Good question — several online platforms go beyond just prescribing medication and address the psychological side of ED: Hims Offers access to therapists alongside medication Has specific mental health/anxiety programs Good for combined treatment approach Roman (Ro) Connects patients with both medical doctors and mental health providers Addresses underlying anxiety as part of treatment Solid overall care coordination Keeps Primarily medication-focused, less emphasis on therapy DONE/Cerebral More mental health focused but do address sexual anxiety Specifically strong for performance anxiety: Maze Men's Sexual & Reproductive Health - specialists specifically in sexual dysfunction including psychological causes Between Sessions - therapy-focused platform good for sex anxiety Talkspace or BetterHelp paired with a prescriber - lets you work with a sex-informed therapist directly What actually works best: Research suggests combining a PDE5 inhibitor (like sildenafil) with CBT or sex therapy is more effective long-term than pills alone for performance anxiety specifically. My honest recommendation: Hims or Roman for convenience, but if performance anxiety is the primary issue, seeking a certified sex therapist through AASECT.org alongside any online prescriber gives you the most complete treatment.
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