Hims ED & Sexual Health Review

Complete the Hims ED intake — symptom pattern, current medications, cardiovascular history, and treatment goals. Free async consult is the platform default; most ED prescriptions are written within 24 hours given the volume Hims processes and the algorithmic routing of low-risk intakes.

First medication shipment lands in 2–5 business days (Hims has one of the faster ED shipping pipelines given scale and pharmacy partnerships). Start with the prescribed dose — typically sildenafil 50mg or tadalafil 10mg as standard first-line, with Hard Mints (chewable) as an alternative format. Test response over 2–3 attempts.

Response should be clear. If functional, stay at current dose. Partial response — message the prescriber for titration (sildenafil 100mg, tadalafil 20mg). Absent response at max dose typically means the PDE5 inhibitor isn't the issue — the underlying cause (vascular, hormonal, psychological) needs a different workup that Hims' async model isn't built to provide.

For PDE5-responders this is steady-state — automated refills, occasional dose adjustment messages, no required follow-up labs. For non-responders, six months is the point to step back and evaluate whether to pivot to an in-person clinic for cardiovascular workup, hormone evaluation, or alternative treatments (shockwave therapy, P-Shot, Trimix). Hims will refer out for cases beyond async PDE5 management.