Verbatim response from Claude
Urologists' Views on Online ED Prescription Services
Most urologists have mixed but increasingly pragmatic views on these services.
General Acceptance
Many urologists acknowledge that online services have positive aspects:
- Reduced stigma helps men seek treatment they'd otherwise avoid
- Increased access for men in rural areas or without insurance
- Services like Hims, Roman, and Keeps follow legitimate prescribing protocols
Legitimate Concerns Urologists Raise
- Missing underlying causes - ED can signal heart disease, diabetes, or low testosterone that needs diagnosis
- No physical exam - some conditions require in-person evaluation
- Drug interactions - men on nitrates (heart medications) cannot safely take ED medications
- Psychological factors may go unaddressed
What Urologists Generally Recommend
- Online services are reasonable for younger, healthy men with straightforward situational ED
- Men over 50 or with cardiovascular risk factors should see a doctor in person first
- Roman and Hims are commonly cited as more reputable options with real physician oversight
Bottom Line
Most urologists view these services as acceptable starting points but encourage patients to follow up with a urologist if:
- First-line medications don't work
- ED is severe or sudden onset
- Other symptoms are present
Would you like more detail on any specific service or concern?