Reliable Performance Starts With the Right Explanation.
ED is common, but the reason is not always the same. Valora connects men with licensed clinicians who can review health history, medications and contributing factors, then discuss appropriate treatment options.
Does Any of This Sound Familiar?
Most men do not describe one dramatic moment. They describe something that became less predictable, and then started to be worked around.
Difficulty getting an erection
It takes more to get there than it used to, or it does not happen when you expect it to.
Difficulty maintaining an erection
Things start fine and then change partway through, which is often the part men mention last.
Inconsistent reliability
Some occasions are normal and some are not, with no obvious pattern to explain the difference.
Reduced confidence
Anticipating a problem starts to shape the situation before anything has actually happened.
Less spontaneity
Intimacy starts getting planned around, avoided, or quietly deprioritized.
Performance changes over time
A gradual shift over months or years rather than one specific event you can point to.
Important: ED can have many different causes, and it can sometimes be associated with broader health issues. Symptoms on their own do not identify the cause. That is what an evaluation is for.
Worth understanding
ED Is a Symptom, Not a Diagnosis.
Erectile function depends on blood flow, nerves, hormones, medications and state of mind working together. When it changes, the useful question is which of those is involved for you — not which pill is most advertised. These are common contributor categories clinicians consider; they are not a self-diagnosis checklist.
Vascular and cardiometabolic health
Blood pressure, cholesterol, blood sugar and vascular health can all be part of the picture.
Medications
A number of commonly prescribed medications can affect erectile function.
Hormones
Testosterone and other hormonal factors may contribute in some men.
Stress, anxiety and mood
Psychological contributors are common and can coexist with physical ones.
Sleep
Poor sleep and sleep disorders are frequently overlooked contributors.
Neurologic factors
Nerve-related conditions and prior surgery can affect erectile response.
Alcohol and smoking
Both are known to influence vascular and sexual function.
Other medical conditions
Chronic conditions can contribute directly or through their treatment.
Evaluation Before Treatment
Valora does not prescribe from a symptom list. Care starts with understanding your situation.
Health history
You share what has changed, how long it has been going on, and the health history that matters to the picture.
Medication and safety review
Current medications and relevant conditions are reviewed, because some combinations make PDE5-inhibitor treatment unsafe.
Licensed clinician assessment
A clinician considers what may be contributing and whether prescription treatment is appropriate for you.
Appropriate next step
If treatment fits, options are discussed and fulfilled through a U.S. pharmacy. If something else should be addressed first, you should hear that.
Current Treatment Options
These are the erectile dysfunction medications currently offered through Valora, with live pricing and availability from our pharmacy catalog.
PDE5 inhibitor
Tadalafil
A prescription PDE5-inhibitor medication that a clinician may consider for erectile dysfunction. Tadalafil is generally described as a longer-acting option in its class. Whether it is appropriate for you, and which option within it, is decided during clinical review.
Starting at$89
Currently available
Starting price only. Exact strength, quantity and available options depend on the specific product and clinical selection — review them on the product page and during your evaluation. Prescription treatment requires clinician review and eligibility is not guaranteed.
PDE5 inhibitor
Sildenafil
A prescription PDE5-inhibitor medication that a clinician may consider for erectile dysfunction. Sildenafil is generally described as a shorter-acting, as-needed option in its class. Suitability depends on your health history and current medications.
Starting at$79
Currently available
Starting price only. Exact strength, quantity and available options depend on the specific product and clinical selection — review them on the product page and during your evaluation. Prescription treatment requires clinician review and eligibility is not guaranteed.
A note on pricing: the figures above are current starting prices from our catalog. A starting price does not on its own tell you the strength, quantity or specific option included. Review the exact option on its product page before purchase, and confirm what is appropriate during your clinician evaluation.
Tadalafil vs Sildenafil
Both are PDE5-inhibitor medications used for erectile dysfunction, and both require clinician review. The practical difference men usually ask about is how they tend to fit into daily life. Individual response and safety considerations matter more than any general comparison.
Tadalafil
Generally described as the longer-acting option in this class, which some men prefer because it involves less planning around a specific occasion. How it is used and whether it suits you is a clinical decision.
Sildenafil
Generally described as a shorter-acting, as-needed option in this class, which some men prefer for occasional use. Suitability again depends on your history, other medications and clinician assessment.
We deliberately do not publish onset or duration figures here. Those details vary by individual, product and selected option — review the specific product page and discuss them with your clinician rather than relying on a landing page.
What ED medication can and cannot do.
When it is clinically appropriate, PDE5-inhibitor medication may support erectile response. That is a meaningful thing for many men, and it is a reasonable option to discuss with a clinician.
What it does not do is address everything that can sit underneath the symptom. Low desire, low testosterone, cardiovascular or metabolic health, anxiety, sleep problems, medication effects and relationship context are separate matters. Medication does not resolve them, and it is not a substitute for evaluating them.
No treatment guarantees a result. If response is limited, that is clinically useful information rather than a dead end.
Where it may fit
Men for whom a clinician has reviewed health history and current medications and determined that PDE5-inhibitor treatment is appropriate.
What it is not
A guaranteed result, a libido treatment, a cardiovascular or hormonal treatment, or a reason to skip evaluating what is contributing.
If the Problem Is Not Only Erections
Desire and erectile function are different problems, and they are often confused. If either of these describes you better, start there instead.
Interest and desire are the main change
If the issue is wanting sex less rather than the mechanics, libido has its own set of contributors and its own evaluation.
Libido, Desire & IntimacyLow energy, low drive and other changes together
When erectile changes sit alongside fatigue, mood changes and body-composition changes, testosterone is one of the things worth evaluating.
Men’s TRT / Low TestosteroneWhat Men Usually Want to Know First
Four questions that come up almost every time, answered plainly.
Is ED just part of getting older?
Erectile changes become more common with age, but age alone is not an explanation and does not tell you what is contributing. That is why a clinician reviews health history, medications and other factors rather than treating age as the answer.
Is ED medication safe for everyone?
No. PDE5-inhibitor medications are not appropriate for everyone. Certain health conditions and certain medications — nitrates among them — make them unsafe. This is a core reason a licensed clinician reviews your history before any prescription.
Do I have to talk to someone about this?
You complete an online intake in private. A licensed clinician reviews it and determines whether treatment is appropriate. There is no in-person visit required to be evaluated, and the conversation is a routine clinical one.
What if medication is not the right answer for me?
That is a legitimate outcome of an evaluation. If a clinician identifies something else worth addressing, or determines that medication is not appropriate for you, you should hear that. Eligibility is not guaranteed.
Frequently Asked Questions
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Read articleSee My ED Treatment Options
Review the options currently available, then complete an online intake so a licensed clinician can determine what is appropriate for you.