Online ED Consultation: What to Expect Step by Step
Never done an online ED consultation before? It's simpler than you might think—and far less awkward than discussing erectile dysfunction face-to-face. Here's exactly what happens from start to finish, so you know what to expect.
Quick Overview
- ✓Time required: 10-15 minutes for the questionnaire
- ✓Video call: Usually not required (text-based at most platforms)
- ✓Provider response: Typically within 24 hours
- ✓Privacy: HIPAA-protected, discreet packaging
- ✓Prescription: Sent electronically if approved
The 6-Step Process
Choose a Platform & Create an Account
Select a telehealth provider (Hims, Roman, BlueChew, etc.). You'll enter basic info: name, email, date of birth, and state of residence. The state matters because providers must be licensed in your state to prescribe.
No credit card required at this stage on most platforms.
Complete the Health Questionnaire
This is the main part. You'll answer questions about your ED symptoms, overall health, medical history, and current medications. Be honest—the provider needs accurate info to prescribe safely.
- • How long have you had ED symptoms?
- • How often do you experience difficulty?
- • Do you get morning erections?
- • Any cardiovascular conditions (heart disease, high blood pressure)?
- • Current medications (especially nitrates)?
- • History of stroke, liver/kidney problems?
- • Have you tried ED medication before?
Upload ID (If Required)
Some platforms ask for a photo of your government-issued ID to verify your identity. This is standard for prescription medications. Your ID is kept confidential and secure.
Provider Reviews Your Information
A licensed healthcare provider (physician, nurse practitioner, or physician assistant) reviews your questionnaire. This typically happens within 24 hours, often much faster.
The provider may:
- • Approve your request and send a prescription
- • Ask follow-up questions via the platform's messaging system
- • Request a video/phone call (some states require this)
- • Decline to prescribe if there are safety concerns
Receive Your Treatment Plan
If approved, you'll receive a treatment recommendation. This includes which medication (sildenafil, tadalafil, etc.), dosage, and usage instructions. You can then decide whether to proceed.
Checkout & Receive Medication
Select your subscription frequency, enter payment info, and confirm your order. Most platforms ship directly to your door in discreet, unmarked packaging within 2-5 days.
Some platforms also allow you to transfer the prescription to a local pharmacy if you prefer.
Ready to Start?
The consultation is typically free. Get a treatment recommendation from a licensed provider.
Common Questions About Online ED Consultations
Do I need a video call?
Usually no. Most ED telehealth platforms (Hims, Roman, BlueChew) use asynchronous messaging—you fill out a questionnaire, a provider reviews it, and you communicate via text. Some states require a video or phone call for prescriptions, but this is becoming less common. If needed, the platform will let you know.
Is it really private?
Yes. Telehealth platforms are HIPAA-compliant, meaning your health information is protected by federal privacy laws. Medications arrive in discreet packaging with no indication of contents. Your credit card statement will show a generic company name, not "ED medication."
What if I'm denied a prescription?
If the provider determines ED medication isn't safe for you (usually due to heart conditions, nitrate use, or other contraindications), they'll explain why and may recommend alternatives. You typically won't be charged for the consultation if you're denied. Some cases may require an in-person evaluation.
Can they prescribe any ED medication?
Most platforms offer sildenafil (generic Viagra), tadalafil (generic Cialis), and sometimes brand-name versions or compounded formulations. The provider will recommend what's appropriate based on your needs, preferences, and health history.
How long until I get my medication?
After approval, most platforms ship within 1-2 days. Delivery typically takes 2-5 business days depending on your location. Some offer expedited shipping. If urgent, some platforms can send the prescription to a local pharmacy for same-day pickup.
Do I need to do this every time I want a refill?
No. Once you're set up with a subscription, refills ship automatically based on your chosen frequency (monthly, quarterly, etc.). The provider may check in periodically to see if your treatment is working, but you don't repeat the full consultation.
What to Have Ready Before You Start
- ✓List of current medications — especially nitrates (nitroglycerin), blood pressure meds, and alpha-blockers
- ✓Medical history — heart disease, stroke, blood pressure, diabetes, liver/kidney issues
- ✓Government-issued ID — driver's license or passport (some platforms require this)
- ✓10-15 minutes — to complete the questionnaire thoughtfully
When Online Consultation Isn't Enough
Online ED consultation works well for straightforward cases. But you may need an in-person evaluation if:
- •You have significant heart disease or unstable cardiovascular conditions
- •You're on multiple medications with potential interactions
- •You have anatomical abnormalities (Peyronie's disease, etc.)
- •ED medications haven't worked for you before
- •Your ED may be caused by hormonal issues (low testosterone)
- •You want advanced treatments (injections, implants, etc.)
Reputable telehealth platforms will refer you to in-person care if your situation warrants it.
Platform Comparison: Consultation Process
| Platform | Consultation Type | Response Time | Cost |
|---|---|---|---|
| Hims | Async messaging | ~24 hours | Free |
| Roman | Async messaging | ~24 hours | Free |
| BlueChew | Async messaging | Same day often | Free |
Key Takeaways
- 1. Simple 6-step process: Create account → questionnaire → ID upload → provider review → treatment plan → checkout
- 2. Usually no video call required — most platforms use text-based communication
- 3. Takes 10-15 minutes to complete the questionnaire
- 4. Provider responds within 24 hours (often faster)
- 5. Be honest about your health history — the provider needs accurate info for safe prescribing
- 6. HIPAA-protected — your information is kept confidential
- 7. Discreet packaging — no one will know what's inside
- 8. Refills are automatic once you're set up
Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always provide accurate health information during your consultation to ensure safe prescribing.