ED is a medical condition with effective, well-established treatments. At PUUR Health and Wellness you see a licensed provider, discuss your options, and leave with a prescription the same day. No long waits and no unnecessary steps.
Erectile dysfunction affects an estimated 30 million men in the United States. It becomes more common with age, but it is not an inevitable part of aging and not something most men need to simply accept. Both physical and psychological factors contribute, and both are addressable with the right clinical approach.
Sildenafil and Tadalafil are PDE5 inhibitors, a class of medication that increases blood flow to the penis in response to sexual stimulation. They do not create an erection on their own. They work with your body’s natural response to make it more reliable. Both are well-studied, widely prescribed, and effective for the majority of men with ED. At PUUR both are available as as-needed prescriptions dispensed in-clinic at your consultation.
Both work through the same mechanism. The main difference is timing and duration. Your provider will help you choose based on your health history and how you prefer to use the medication.
Your consultation is a one-time fee that covers your clinical evaluation and prescription. Medication is dispensed in-clinic at the same visit and priced separately. There is no monthly management fee and no subscription. When you need a refill, you schedule a brief follow-up visit.
One-time fee · not repeated at refills
Dispensed in-clinic at your visit
Sildenafil and Tadalafil are prescription medications available only following a clinical evaluation by a licensed provider. These medications are not appropriate for all patients. PDE5 inhibitors are contraindicated with nitrate medications and certain other drugs. Individual results vary. This page does not constitute medical advice. Your provider will review all contraindications, risks, and appropriate dosing with you at your consultation. Do not take these medications without a prescription and provider guidance.
Schedule your initial consultation with a licensed provider at PUUR Health and Wellness. We review your health history, current medications, and symptoms to confirm which medication is appropriate for you and at what starting dose.
Your prescription is written at the consultation visit. Your medication is dispensed in-clinic at the same appointment. You leave with your prescription filled and instructions on how and when to take it. No pharmacy trip required.
When your supply runs low, schedule a brief refill visit. No repeat consultation fee. Your provider confirms the medication is still working well for you and your refill is dispensed in-clinic. No subscription, no automatic charges, no minimum order frequency.
What Houston men ask before their first ED consultation. Still curious? Call us at (346) 472-5888 and we will walk you through your options.
Both work through the same mechanism, increasing blood flow in response to sexual stimulation. The key difference is duration. Sildenafil is active for 4 to 6 hours and works best when taken 30 to 60 minutes before activity. Tadalafil stays active for up to 36 hours, which gives men more flexibility in timing. High-fat meals can delay sildenafil’s onset, while tadalafil is less sensitive to food. Your provider will help you determine which fits your situation better at your consultation.
The most common side effects are headache, facial flushing, nasal congestion, and mild visual changes. These are typically mild and short-lived. Both medications can cause a significant drop in blood pressure when combined with nitrate medications, which is why that combination is contraindicated. Your provider will review your medication list at your consultation to confirm there are no interactions before prescribing.
Yes. Some men find that optimizing testosterone levels through TRT also improves ED symptoms. Others pursue both simultaneously for comprehensive men’s health support. If you are already in our TRT or HCG program or are considering starting, your provider can coordinate all three as part of a broader men’s health protocol at your consultation.
PDE5 inhibitors are effective for the majority of men with ED. They work best when ED has a vascular or physiological component. For some men, ED is primarily psychological or is tied to low testosterone, in which case addressing the underlying hormonal issue may produce better results. Your provider will discuss your complete picture at the consultation and may recommend additional evaluation or complementary treatment if appropriate.
Yes. Your consultation at PUUR Health and Wellness is a private clinical appointment. Your health information is protected under standard patient privacy regulations. We understand this is a personal topic and our team approaches every consultation with the same professionalism and discretion as any other clinical visit.
Online subscription services typically lock you into a monthly payment whether you need medication that month or not, and many require a monthly “management fee” on top of medication cost. At PUUR you pay once for your consultation, pay per pill for what you actually use, and refill only when you need to. No subscription. No automatic charges. No repeat consultation fees at refills.
Cherry and CareCredit financing is available for TRT, HCG, ED treatment, and labs. Apply online in minutes and use your approval at your first visit.
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Book your ED consultation at PUUR Health and Wellness in Houston. Your provider reviews your health history, determines which medication fits best, and you leave with your prescription filled the same day.
Questions about which medication is right for you? Call us at (346) 472-5888.