remote Visits with One Medical providers, which are billable to you or your health insurance. As a member, you can also get 24/7 on-demand virtual care with Treat Me Now or Urgent Video Chat via the One Medical app at no extra cost, no matter where you live in the United States.

If you're not a One Medical member, you can start a one-time virtual visit with Pay-per-visit. Pay-per-visit offers two types of telehealth for Amazon customers: video visits and message-only visits. Video visits are available for $49 in all 50 states and D.C. Message-only visits are currently available for $29 in 34 states.

To see your Pay-per-visit options, first choose your state.

Amazon One Medical doesn't accept health insurance for Pay-per-visit care. You can submit a claim to your insurance provider for reimbursement, but we can’t guarantee they’ll reimburse you for your one-time virtual visit.

If you normally use insurance to pay for your medications, you can do that with medications prescribed through all Amazon One Medical services. Amazon Pharmacy accepts most insurance plans. For other pharmacies, please talk with your pharmacy directly about insurance coverage. The cost of medication isn’t included in the cost of your visit.

If your provider can’t diagnose or treat your health issue through Pay-per-visit, they may recommend that you see a primary care provider or a specialist for in-person care. If that happens, you won't be charged.

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We’re committed to building an infrastructure that fosters and promotes a culture of customer privacy and a strong commitment to safeguarding health information. We maintain administrative, physical, and technical safeguards to protect customer information. This includes conducting rigorous security reviews and testing during product development, using encryption to protect data, and providing features like two-step verification to help customers protect their accounts.

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Clinical research has described PDE5 inhibitors like sildenafil (Viagra) and tadalafil (Cialis) as "revolutionary" for the treatment of ED. Why? These medications have a 60-70% success rate, they work fast, and they have an established safety profile.

If you've already tried one PDE5i without success, studies suggest that you should try a different PDE5i. Nearly 90% of men who've tried all the ED drugs at different times report improvements in their erections.

When taking ED medication, it's important to follow dispensing directions if you want the drugs to work as designed. Studies have shown that in most cases where men weren't satisfied with sildenafil (Viagra), they were taking their medication incorrectly.

Sildenafil (Viagra) and vardenafil (Levitra) are as-needed medications that you take about an hour before you plan to have sex. Healthcare providers recommend taking them on an empty stomach.

Tadalafil (Cialis) is the only ED medication that can be taken both as-needed and daily (in a lower dose), so it stays in your system longer. As a daily pill, the drug can allow for more sexual spontaneity. It may be taken with or without food.

Avanafil (Stendra) is a less commonly prescribed PDE5 inhibitor. It works faster than the other as-needed medications, but it's not available in generic form. This can make avanafil more expensive than the other treatments.

Your provider will consider your health history and personal preferences when prescribing treatment through Amazon One Medical. The most effective medication for ED will be the one that fits your lifestyle and has the best safety profile for your unique physiology.

If your provider determines that PDE5 inhibitors are right for you, they'll take your lifestyle, preferences, and health history into account when writing your online prescription through Amazon One Medical Pay-per-visit.

Daily tadalafil (Cialis) prescriptions are typically written as a 1-month or 3-month supply of 30 tablets/month plus refills.

As-needed prescriptions for tadalafil, sildenafil, or vardenafil are typically written as a 1-month or 3-month supply of a certain number of tablets (6, 10, or 15) per month plus refills. Your prescribing provider will consider how often you plan to use the medication.

If you run out of refills, you'll need to request a new prescription, which will require another ED consultation to make sure your medication doesn't need to be adjusted.

ED medications are considered safe when taken as prescribed by a healthcare provider. But they can have side effects when taken within the same time frame as certain medications, or when taken not as prescribed. For example, some drug combinations can lead to low blood pressure. And taking too many ED pills can lead to headaches, diarrhea, and visual disturbances.

It's important to tell your provider about all the medications you're taking and all your underlying health conditions when you're being treated for erectile dysfunction. If requesting ED treatment through a telehealth visit, especially if you're young and otherwise healthy, OR you have certain risk factors, an online doctor may recommend that you see a primary care provider for an in-person evaluation before they can safely prescribe ED medication.

Yes. If you're experiencing ejaculatory symptoms, we recommend that you start from Amazon One Medical's Premature ejaculation page.

What's the difference between an ejaculatory disorder and an erection disorder? Premature ejaculation is when men ejaculate too early (typically in under 2 to 3 minutes), while erectile dysfunction (ED) is when men have trouble maintaining an erection.

Erectile dysfunction and premature ejaculation can occur at the same time. If you're experiencing both conditions, providers generally recommend that you seek treatment for ED first before adding premature ejaculation treatments.

No. If you don't get erections, a telehealth visit isn't the most appropriate option for you. You’ll need to see a primary care provider for an in-person evaluation.

There are two kinds of erections: reflex erections and psychogenic erections. An inability to achieve a reflex erection could be a sign of an underlying nerve issue or another organic cause.

No. If you need testosterone testing or treatment, Amazon One Medical Pay-per-visit isn't the most appropriate care option for you. If you have symptoms of low testosterone, like low libido, you'll need to see a trusted primary care provider before you seek treatment for ED.

If you're using testosterone replacement therapy, these medications can't be adjusted through One Medical Pay-per-visit. Your testosterone levels must be within a normal range before you're eligible for one-time virtual ED treatment.