Associated clinicians are also bound by all the same laws restricting the dissemination of patient information that apply to in-person therapy and psychiatry.
- Initial consultation typically involves a detailed medical and sexual history.
- Follow-up appointments assess medication effectiveness and adjust treatment plans.
- Combination therapy (e.g., oral pill + injection) may be used for difficult cases.
- Treatment goals are individualized: restoration of satisfactory sexual intercourse.
- Partner involvement in consultations is often encouraged for better outcomes.
- Monitoring for side effects and drug interactions is an ongoing process.
- Treatment may evolve as health conditions change or new therapies become available.
- A good doctor-patient relationship is key to successful long-term management.
But these platforms deal in various data pools, including medical records, messaging, payment and insurance information, and more. Some have policies that state the exact amount of time they’ll keep this information in their databases.
- Prescription Supplements: Medications prescribed by doctors for safe ED treatment.
- Over-the-counter Pills: Accessible options for mild ED, without prescription.
- Natural Remedies: Herbal and dietary supplements claiming to support erectile health.
- Male Enhancement Pills: Broad spectrum supplements aimed at improving sexual performance.
- Libido Boosters: Focused on increasing desire and arousal levels.
- Erectile Strength Supplements: Designed to improve firmness and duration.
- Premature Ejaculation Pills: Aimed at extending stamina during intercourse.
- Hormonal Supplements: To balance testosterone levels impacting ED.
- Topical Enhancers: Creams and gels applied directly for quick effect.
- Pump Devices: Mechanical tools to temporarily improve erection quality.
- Pelvic Floor Exercises: Non-drug method to enhance erectile function naturally.
Some allow you to make specific requests to delete your data; others don’t. Talkspace stands alone among these companies for two reasons.
| Supplement Name | Key Ingredients | Effect Duration | Benefits | Safety Notes |
|---|---|---|---|---|
| Ginseng | Panax Ginseng | Several hours | Increased libido, stamina | Consult physician first |
| L-Arginine | Amino acid | 1-3 hours | Enhances blood flow | May cause gastrointestinal issues |
| Fenugreek | Fenugreek seeds | 4-6 hours | Boosts testosterone levels | Possible allergic reactions |
First, it allows you to manually delete messaging information between you and your doctor if you switch doctors and want a clean slate. Having all your old messages accessible to your new doctor may introduce certain prejudices in treatment, or you simply may want to start from scratch for your own sake.
| Product Name | Rating (out of 5) | Number of Reviews | Price Range | Notes |
|---|---|---|---|---|
| Viagra | 4.5 | 10,000+ | $30-$50 per pill | Well-known, proven efficacy |
| Cialis | 4.6 | 8,500+ | $35-$70 per pill | Long-lasting effect |
| Levitra | 4.4 | 6,000+ | $30-$60 per pill | Quick onset |
| Stendra | 4.3 | 4,200+ | $40-$75 per pill | Fast-acting |
Whatever the case, we appreciate this option from Talkspace.
Which ED drug should a man choose?
However, if you’re uninsured or your insurance doesn’t cover Cerebral’s services, the costs would climb dramatically. Out of pocket, Cerebral costs $95/month for medication plans (psychiatry), with medication billed separately. Therapy costs $295/month, or just over $68/session. That’s a lot cheaper than out-of-pocket costs for in-person therapy, but it’s also much pricier than financially assisted sessions from BetterHelp. The top telehealth libido booster women providers for therapy and psychiatry take your privacy seriously, using things like dedicated video conferencing and messaging software to prevent intrusion. Second, Talkspace states it will retain your data only as long as your account is active.
| Product | Dosage | Quantity + Bonus | Price | |
|---|---|---|---|---|
| Cialis Super Active | 20mg | 10 Pills | 55.64€ 52.99€ | |
| Viagra Oral Jelly | 100mg | 90 + 8 Sachets | 258.02€ 245.73€ | |
| Viagra Professional | 100mg | 360 + 6 Pills | 527.09€ 501.99€ | |
| Cialis Generic | 10mg | 60 + 6 Pills | 105.81€ 100.77€ | |
| Kamagra 100 mg | 100 mg | 120 + 6 Pills | 330.74€ 314.99€ | |
| Levitra Original | 20mg | 120 + 8 Pills | 528.19€ 503.04€ | |
| Viagra Original | 100mg | 14 + 2 Pills | 89.03€ 84.79€ | |
| Levitra Generic | 10mg | 20 Pills | 46.54€ 44.32€ | |
| Kamagra | 100mg | 180 + 6 Pills | 436.79€ 415.99€ | |
| Levitra Generic | 40mg | 30 + 2 Pills | 93.58€ 89.12€ | |
| Kamagra Gold | 100 mg | 32 Pills | 121.24€ 115.47€ | |
| Viagra Generic | 25mg | 90 + 6 Pills | 105.03€ 100.03€ | |
| Levitra Generic | 20mg | 90 + 8 Pills | 180.78€ 172.17€ | |
| Levitra Original | 20mg | 64 + 4 Pills | 298.45€ 284.24€ |
That means it’s gone once you fully delete your account. Other companies will retain the same data for up to ten years.
Types of Erection Pills and How Long They Last
While Cerebral is a little more expensive than some excellent competitors, it offers plans for talk therapy, psychiatry (medication access), or both. That makes it a great place to start for men concerned with psychological issues leading to ED, as they can start with sex with tablet talk therapy and expand their care to include medication if it becomes necessary, without having to switch to another platform. Cerebral also works with several insurance companies, so there’s a good chance you’ll only have co-pays to worry about if you’re covered. Here’s a current list of Cerebral’s insurance partners: Of course, coverage varies by state and by plan, so if your provider is on that list, it’s not a guarantee you’ll be covered. Still, those providers account for more than half the U.S.
More Information
population, so it would be worth visiting the Cerebral site to check your coverage. And if you’re not insured, Cerebral still offers plans that are competitively priced and may still be affordable for you. Other companies offer financial assistance for patients who lack insurance, but the care provided might not be as comprehensive as Cerebral’s offering. Because talk therapy is likely the best place for men concerned with psychogenic ED to start, BetterHelp is a close runner-up to Cerebral. It doesn’t offer psychiatric care, so you’d have to switch to another platform if you ultimately need psychiatric medication to address the mental health concerns that are contributing to your ED.
How well do ED pills work?
That said, if talk therapy is enough to address the problem (perhaps in combination with a PDE5 inhibitor discussed elsewhere in this guide), BetterHelp offers what we feel is the best combination of cost and quality of care. Two of the most common root causes for psychogenic ED are anxiety and depression, which are among the most commonly treated issues in telehealth psychology and psychiatry. As a result, our breakdown of evaluation criteria for ED-related treatment largely followed the same standards set in our guide to finding the best online therapy, specifically looking at quality of care, cost, privacy, and platform. Related:The Best Online Therapy in 2026 Evaluating the potential quality of care you might get from one company to the next is nearly impossible, given the thousands of therapists and psychiatrists involved, their diverse backgrounds, and your unique needs. However, there are certain standards we look for in each company’s approach to hiring clinicians that can tell us a lot about the standard of care you can expect. The companies in this part of our guide are all benefactors of a combined tech and telehealth boom in the late 2010s and early 2020s.
Trimix Injections: A Reliable Option When Pills Are Not Enough
For example, all of Cerebral’s clinicians have either a master’s or doctoral degree from an accredited institution, and the company provides licensing information on each therapist’s biography page. BetterHelp has similar degree and licensing requirements, but its therapists also have to have a minimum of three years or 1,000 hours of practice under their belt. Without that requirement, you might get a doctor with a high-level degree but limited experience actually dealing with patients. Ultimately, you stand a very good chance of receiving high-quality, satisfying care from any of the therapy platforms mentioned in this guide. If you have insurance, Cerebral may be the least expensive option among prominent telehealth providers.
Avoid drugs and limit alcohol
If not, or if your insurance is insufficient to bring down Cerebral’s costs, you’ll be better off with BetterHelp. Cerebral’s affordability through insurance will depend on your plan. Regardless of your coverage specifics, there’s still a $30 monthly charge to access the Cerebral platform, and all other billing is through your insurance. So, if you have a $30 co-pay for therapy visits, you’d pay about $36.92 per weekly visit over the course of a year. That’s nearly $12 less than the best possible rate you could get from BetterHelp with its maximum financial aid. As such, they all offer sleek, responsive interfaces with good apps and reliable communications. Cerebral has an edge here, thanks to the positive experiences we had in extensive testing.
- Herbal Viagra: Natural alternative with herbal extracts claiming to boost erections.
- Rhodiola Rosea: Herb thought to improve stamina and reduce fatigue affecting performance.
- Ginseng: Traditionally used to enhance libido and erectile function.
- Maca Root: Plant-based supplement purported to increase libido naturally.
- L-Arginine: Amino acid that improves nitric oxide production for better blood flow.
- Horny Goat Weed: Herbal supplement believed to treat ED and enhance libido.
- Tribulus Terrestris: Used to improve sexual function and testosterone levels.
- Muira Puama: Historically used as a libido booster and for erectile issues.
- Yohimbine: Extract used to improve blood flow and nerve function.
- Tongkat Ali: Traditional herb to boost testosterone and sexual performance.
- Ashwagandha: Adaptogen that may reduce stress and improve sexual stamina.
None of these companies ever let us down through our sessions, but Cerebral’s platform felt simultaneously more accessible and more discreet than others.
Lifestyle and home remedies
It’s unclear at this time if the medication can be delivered with just one of those two hair loss medications, but both have been shown to be very effective as oral treatments.27 Again, this drug combination starts with tadalafil, and Hims has combined it with atorvastatin, a statin designed to reduce your risk of certain cardiovascular events, like myocardial infarction.28 Then there’s Roman’s combination sex chew offering, called Sparks, which is only available as a combination of 22mg tadalafil and 55mg sildenafil for the constant rate of $12/dose. That 22mg tadalafil dose is much higher than we’d recommend for men new to ED medications. If you’re used to taking such a high dose, this might be a viable product, but there are superior options with more flexible dosing for lower prices from Hims. BlueChew Max combines tadalafil with either sildenafil or vardenafil, depending on your preference, making it a superior choice for men interested in putting those two together without adding apomorphine to the mix. BlueChew Gold expands in the opposite direction, combining the three medications seen in Rugiet Ready and adding oxytocin to the mix.
Your expert team
Oral oxytocin boasts some evidence for improving female sexual desire, and its reputation as “the love hormone” implies that these effects could work just as well in men. But there’s not enough science backing this up just yet. That said, as we’ll discuss soon, mental health plays a big role in ED, and oxytocin has been shown to help in cases of anxiety and depression. So, it’s possible that the oxytocin in Gold is there to address potential psychiatric complications around ED, rather than physiological ones.46 Given the current state of available doses, we don’t recommend combination therapies to men who haven’t tried ED medications before. If you discover that a monotherapy can work for you, there’s no reason to add another medication to the picture.
Can you permanently get rid of ED?
If you’ve tried monotherapies and had poor or mixed results at various doses, a combination therapy might be the way to go. In that case, we’d recommend starting with Hims, where you can choose between numerous combinations at slightly better prices and more reasonable doses than you’ll find from Roman, BlueChew, or Rugiet. Our testing also confirmed that Rugiet lozenges are susceptible to high temperatures and may melt if left in a hot car or even outside on a hot enough day. That makes them less ideal for certain situations and climates than more durable chews from Hims or Roman. With up to 40% of ED cases proving to be psychological in origin, a large number of men can find relief through mental health care, whether that’s talk therapy, psychiatry, or a combination of the two.44 You can try to find an in-person therapist or psychiatrist, but the industry has largely moved online over the last several years, so we’ll focus this section on teletherapy resources for mental health that can help men address psychogenic ED. Cerebral also had our preferred therapist selection tool. Again, this win was marginal, with BetterHelp and Talkspace offering platforms that others may very well prefer. Any man who has lost or failed to achieve an erection would tell you there are undeniable emotional and psychological effects from the experience.
- Age is a major risk factor due to increased vascular issues and declining testosterone.
- Diabetes mellitus damages nerves and blood vessels, a leading organic cause of ED.
- Hypertension and atherosclerosis narrow penile arteries, restricting blood flow.
- Metabolic syndrome (obesity, high blood pressure, insulin resistance) strongly correlates with ED.
- Radical prostatectomy or other pelvic surgeries can damage nerves controlling erections.
- Spinal cord injuries or neurological disorders (MS, Parkinson's) disrupt nerve signals.
- Hormonal disorders: Low testosterone, high prolactin, or thyroid problems.
- Certain prescription medications: Antihypertensives, antidepressants, antipsychotics, diuretics.
Fear, anger, stress, and disappointment are just some of the most common responses to such an event.29 There are myriad physiological reasons a man can have a one-time erectile hiccup that isn’t ED, but the anxiety surrounding that experience can fuel future failures. And that only covers psychogenic ED that starts from one or two minor physiological issues that are easily corrected, like fatigue or overconsumption of alcohol.
| Product Name | Onset Time | Duration | Special Features | Price Range |
|---|---|---|---|---|
| Viagra | 30-60 min | 4-6 hours | Widely available | $30-$50 |
| Stendra (Avanafil) | 15 min | Up to 6 hours | Fastest-acting prescription | $40-$75 |
| TadaXX | 20 min | 4-6 hours | Herbal blend | $20-$50 |
There are also countless cases of psychogenic ED that arise from other psychological concerns that have physiological effects on the body.30 For example, chronically elevated cortisol levels in patients with anxiety can lead to episodes of ED. So, too, can depression have significant effects on libido.31 Treating these issues directly, through talk therapy, psychiatric medication, or a combination of the two, should have similar effects as treating high blood pressure in men whose hypertension is causing erectile issues.