Erectile Dysfunction Treatment Online
Private licensed provider assessment for erectile dysfunction and prescription options when appropriate.
Adults 18+ · Not available in CA, SC, or NJ · Prescription only if clinically appropriate

Who it's for
Erectile dysfunction means difficulty getting or maintaining an erection sufficient for sexual activity. It can relate to blood vessel health, diabetes, other conditions, medicines, or psychological factors. An online visit can help assess whether prescription treatment or further evaluation is appropriate. Sildenafil and tadalafil are prescription options that support blood flow during sexual stimulation; they do not automatically create an erection or address every cause of erectile dysfunction. Discuss symptoms openly, including any chest pain, exercise limitation, or change in sexual function. New or persistent difficulties may need broader health assessment.
These visits are for adults 18 and older seeking a licensed provider’s assessment, not an automatic prescription. NuMi Rx is not available in California (CA), South Carolina (SC), or New Jersey (NJ). Your current location matters because care must be provided by a clinician licensed where you are located. Share your medical history, allergies, current prescriptions, supplements, and previous treatment experiences in the secure intake. A provider may request additional information or recommend an in-person evaluation before deciding whether treatment is appropriate.
How it works
- 01
Online visit
Complete your intake through the secure online visit. Describe your goals, relevant symptoms, health history, and current medications accurately. Include previous reactions and any treatment you have already tried. Submitting an intake does not establish that a particular medication is suitable for you.
- 02
Provider review
A licensed provider reviews your intake and determines whether medication is clinically appropriate. They may ask follow-up questions, recommend testing, discuss alternatives, or decline a prescription. If treatment is appropriate, follow the specific instructions issued for your prescription. An online assessment cannot replace every examination, and some concerns require local or in-person medical care.
- 03
Discreet delivery
If medication is prescribed and you proceed with checkout, the dispensing pharmacy prepares your order for discreet delivery. Read the pharmacy label and accompanying instructions before use. Check that the medication, formulation, and directions match your prescription. Ask the pharmacy about storage, supplies, and any delivery concern. Do not use an unexpected or damaged medication until the pharmacy advises you.
What's included
Care includes an online intake, licensed provider review, and a treatment plan when clinically appropriate. Pharmacy instructions explain medication use and storage. Follow-up communication addresses tolerability and reassessment. Medication selection, formulation, supplies, and refill eligibility depend on the prescription and pharmacy availability. Confirm what is included before paying; an intake fee is not a promise of medication.
Pricing
$99 online visit · medication pricing shown before checkout after provider approval.
The online visit and medication are separate pricing considerations. Review the quoted medication cost, formulation, quantity, and any applicable supplies before checkout. Do not assume a prescription includes unlimited refills. Ask about ongoing costs before continuing treatment. Consult the existing shipping and returns policy for the terms that apply to your order.
Safety and side effects
Common side effects
Common side effects of sildenafil or tadalafil include headache, flushing, indigestion, and nasal congestion. Dizziness can occur; tadalafil may also cause back or muscle pain. Seek immediate medical care for an erection lasting more than four hours, sudden vision or hearing changes, or a serious allergic reaction. If chest pain occurs during sexual activity, seek urgent care and tell responders which erectile dysfunction medication you took.
Who should not use it
Do not take sildenafil or tadalafil with nitrate medicines or recreational nitrites (“poppers”), or with riociguat, because dangerous blood pressure changes can occur. Treatment may be inappropriate when sexual activity is unsafe due to cardiovascular disease. Tell your provider about alpha-blockers, blood pressure medicines, kidney or liver disease, and prior vision problems. Do not combine erectile dysfunction medicines or use combination preparations unless specifically prescribed and assessed.
Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality. Compounding can meet an individual medical need when legally permitted, but does not establish that a preparation has the same evidence, absorption, or quality review as an FDA-approved product. Ask your provider why a compounded option is being considered and discuss approved alternatives. Availability depends on clinical need, applicable requirements, and the dispensing pharmacy.
Talk to your provider
Talk to your provider before changing treatment. Send clinical questions through secure patient messaging. Report new symptoms and medications. Never share prescriptions. For severe symptoms or emergencies, seek urgent local care rather than waiting for an online reply.
Frequently asked questions
Which medicines might be considered?
A licensed provider may consider sildenafil or tadalafil after reviewing your intake. Combination options require individual assessment and are not automatically suitable or preferable.
Does an online visit guarantee a prescription?
No. Medication is prescribed only if clinically appropriate after a licensed provider reviews your intake. Further testing or an in-person assessment may be recommended.
Can I take these medicines with nitrates?
No. Sildenafil and tadalafil must not be taken with nitrate medicines or recreational nitrites. Tell your provider about all medicines and seek urgent care for chest pain.
What if a combination is compounded?
Compounded medications are not FDA-approved and are not reviewed by the FDA for safety, effectiveness or quality. Ask about the specific formulation, interactions, and approved alternatives.
Is delivery discreet?
Approved prescriptions are shipped in discreet packaging through the pharmacy. Confirm your shipping information and contact the pharmacy about delivery or storage concerns.
Who can request treatment?
This service is for adults 18 and older and is not available in CA, SC, or NJ. Medical history, current medicines, and cardiovascular safety affect eligibility.
