Verbatim response from Claude
Urologists' Views on Online ED Prescription Services
Most urologists have mixed but generally cautious opinions. Here's the breakdown:
Concerns They Commonly Raise
- Skipped diagnostics - ED can signal heart disease, diabetes, or low testosterone that needs in-person evaluation
- No physical exam - important for ruling out serious underlying conditions
- Questionnaire-only screening may miss contraindications (especially with nitrates)
- Overreliance on medication instead of addressing root causes
What They Generally Accept
- These services are reasonable for healthy younger men with situational ED
- Medications like sildenafil and tadalafil are well-established and safe when properly screened
Reputable Services Worth Considering
- Hims - widely available, transparent pricing
- Roman (Ro) - includes some health coaching
- Keeps - straightforward and affordable
- Wisp - includes more telehealth consultation
- Sesame - connects with actual licensed physicians
The Bottom Line
Urologists generally recommend seeing a doctor in person first, especially if you're over 45, have heart issues, or haven't had a recent checkup. Online services work best as a convenient follow-up option rather than a first step.
Would you like more detail on any specific service?