Prolong your performance with safe, effective treatment options tailored to improve erectile strength and consistency.

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Understanding the impact of erectile dysfunction

Erectile dysfunction (ED) is one of the most common male sexual health concerns, affecting millions of men across all age groups. While occasional difficulties are normal, persistent issues with achieving or maintaining an erection can signal underlying vascular, hormonal, neurologic, or psychological factors that deserve clinical attention. ED can affect more than sexual performance—it may influence confidence, relationship satisfaction, and overall quality of life. In some cases, it can also serve as an early indicator of cardiometabolic conditions, making timely evaluation and treatment especially important.

Warning signs to watch for

You may be experiencing ED if you notice:

  • Difficulty achieving an erection
  • Trouble maintaining an erection
  • Reduced firmness or rigidity
  • Fewer morning or spontaneous erections
  • Declining sexual confidence
  • A gradual drop in sexual performance

How it works

Your transformation is guided by data, precision, and board-certified medical expertise—every step of the way.

  • 01

    Choose treatment plan

    • Begin your clinician directed care journey
    • Book Medical Consultation, $49.
    • Fee credited back toward treatment purchase.
    • Check email for patient portal access.
    • Complete intake process in minutes.
  • 02

    Meet with a medical expert

    • Meet with a licensed medical provider via secure tele health video
    • Review symptoms, labs, and goals
    • Treatment and dosing are determined only if medically appropriate
    • Additional labs ordered if needed
  • 03

    Personalized Medical Oversight

    • Ongoing clinician-directed medical oversight
    • Prescriptions, when appropriate, filled by FDA-regulated pharmacies and shipped to your door

Our sexual health treatment options

  • Most Popular
    Tadalafil (Tablet), 24 mg, $74.50/mo with 2 month purchase

    Tadalafil (Tablet), 24 mg, $74.50/mo with 2 month purchase

    $149.00

    Tadalafil is a long-acting PDE5 inhibitor that supports reliable erectile function with extended flexibility and, optionally, daily dosing.

    • Provides up to 36 hours of effectiveness for greater spontaneity

    • Offers a daily-use option for continuous erectile support

    • Improve erection quality and sexual performance over time

    Book Medical Consultation
  • Sildenafil 100 mg (Tablet) x 30 Sildenafil 100 mg (Tablet) x 30

    Sildenafil 100 mg (Tablet) x 30

    $79.00

    Messaging consultation included.

     

    Sildenafil is a fast-acting, as-needed PDE5 inhibitor designed to enhance blood flow and improve erection strength during sexual activity.

    • Delivers predictable, on-demand results within about 30–60 minutes

    • Supports stronger, firmer erections

    • Ideal for men seeking time-specific erectile support

    Book Medical Consultation

SUPPORT

You have questions, we have answers.

Find answers to common questions about treatment options and our process. If you don't see your question here, our support team is ready to help.

Contact us

What causes erectile dysfunction, and how do I know if an underlying condition is contributing to it?

ED can result from vascular disease, hormonal changes, neurologic conditions, medication effects, or psychological stress. A clinical evaluation helps identify contributing factors such as hypertension, diabetes, low testosterone, or cardiovascular risk.

Are ED medications like tadalafil and sildenafil safe, and what side effects should I expect?

Both medications are generally well-tolerated when prescribed by a physician. Common side effects include headache, facial flushing, nasal congestion, and mild gastrointestinal discomfort. A medical review ensures the treatment is safe for your health profile.

How do tadalafil and sildenafil differ, and which option is better for me?

  1. Tadalafil provides up to 36 hours of efficacy and supports daily dosing, while sildenafil offers shorter, on-demand support. Your choice depends on your health history, frequency of sexual activity, and preference for flexibility versus timed dosing.

Can I take ED medications if I have heart disease, high blood pressure, or other medical conditions?

Many individuals with cardiovascular conditions can safely use ED medications. However, they cannot be taken with nitrates and must be prescribed with caution if a medical evaluation is essential to ensure suitability and safety for your specific health profile.

Will ED treatments increase my libido, or do they only improve erections?

Tadalafil and Sildenafil improve erectile function by enhancing blood flow; they do not increase libido. If low sexual desire is a concern, your physician may evaluate hormonal or psychological factors as part of your treatment plan.

Is ED normal at my age, or is it a sign of something more serious?

ED becomes more common with age, but it is not an inevitable part of aging. Persistent ED can signal early vascular disease or metabolic changes, making medical evaluation important even for younger men.

Can lifestyle changes help reduce ED symptoms?

Yes. Weight loss, improved sleep, exercise, reduced alcohol intake, and stress management can improve vascular health and support better erectile performance. These changes also complement prescription therapy.

What should I do if ED medications stop working as well as they used to?

Diminished response may indicate changes in cardiovascular health, hormonal status, or medication interactions. Your physician may adjust your dosage, switch medications, or investigate underlying causes.

Is ED reversible, or will I need long-term treatment?

For many men, ED improves when underlying contributors—such as hypertension, diabetes, obesity, low testosterone, or stress—are effectively managed. Some may benefit from ongoing medication, while others achieve lasting improvement through lifestyle changes or targeted medical treatment.

SUCCESS STORIES

What our clients are saying

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"From my very first visit with the ProlongMD medical expert, I felt truly heard. Her thoroughness, clarity, and proactive approach left me excited and confident about embarking on my new healthcare plan. I finally feel like I have a provider who sees the whole picture and acts swiftly to optimize my health. Highly recommend for anyone seeking knowledgeable, attentive care in women’s health and weight loss."
Michelle G
Age 47
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"After surgical menopause in 2019, my weight climbed to 225 pounds despite working out 3-4 times weekly and eating right. My A1C was approaching diabetic levels, but nothing was working. I started Mounjaro in October 2022 and everything changed. I've lost 80 pounds and 31.25 inches, dropped my body fat from 45.7% to 14%, and gained significant muscle. My A1C is now healthy, my fatty liver is gone, and my lupus flare-ups have decreased.For anyone insulin resistant and post-menopausal: I was doing everything right, but my body needed help addressing hormonal imbalances and insulin resistance. Adding hormone replacement therapy was also crucial.At 49, I'm in the best shape of my life—better than my 20s! My husband joined me using tirzepatide for pre-diabetes and testosterone therapy, with excellent results too."
Michelle G
Age 47
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"At 49 I thought my low energy was due to my high energy job and just getting older. I had terrible brain fog but thought it was because I was ADHD. I was also looking very fluffy and felt bloated so I upped  my training and focused alot on my nutrition. My weight wouldn’t budge. I decided to get some bloodwork done and found out I had no hormones and my thyroid was shot. I went on HRT and now I feel so much better and the weight started coming off. I knew hormones were important for weight loss but I didn’t realize how much. It’s not just calories in calories out. Now I’m committed to helping other women feel good as they age. "
Christy S
Age 49
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“I had a great experience using ProlongMD. . Everything was easy and efficient from the start. Scheduling was quick, the patient portal was simple to use, and uploading documents and completing forms only took a few minutes.The medical staff were friendly, professional, and very knowledgeable. The doctor visit was much more in-depth than I expected for telehealth. We were able to talk through topics that my in-person checkup a month ago didn’t even cover, and the conversation felt unhurried and personal.Not having to drive across town for a refresh was absolutely worth it and saved me a ton of time. Overall, it was convenient, high-quality care without the hassle.I highly recommend ProlongMD for anyone who’s busy and looking for an affordable, thorough, and easy healthcare option.”.
Michell B.
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"With so many wellness companies out there, it’s hard to know who to trust. I can say without hesitation that reaching out to ProlongMD was one of the best decisions I’ve made this year.I’ve been dealing with a serious health condition for several years that left me chronically fatigued, mentally foggy, and struggling to function at my normal level. On the recommendation of a friend, I began researching peptides and other therapies, which ultimately led me to ProlongMD.From the start, the process was refreshingly simple and efficient. I was able to upload my existing lab work, saving both time and hassle. I then had a video consultation with Erica, who was professional, knowledgeable, and most importantly an excellent listener. I never felt rushed or talked at. The very next day, I had a follow-up meeting scheduled and a clear, thoughtful treatment plan.Pricing was transparent, easy to understand, and competitive...no confusion, no pressure, no gimmicks.Most importantly, the results have been real. Since starting NAD+, I’ve already noticed meaningful improvements in my energy levels and mental clarity. For the first time in a long while, I feel like I’m moving in the right direction.I highly recommend ProlongMD to anyone looking for a professional, science-driven, and patient-focused approach to wellness."
Todd H
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“I have been having a great experience with Prolong MD! The doctor, Erica, has been extremely understanding and has taken the time to truly learn my health history and goals. She has been very thorough in reviewing my bloodwork and providing clear, thoughtful guidance on nutritional changes and supplements. The entire process has been simple, personalized, and genuinely helpful for improving my overall health.”
James S