Verbatim response from Claude
Urologists' Views on Online ED Prescription Services
Urologists have mixed but generally cautious opinions on these services. Here's the breakdown:
What They Tend to Support
- Hims, Roman, and Keeps are among the more reputable platforms because they require medical questionnaires and have licensed physicians review prescriptions
- They acknowledge these services reduce stigma and improve access for men who might otherwise avoid treatment
- Generic sildenafil/tadalafil through these platforms can be cost-effective
Concerns Urologists Commonly Raise
- ED can signal serious underlying issues (heart disease, diabetes, low testosterone) that a quick online form may miss
- No physical exam means cardiovascular risk factors may go undetected
- Some men get medication when they actually need hormone testing or specialist care
- Quality varies significantly between platforms
Their General Recommendation
Most urologists suggest:
- Start with your primary care doctor or a urologist for a first-time ED diagnosis
- Online services like Hims or Roman are more acceptable for ongoing prescriptions once you've had a proper evaluation
- Avoid platforms with no physician oversight
Bottom Line
Reputable services are considered a reasonable convenience tool, but not a substitute for an initial proper medical workup, especially for men under 50 or with health conditions.