Red flags that require in-person medical evaluation, cardiovascular screening for ED, and what to tell your clinician during intake.
For most men with uncomplicated ED, an online telehealth consultation is a safe and appropriate starting point. Licensed clinicians review your health history, screen for contraindications, and issue prescriptions through the same regulatory framework as in-person visits.
Current medications: Including all supplements. The most critical interaction is with nitrates — a combination that is absolutely contraindicated.
Blood pressure: PDE5 inhibitors lower blood pressure. Have a recent reading available.
Cardiovascular history: Heart attack, stroke, arrhythmia within the past 6 months.
Psychological factors: Performance anxiety, depression, relationship stress. This helps determine whether apomorphine may be beneficial.
Testosterone levels: Low testosterone can cause or worsen ED and should be ruled out.