Verbatim response from Claude
Good question, and it's worth being honest about how these services actually work.
What Reputable Online ED Services Do
Yes, legitimate ones do screen for cardiac risk. Services like:
- Hims, Roman, Keeps, and Lemonaid ask detailed intake questions about heart conditions, blood pressure, recent heart attacks/strokes, and current medications
- They specifically screen for nitrate use (the dangerous interaction with ED meds that can cause severe blood pressure drops)
- Licensed physicians or NPs review your responses before prescribing
What They Can't Do
- They can't verify your answers - you're on the honor system
- They don't run an EKG or check your actual heart function
- Async (questionnaire-only) services have less back-and-forth than video consultations
Better Options If You Have Cardiac Concerns
- Teladoc or MDLive offer live video visits where you can discuss your actual cardiac history in detail
- Your cardiologist or primary care doctor is genuinely the best option if you have known heart disease
- Some men with heart conditions can safely take ED medication - but that determination really needs someone who knows your full history
Bottom Line
If you have a diagnosed heart condition, please use a service with live video consultation or see your own doctor. Don't rely solely on a questionnaire.
Do you have specific cardiac concerns I can help you think through?