We only review and recommend trusted providers. Our rankings are independent and editorially driven.
Treatsphere

Compare ED Treatment Providers 2026

Compare the leading telehealth providers for erectile dysfunction — covering sildenafil, tadalafil and other clinician-prescribed options — on clinical oversight, pricing transparency, discretion and support.

  • Expert reviewed
  • Independent & unbiased
  • Updated May 10, 2026

Advertising disclosure: Treatsphere is reader-supported. When you click through to a provider listed below, we may earn a commission. This never influences our scores, rankings or editorial opinions — our methodology is applied identically to every provider. Read our full disclosure.

The 6 best providers, ranked

Ranked by our weighted methodology — clinical oversight, treatment options, pricing transparency, customer experience and support.

  1. Our #1 recommended provider
    1
    Hims
    Editor's Choice

    Clinician-prescribed ED treatment from $2/dose

    Established men's health platform offering clinician-prescribed care for ED, hair loss, skin and mental health in one membership.

    • Generic sildenafil and tadalafil after a real clinical review
    • Discreet, plainly labeled shipping on every order
    • Ongoing messaging to adjust dose or switch medication
    • Flexible per-dose and monthly plans
    9.5out of 10Excellent
    VISIT SITERead full review
  2. 2
    BlueChew
    Most Popular

    Chewable ED treatment from $20/mo

    Telehealth ED service offering clinician-prescribed chewable sildenafil and tadalafil with discreet monthly delivery.

    • Clinician-prescribed chewable sildenafil and tadalafil
    • Discreet monthly delivery to your door
    • Simple online intake reviewed by a licensed clinician
    9.2out of 10Excellent
    VISIT SITERead full review
  3. 3
    Rex MD

    Men's ED care from $3/dose

    Men's telehealth with a strong ED focus, offering clinician-prescribed PDE5 inhibitors and ongoing support.

    • Strong ED focus with clinician-prescribed PDE5 inhibitors
    • Ongoing support for dosing questions
    • Discreet shipping and flexible plans
    9.0out of 10Excellent
    VISIT SITERead full review
  4. 4
    UpGuys
    Best Value

    Discreet generic ED treatment from $2/dose

    Online ED clinic offering generic sildenafil and tadalafil after a licensed clinician review, with plain-package shipping.

    • Generic sildenafil and tadalafil after a clinician review
    • Plain-package shipping for privacy
    • Transparent per-dose pricing
  5. 5
    Ro

    Full-service ED telehealth from $5/dose

    Established telehealth provider offering brand-name GLP-1s, pharmacy fulfillment and insurance support.

    • Established telehealth provider with pharmacy fulfillment
    • Clinical review of possible underlying causes
    • Part of a broader men's health platform

Erectile dysfunction is common and very treatable, and telehealth has made evaluation and treatment far more accessible. Dozens of online providers now connect men with licensed clinicians who can assess symptoms, identify possible causes and — where appropriate — prescribe medication discreetly. This comparison weighs those providers on the criteria that matter rather than on marketing claims.

How online ED treatment works

Most providers follow a similar path: you complete a confidential online health questionnaire, a licensed clinician reviews it, and — if a prescription treatment is appropriate — it is issued and shipped in plain packaging. ED can have underlying medical causes, so a genuine clinical review matters. The better providers also offer ongoing messaging so you can ask about dosing, side effects or switching medications.

Sildenafil and tadalafil explained

The most commonly prescribed ED medications are PDE5 inhibitors. Sildenafil — the active ingredient in Viagra® — typically works for several hours, while tadalafil — the active ingredient in Cialis® — can last considerably longer and is sometimes prescribed as a low daily dose. Generic versions of both are widely available. Which option, dose and schedule is appropriate is a clinical decision, and these medications are not safe for everyone, particularly people taking nitrates.

What to look for in a provider

  • A genuine clinical review by a licensed prescriber, not just a checkout form.
  • A clear choice of clinician-prescribed medications and doses.
  • Transparent pricing — you should know the per-dose or monthly cost upfront.
  • Discreet, plainly labeled shipping and confidential data handling.
  • Responsive support and a straightforward cancellation policy.

How we built this ranking

Every provider on this page is scored against the same weighted criteria — clinical oversight, treatment options, pricing transparency, discretion and support. We apply the methodology identically to advertising partners and non-partners, and a licensed medical reviewer signs off before publication. The ranking is refreshed at least every 90 days. Individual results vary and side effects are possible — use this page to start an informed conversation with a clinician, not as a substitute for medical advice.

Frequently asked questions

EM

Medically reviewed

Reviewed by Dr. Elena Marsh, MD, MPH Board-Certified Family Physician.

Last reviewed May 10, 2026. Content is re-reviewed at least every 90 days.