ED treatment from an actual urologist

No. California allows board-certified physicians to evaluate patients through a thorough written intake — this is called "store-and-forward" telehealth and is the same approach used by every reputable online ED service. Most patients prefer it because it's faster, more private, and works on your schedule. If Dr. Liu-Chen needs to ask a follow-up question, he'll do so through secure messaging.

If medically appropriate, your prescription will be approved within 48 hours of a completed submission. Once your prescription is at the pharmacy, mail order typically takes 1–3 days; local pharmacy pickup is usually same day.

Yes — when done correctly. Every intake includes a thorough safety screen covering cardiac history, current medications, nitrate use (a critical contraindication), and exercise tolerance. Dr. Liu-Chen, a board-certified urologist, reviews every submission personally and will not prescribe if it isn't safe for you. If your case suggests an in-person workup is the better option, you'll be referred and refunded.

No. This is a cash-pay service. Your insurance is not billed and there's no insurance record of your visit. Your information is fully protected under HIPAA and California medical privacy law.

Yes. We treat PE with both topical numbing agents (lidocaine spray or cream) and, when appropriate, off-label oral medications such as low-dose SSRIs. The intake form includes a dedicated section for PE concerns. The $99 fee covers either or both conditions.

Your $99 consult includes 90 days of follow-up at no additional charge. You can message Dr. Liu-Chen to adjust your dose, switch medications, or troubleshoot side effects — included in the original fee. If a different approach is needed entirely, we can transition to an in-office visit.

We send your prescription to a pharmacy of your choice and you pay the pharmacy directly. At Cost Plus Drugs, generic sildenafil typically costs $16 for a 30-day supply and generic tadalafil costs about $18 — sometimes less. You can also use Amazon Pharmacy or any local pharmacy.

Yes. We only prescribe FDA-approved generic medications dispensed by licensed US pharmacies. We do not prescribe counterfeit, gray-market, or compounded ED medications without medical justification.

If your case suggests an in-person workup is the better option (for example, unexplained symptoms, very low testosterone, or a complex medical history), Dr. Liu-Chen will recommend that and refund or apply your consult fee toward an in-office visit at one of our Los Angeles, Glendale or Burbank locations.