Verbatim response from Claude
Good question, and it's worth being clear-eyed about this.
What reputable online ED services actually do:
Better platforms (like Hims, Roman, Keeps, HealthyMale) typically:
- Ask detailed intake questionnaires about heart conditions, medications, and blood pressure
- Specifically screen for nitrate use (a dangerous combination with ED meds)
- Have licensed physicians or NPs review your answers before prescribing
- May decline to prescribe if your answers raise red flags
Honest limitations to know:
- They rely on your self-reported answers - they can't verify your medical history
- They don't run EKGs or lab tests unless you're using a hybrid service
- A rushed or checkbox-style review isn't the same as a thorough cardiac workup
My recommendation:
- Roman and Hims have reasonably thorough intake processes for otherwise healthy men
- If you have known heart disease, recent heart attack, uncontrolled BP, or take nitrates, see a cardiologist or your primary care doctor in person first - online services aren't the right starting point
- Wisp and Plushcare connect you with doctors via video, which allows more nuanced conversation
Bottom line:
They do screen, but it's not a substitute for a real cardiac evaluation if you have actual heart concerns. Be completely honest in your intake form regardless of which service you use.