Erectile Dysfunction (ED)
Being unable to get or keep an erection most times you have sex. Doctors call this "impotence" or "erectile dysfunction."
Men can have trouble getting or keeping an erection if they have a condition that keeps the penis from getting enough blood. Things that reduce blood flow to the penis can include:
  • Getting older
  • Diabetes
  • High blood pressure
  • Smoking
  • Drinking alcohol or taking drugs
Sex problems can also occur when men feel depressed or worried, or have problems with their partner or relationship. Plus, sex problems can be a side effect of certain medicines. For example, medicines to treat depression or heart disease sometimes cause sex problems.
Related Symptom
  • Trouble getting or keeping an erection
Common Treatments
Treatment depends on the cause of the problem and can include:
Medicines to help you get and keep an erection – Examples of these medicines include sildenafil (sample brand name: Viagra), vardenafil (sample brand name: Levitra), tadalafil (sample brand name: Cialis), and avanafil (sample brand name: Stendra). These medicines can cause side effects, such as low blood pressure. It's important to follow your provider's instructions closely when taking these medicines. Also, let your provider know if you are taking any other medicines, as certain combinations can be unsafe. Men who take certain medicines should not take medicines to get an erection. Examples include "nitrates" that are used to treat heart problems, and certain "alpha blockers" that are used to treat an enlarged prostate gland.
Some medicines for treating sex problems are sold over the internet. However, these are not always safe, and they can even contain harmful ingredients.
Hormone treatment – Sex problems can happen when a man's body does not make enough male hormones (testosterone). If your hormone levels are very low, a provider might treat you with testosterone, which can come in a shot, skin patch, skin gel, capsule, or tablet that sticks to your gums.  Nytingale providers cannot prescribe testosterone online but you can check your levels through Nytingale here.
Treatments to delay ejaculation – Some men also use a method called "pause and squeeze." In this method, a man stops having sex and presses behind the tip of the penis when he feels like he is going to ejaculate. After the feeling goes away, he continues having sex.
Treatment to help ejaculation problems caused by depression medicines – Sometimes, medicines used to treat depression can make it hard or impossible for a man to ejaculate. Let your primary care provider know if this happens. He or she can change your dose or your medicine so the problem gets better.  It is unsafe for Nytingale providers to alter or adjust your depression medications through telemedicine.
What To Expect
Schedule your video visit and complete your registration questionnaire.
Have your video visit with our Nurse Practitioner.
Pick up any necessary prescriptions at your local pharmacy.
Only $49 per visit.
HSA and FSA Accepted.
Get reimbursed at
Nytingale Business Office
3983 Teays Valley Rd #G1
Hurricane, WV 25526