Frequently Asked Questions

ED & Premature Ejaculation FAQs

What is the cause of ED?

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 cause in younger men, which can restrict blood flow to the penis at the wrong moment. As you age, ED may become persistent 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 pills work?

Get the party started and 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 penis. This results in a blood rush to the penis, leaving it hard for penetration. When sex is over, an enzyme shuts this process off. ED pills work by blocking this enzyme (PDE5), making it easier to get your erection going longer and stronger.

What is the safest drug for erectile dysfunction?

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

What is the most effective pill for ED?

While both Sildenafil and Tadalafil are equally effective, there are a few differences. Viagra takes anywhere between 30-60 mins to work after ingestion but sometimes can be delayed up to 2 hours and its effects lasts on average 4 hours. Cialis on the other hand , some may act faster, last longer or work 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. You may connect with providers and receive ongoing care through our platform.

What is PE (Premature Ejaculation)?

PE (Premature Ejaculation) is a form of sexual dysfunction defined as the act of ejaculating before you’re ready. That can be during foreplay, soon after penetration or in the middle of intercourse. The point is, it’s happening too soon.

What are the side effects of ED medications?

In general, ED treatment is well tolerated. However if side effects occur, they are usually mild and temporary. This includes headaches, flushed skin, runny nose and upset stomach. ED medications can very rarely cause serious side effects such as priapism (a prolonged erection lasting 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 erectile dysfunction drug is best?

There is no particular medication that is superior to the other, they are all equally effective. However, some of the tablets may have a particular advantage that is best suited for your needs.

Are ED drugs available OTC?

In Canada, erectile dysfunction medications are not available over-the-counter and can only be obtained with a prescription. ED medications that are sold without a prescription is illegal and could potentially result in harm from counterfeit drugs.

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 is then received by a Canadian licensed doctor. They will review this information, and once approved, treatment is delivered straight to your home.

How can I improve my erectile dysfunction?

There are multiple factors that contribute to your sexual health. With this in mind, there are certainly ways in which you can improve your erectile dysfunction. Lifestyle changes that promote overall health is a great place to start. Eating a healthy diet that promotes heart vitality and non-inflammatory, regular exercise and with cutting down on health-harming behaviour such as cigarette smoking and recreational drugs can make 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 circumstances 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 hampering your experience in the bedroom, maybe give it a miss or reduce it down next time.

Hair Loss FAQs

What are the commons causes of hair loss?

Hair loss in men can be hereditary or the result of an underlying medical condition.

The most common cause tends to be hereditary which becomes evident as you age, typically starting in your 20’s. Another name for this type of hair loss is male pattern baldness or androgenetic alopecia. The first sign of male pattern hair loss may be a receding hairline or thinning around the temples or crown of the head.

Other causes of hair loss include iron deficiency, thyroid disease and autoimmune disease. In some instances, it could be a local scalp problem such as seborrhoeic dermatitis, fungal infections or psoriasis.

Here at Rocky, we focus on male pattern baldness and treat this using clinically proven/FDA approved medications consisting of pharmaceutical and non-pharmaceutical products.

What is DHT and how is it contributing to my hair loss?

Testosterone is the hormone that contributes to the formation of male characteristics, like your beard growing and your voice getting deeper. Testosterone gets broken down into dihydrotestosterone (DHT) and DHT seems to contribute to hair loss by shrinking hair follicles which makes it harder for hair to regrow.

How do I know what type of hair loss I have?

Male pattern baldness is usually diagnosed by its characteristic features. This includes a slowly receding hairline or thinning at the crown and temples.

Hair loss that is sudden or accompanied by local symptoms, such as itching or appearance of a rash, generally indicates a different cause that requires discussion with a doctor. If you are feeling generally unwell and experiencing hair loss, this may require additional investigations.

What treatments exist for hair loss?

The answer to this depends on the cause of your hair loss. When it comes to male pattern baldness, there are two FDA approved medications, Minoxidil (Rogaine) and Finasteride (Propecia).

Minoxidil is a topical solution applied to the scalp, which improves blood flow to your hair follicles. This stimulates hair regrowth and is best used for new hair loss.

Finasteride is an oral medication that works by blocking the hormone DHT, which is the main cause behind androgenic alopecia. By doing so, it prevents hair loss from happening.

When used alone they are effective. However, using the two medications together provides a synergistic effect, leading to better results.

For men experiencing hair loss due to other conditions, treating the root cause may be necessary and best done with the help of a medical practitioner.

Can hair loss be cured?

The simple answer is no. But there are effective medications, which may stop hair loss and restore new hair. There are also procedures available such as hair transplants which may a suitable option for you.

Can certain hairstyles cause hair loss?

Yes – this type of hair loss if known as “traction alopecia” which results due to constant pulling your hair. It may result from wearing your hair in a bun, dreadlocks/braids or any other type of hairstyle that puts stress on your hair follicles. Avoiding these hairstyles may help prevent or stop this type of hair loss.

Is hair restoration treatment better than hair loss medication?

The honest answer is, it depends. They each have their own advantages and it comes down to what is right for you.

The great thing about hair transplantation is that it is generally a permanent solution. However it requires time off for recovery, can cause permanent scarring and is expensive.

In comparison, hair loss medication is unlikely to cause any long-lasting side effects, is more affordable and not time consuming. However, the effects fade away once treatment is stopped.