Brand: Cialis (generic)
Tadalafil
PDE5 inhibitor
Onset30 min
DurationUp to 36 hr
Dose2.5–20 mg
Most popular oral option. Allows spontaneity with long duration of action.
A treatment brief from VidaVital Medical
Confidential ED treatment, personalized to you.
Personalized ED treatment plans from licensed physicians — restoring confidence and performance.
ED is the inability to get or keep an erection. It's common and treatable. At VidaVital, every plan starts with a confidential consult and the right diagnostic — not a one-size prescription. Telehealth available where appropriate.
01Patient privacy
Confidential
02Treatment options
Multiple
03Markers tracked
70+
04From intake
<2 wk
05Meds at cost
Membership
06Eligible
HSA/FSA
— The program
Four phases, one continuous care arc.
Most ED telehealth services stop at the prescription. We don't. Every phase is run by your physician, with labs and follow-up baked into the program.
PHASE 01WEEK 0
Confidential consult
Brief intake online or in-clinic. We discuss history, current medications, and goals.
PHASE 02WEEK 1
Labs & assessment
Comprehensive blood work to identify the underlying cause of ED — vascular, hormonal, or neurologic.
PHASE 03WEEK 2+
Protocol & start
Your physician designs a personalized treatment plan. First medication shipped discreetly to your door.
PHASE 04ONGOING
Follow-up & adjustments
Quarterly check-ins, dose adjustments, and response monitoring.
— Medications we prescribe
The right molecule, matched to you.
Choice is driven by your labs, response, and goals — not the formulary. We work with you to find what fits your life.
Brand: Viagra (generic)★ POPULAR
Sildenafil
PDE5 inhibitor
Onset30–60 min
Duration4–6 hr
Dose25–100 mg
Original ED medication with the longest track record. Strong evidence base.
In-clinic procedure
P-Shot
Platelet-rich plasma
OnsetBuilds over weeks
Duration12–18 mo
Schedule1–2 sessions
For patients who don't respond well to oral medications or want a non-pharmaceutical option.
— What's included
Everything in the program, nothing à la carte.
One membership covers the medical care. Medications are billed at pharmacy cost, no markup.
+
Confidential physician consult
Discrete intake with a licensed provider.
+
Comprehensive labs
Hormone, cardiovascular, and metabolic markers.
+
Personalized prescription
Tadalafil, sildenafil, or combination therapy.
+
Discreet shipping
Plain packaging, direct to your door.
+
Quarterly follow-up
Adjust dose based on response and side effects.
+
Direct messaging
Reach your care team between visits.
+
Lifestyle guidance
Sleep, exercise, and cardiovascular health support.
+
Insurance support
HSA/FSA eligible. We bill where possible.
— Eligibility & safety
The honest answer to “is it for me?”
ED treatment is highly effective but not universal. Here is the criteria your physician will use, and the cases where we'll recommend a different path.
Typical fit
You are likely a candidate if…
- +Persistent difficulty achieving or maintaining an erection
- +Reduced sexual confidence or performance issues
- +Open to physician evaluation and follow-up
- +Comfortable with telehealth or in-clinic care
- +Age 18+ with no contraindicating conditions
Not a fit / use caution
We'll redirect care if…
- —Active nitrate medication use (cardiovascular risk)
- —Severe cardiovascular disease — we'll coordinate with your cardiologist first
- —Recent stroke or heart attack within 6 months
- —Severe liver or kidney impairment
- —Untreated mental health condition affecting libido
SAFETY
Side effects (headache, flushing, nasal congestion) are common with first-line oral therapies and usually mild. Your physician adjusts dose to minimize them. We screen for cardiovascular contraindications before prescribing.
Speak with a physician
Six months on tadalafil. The outcome, not the marketing.
Featured · Tadalafil 10mg
6 months
Walking into that first consult was hard. The team made it feel routine, ran the actual labs, and put together a plan that worked. The hardest part was making the appointment.
Outcome delta · 6 moVERIFIED
IIEF-5 scoreMild ED→ NormalImproved
TestosteroneLow-normal→ OptimalImproved
LDL-CElevated→ OptimalImproved
BMIOverweight→ HealthyImproved
Sleep scoreFair→ GoodImproved
Stress indexHigh→ ModerateImproved
— Frequently asked
The questions everyone asks on a consult.
Nothing here replaces a conversation with your physician. But it should clear the most common confusion before you book.
01Is ED actually treatable?+
Yes. ED is treatable for the vast majority of patients. The first step is identifying the cause — vascular, hormonal, neurologic, or psychogenic — through a focused exam and lab panel. Most patients respond well to first-line oral medications. For those who don't, we have additional options including P-Shot, Trimix, and lifestyle protocols.
02How private is the process?+
Every consult is confidential and HIPAA-compliant. Medications ship in plain packaging. Telehealth consults can happen from wherever you're comfortable. We never share your information.
03Are these medications safe?+
Oral ED medications (tadalafil, sildenafil) have decades of safety data. Common side effects include headache, flushing, and nasal congestion — usually mild and dose-dependent. We screen for contraindications (nitrates, cardiac disease) before prescribing.
04Will I need to be on medication forever?+
Not necessarily. For some patients, addressing underlying causes (cardiovascular health, testosterone optimization, weight) reduces or eliminates the need for medication. For others, ongoing low-dose therapy is the right path. Your physician will work with you on this.
05Is this covered by insurance?+
Sometimes. Brand-name medications are often not covered for ED specifically. Generic options are affordable cash-pay. The membership is HSA/FSA eligible. We'll work with you on the most cost-effective option.