Restore Your Confidence
Discreet, effective erectile dysfunction treatment from Utah's trusted men's health clinic. FDA-approved PDE5 inhibitor medications prescribed online and delivered to your door.
What Is Erectile Dysfunction?
Erectile dysfunction is the persistent inability to achieve or maintain an erection firm enough for satisfactory sexual activity. It's more common than you think—and highly treatable.
How Common Is ED?
Approximately 30 million American men experience ED. By age 40, about 40% of men have some degree of erectile difficulty. The prevalence increases with age, but ED can affect men at any stage of life.
What Qualifies as ED?
You may have ED if you consistently experience: difficulty getting an erection, trouble maintaining an erection during sex, reduced firmness, or decreased sexual desire. Occasional difficulties are normal and don't necessarily indicate ED.
Is ED Treatable?
Yes. With modern oral medications called PDE5 inhibitors, over 80% of men with ED can achieve satisfactory erections. For those who don't respond to pills, additional treatment options exist with even higher success rates.
What Causes Erectile Dysfunction?
ED can result from physical, psychological, or lifestyle factors—often a combination. Understanding your specific causes helps us create the most effective treatment plan.
Vascular Causes
The most common type. Reduced blood flow from cardiovascular disease, atherosclerosis (clogged arteries), high blood pressure, high cholesterol, or diabetes damages arteries supplying the penis. ED often appears before heart symptoms—it can be an early warning sign.
Neurological Causes
Nerve damage from diabetes, spinal cord injury, multiple sclerosis, Parkinson's disease, or pelvic surgery (prostate/bladder) can interrupt signals between brain and penis. These cases may require specialized treatment approaches.
Hormonal Causes
Low testosterone (hypogonadism), thyroid disorders, or elevated prolactin can affect erectile function. Hormonal ED often responds well to hormone optimization therapy combined with ED medication for best results.
Psychological Causes
Stress, anxiety, depression, relationship issues, or performance anxiety can cause or worsen ED—especially in younger men. Even when physical factors exist, psychological responses can create a cycle that makes ED worse.
Common Risk Factors
Age 40+
Heart Disease
High Blood Pressure
Diabetes
Obesity
Smoking
Excess Alcohol
Certain Medications
How ED Medications Work
Understanding the mechanism helps you get the most from your treatment.
The Erection Process
When sexually aroused, your brain sends signals that release nitric oxide in the penis. This triggers a cascade that relaxes smooth muscles and dilates blood vessels, allowing blood to rush in and create an erection.
However, an enzyme called PDE5 (phosphodiesterase type 5) naturally breaks down the chemicals responsible for this process, causing the erection to subside. In men with ED, this happens too quickly or the process doesn't work efficiently.
How PDE5 Inhibitors Help
ED medications (Sildenafil, Tadalafil, Vardenafil) are PDE5 inhibitors—they block the enzyme that breaks down your erection. This allows the natural process to work more effectively and last longer. Importantly, they only work when you're sexually aroused; they don't cause spontaneous erections.
Key Points About ED Medications
- ✓ Require sexual stimulation to work—your partner is still the source of arousal, not the pill
- ✓ Don't increase libido or desire—they improve the physical response
- ✓ Effective for 70-85% of men with ED
- ✓ Safe track record of over 25 years of clinical use
- ✓ Don't create dependency—you can stop anytime without withdrawal
FDA-Approved ED Medications
Our provider will recommend the best medication based on your health profile, lifestyle, and preferences.
Sildenafil
Generic Viagra®
per dose
- Works in 30-60 minutes
- Lasts 4-6 hours
- Take on empty stomach for best absorption
- Most prescribed ED medication worldwide
- Available in 25mg, 50mg, 100mg doses
Tadalafil
Generic Cialis®
per dose
- Works in 30-120 minutes
- Lasts up to 36 hours
- Food doesn't affect absorption
- Daily or as-needed dosing options
- May help urinary symptoms (BPH)
Vardenafil
Generic Levitra®
per dose
- Works in 25-60 minutes
- Lasts 4-5 hours
- Less affected by fatty meals than Sildenafil
- May work when others don't
- Good option for diabetic patients
Custom Compound
Personalized Formula
per dose
- Sildenafil + Tadalafil combination
- Maximum effectiveness
- Provider-customized dosing
- For difficult or resistant cases
- Tailored to your specific needs
Medication Comparison
| Feature | Sildenafil | Tadalafil | Vardenafil |
|---|---|---|---|
| Brand Name | Viagra® | Cialis® | Levitra® |
| Time to Effect | 30-60 min | 30-120 min | 25-60 min |
| Duration | 4-6 hours | Up to 36 hours | 4-5 hours |
| Food Interaction | Take on empty stomach | No restrictions | Moderate effect |
| Daily Option | No | Yes (2.5-5mg) | No |
| Best For | Planned encounters | Spontaneity, frequent activity | Alternative option |
All medications require a prescription. Your provider will determine the most appropriate treatment based on your health history, current medications, and preferences.
Who Should Not Take ED Medications
While PDE5 inhibitors are safe for most men, certain conditions require caution or alternative treatments.
- Nitrate medications (nitroglycerin, isosorbide) for chest pain—combination can cause dangerous blood pressure drop
- Riociguat (Adempas) for pulmonary hypertension
- Retinitis pigmentosa (rare eye disease)
- Recent heart attack, stroke, or life-threatening arrhythmia (within 6 months)
- Severely low blood pressure (<90/50) or uncontrolled high BP (>170/110)
- Unstable angina or severe heart failure
- Alpha-blockers for prostate/blood pressure (timing adjustments needed)
Common Side Effects
Most side effects are mild and temporary. They typically decrease with continued use as your body adjusts:
Seek immediate care if you experience an erection lasting more than 4 hours (priapism) or sudden vision/hearing loss—these are rare but require urgent attention.
Daily vs. As-Needed Dosing
Tadalafil offers unique flexibility with two dosing approaches. Your provider will help determine which fits your lifestyle.
As-Needed Dosing
All medications available
- Take 30-60 minutes before activity
- Higher doses available (10-20mg Tadalafil, 50-100mg Sildenafil)
- Best for planned encounters
- Lower overall medication consumption
- More flexibility in timing
- Good starting point for most men
Daily Low-Dose (Tadalafil only)
2.5mg or 5mg Tadalafil daily
- Always ready—no planning required
- Lower dose means fewer side effects
- May help benign prostatic hyperplasia (BPH) symptoms
- Better for frequent sexual activity (2+ times/week)
- Studies suggest potential for ED recovery over time
- Builds consistent medication levels
Your Path to Treatment
Simple, confidential, and designed around your schedule.
Complete Online Health Assessment
Answer questions about your symptoms, medical history, current medications, and treatment goals. Takes about 5-10 minutes. All information is protected by HIPAA-compliant security protocols.
Provider Evaluation
A Utah-licensed nurse practitioner reviews your information within 24 hours. They may request additional details, lab work, or a video consultation to ensure safe, appropriate treatment.
Personalized Treatment Plan
Receive a customized recommendation with medication selection, dosing instructions, and usage tips. Your provider explains what to expect and how to maximize effectiveness.
Discreet Delivery
Medications ship in unmarked packaging directly to your Utah address. No pharmacy visits, no awkward conversations. Most orders arrive within 3-5 business days.
Ongoing Support & Optimization
Unlimited messaging with your provider for questions or concerns. Dosage adjustments, medication changes, and regular check-ins ensure your treatment remains optimized for best results.
Lifestyle Changes That Help
Medication works best when combined with healthy habits. These changes can improve ED—and your overall health.
Exercise Regularly
150 minutes of moderate cardio weekly improves blood flow and cardiovascular health—both essential for strong erections. Strength training also helps by boosting testosterone.
Maintain Healthy Weight
Excess weight—especially abdominal fat—increases inflammation, disrupts hormones, and damages blood vessels. Even modest weight loss can significantly improve erectile function.
Quit Smoking
Smoking damages blood vessels throughout your body, including those supplying the penis. Quitting can improve erectile function within weeks to months.
Limit Alcohol
While moderate alcohol may reduce anxiety, excess consumption depresses the nervous system and interferes with erections. Chronic heavy drinking can cause permanent damage.
Manage Stress
Chronic stress triggers cortisol release, which can suppress testosterone and interfere with arousal. Meditation, therapy, and adequate sleep all help manage stress levels.
Prioritize Sleep
Testosterone is primarily produced during sleep. Poor sleep quality or duration can lower hormone levels and worsen ED. Aim for 7-9 hours of quality sleep nightly.
Expert Care You Can Trust
Courtney LaSumner Bass, NP
Board-Certified Nurse Practitioner • Military Veteran • Men's Health Specialist
With extensive experience in men's health and a background in military medicine, Courtney brings a unique combination of clinical expertise and understanding of the challenges men face. His approach is direct, confidential, and focused on real results. Every treatment plan is individualized based on your specific health history, goals, and lifestyle needs.
Real Results from Real Men
The whole process was incredibly easy and discreet. I was nervous about talking to anyone about ED, but the online assessment felt private and professional. Got my medication within days and it's working great.
After trying the generic pills from another telehealth company with no luck, I came here. The provider actually adjusted my dosage and timing—made all the difference. Should have started here.
Related Services
ED is often connected to other health issues. We offer comprehensive men's health services.
Frequently Asked Questions
Ready to Restore Your Confidence?
Join over 1,200 Utah men who've taken control of their sexual health with Arsenal Men's Health.
Start Your Free ConsultationOr call (385) 666-6292 • Mon-Fri 8AM-6PM, Sat 8AM-1PM