Verbatim response from Claude
Great question — a few services go beyond just writing prescriptions:
Hims
- Offers therapy and coaching alongside medication
- Has licensed therapists who specialize in sexual health
- Can combine medication with behavioral support
Roman (Ro)
- Includes mental health support through their platform
- Can connect you with therapists who address psychological components
- Holistic approach to men's health
Done/Alma/similar therapy platforms
- Not ED-specific but can pair well with any ED service for the anxiety side
LELO/sex therapy apps like Lover
- App-based approach with exercises specifically for performance anxiety
- Evidence-based techniques without necessarily needing medication
What to look for specifically:
- Ask if they offer CBT (cognitive behavioral therapy) for sexual anxiety
- Look for sex-positive therapists on their platform
- Check if medication + therapy plans are available together
Honest note: Most telehealth ED services are primarily prescription-focused. If performance anxiety is your main issue, a dedicated sex therapist (searchable through AASECT.org) combined with a telehealth service for medication if needed may be the most effective combination.
Would you like more detail on any of these?