Since this is a prescription medication, we need to ask you some questions about your health and history with erectile dysfunction.

By clicking "Continue", you are confirming that you:

• Are completing this questionnaire for yourself and to the best of your knowledge
• Were assigned male at birth
• Will disclose any serious illnesses or surgeries you have had
• Will disclose any prescription medication you currently take
• Understand that erectile dysfunction medication should only be used as a last resort when other means have proven unsuccessful. It is best treated with lifestyle changes including a regular exercise routine, maintaining a healthy weight, eating a healthy diet, reducing stress and achieving adequate sleep. Certain medical conditions, in particular metabolic and vascular diseases such as diabetes and atherosclerosis, are also common causes of ED. We strongly recommend you have your primary care practitioner assess you for the possibility of such conditions prior to starting on medication. By proceeding with the treatment of ED through our service, you accept any risks involved in the assessment, diagnosis and treatment of any contributing conditions and in the treatment we prescribe.
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