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Frequently Asked Questions


ED & Premature Ejaculation FAQs

What causes ED?

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Erectile dysfunction can be caused by a variety of issues such as psychological distress, medical conditions, or medications. Situational anxiety and stress tend to be the leading causes in younger men and may restrict blood flow to the penis at the wrong moment. As you age, ED may become persistent due to underlying problems with nerves, blood vessels or hormone production. Our online medical assessment can help establish the cause and treat your ED.

How do ED medications work?

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Get the party started; the pills will do the rest. When sexually aroused, the body releases a substance called nitric oxide which works to relax the blood vessels in the penis. When the blood vessels relax, the blood rushes to the penis, leaving it hard and ready for penetration. When sexual intercourse is complete, an enzyme called PDE5 shuts this process off. ED pills work by blocking PDE5, which makes it easier for your erection to go longer and stronger.

What is the safest medication for ED?

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All medications go through extensive clinical trials and quality checks before getting approved by Health Canada. The safety and effectiveness of erectile dysfunction medications is well established, which is why it is an excellent treatment option for most men. Our online questionnaire will take into account your personal medical history and determine if these pills are right for you!

What is the most effective medication for ED?

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While both Sildenafil (Viagra) and Tadalafil (Cialis) are equally effective, there are a few differences. Sildenafil (Viagra) can take between 30-60 mins to work after ingestion, but sometimes can be delayed up to 2 hours with its effects lasting an average of 4 hours; food affects its effects. Tadalafil (Cialis), on the other hand, may act faster, last longer and it works regardless of when you had your last meal. With enough information, Rocky can help you find an ED medication and dosage that is right for you. Our platform provides ongoing care from our healthcare providers.

What are the side effects of ED medications?

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In general, ED treatment is well tolerated. However, if side effects occur, they are usually mild and temporary. This includes headaches, flushed skin, a runny nose and upset stomach. ED medications can very rarely cause serious side effects such as priapism (a prolonged erection lasting more than 4 hours after stimulation has ended) which can result in permanent damage to your penis if not treated immediately. Other rare events include sudden loss of vision or loss of hearing.

Which ED medication is best for me?

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There is no particular medication that is superior to the other; they are equally effective. However, one option vs another may have a particular advantage that is best suited for your needs. Our medical experts can help find the best treatment for each case.

Are ED medications available OTC?

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In Canada, erectile dysfunction medications are not available over-the-counter (OTC) and can only be obtained with a prescription. ED medications sold without a prescription are illegal and could potentially result in harm; ED medication in the counterfeit market does not undergo the correct production, testing, and approval and thus is not safe. Rocky provides access to a licensed health care team so you can be certain that you are getting safe and effective care. Through our online platform, you will be guided through a series of medical questions which are then reviewed by a licensed Canadian physician. Once the medical questionnaire is reviewed, you will be notified if you have been approved, and if so, the appropriate treatment is delivered to your doorstep.

How can I improve my ED?

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There are multiple factors that promote your sexual health. There are certainly ways in which you can improve your erectile dysfunction. Lifestyle changes that promote overall health are a great place to start. Eating a healthy diet that promotes heart vitality, regularly exercising and cutting down on health-harming behavior, such as cigarette smoking and recreational drug usage, can have an impactful change. Of course, there is also your mental well-being and intimate relationships that you should take into consideration. Therapy may be useful in these instances to help identify the root cause of any psychological difficulties you may be experiencing. Lastly, we have to mention alcohol. Its widely enjoyed and we wouldn’t want you to miss out on the fun, but if you notice that it may be hampering your experience in the bedroom, maybe give it a miss or reduce your consumption next time.





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