Strut Health ED & Sexual Health Review

Complete the Strut Health ED intake — 10–15 minute questionnaire covering symptom pattern, cardiovascular history, current medications (nitrate screening), and treatment goals. Free physician consult is async-first; the 10-15-minute intake length is consistent with high-volume mass-market telehealth.

First medication shipment lands in 3–7 business days from script approval (slower than Hims, PeterMD, MangoRx). Start with the prescribed dose — typically sildenafil 50mg or tadalafil 10mg for first-time users. Place the tablet 30–60 minutes before sexual activity (sildenafil; tadalafil daily-dose patterns differ). Test response over 2–3 attempts before judging the dose.

Response should be clear. If functional, stay at current dose. Partial response — message the prescriber for titration (sildenafil up to 100mg or tadalafil up to 20mg). The customer-service-response watch point matters here: if you need a prescriber message answered, Strut's response cadence is slower than higher-rated competitors. For users who don't need ongoing prescriber engagement (low-frequency response monitoring), this matters less.

For PDE5-responders this is steady-state — periodic refills, occasional dose adjustment messages. For non-responders, six months is the point to step back and evaluate underlying cause (cardiovascular workup, hormone evaluation, or alternative treatments at an in-person clinic). Strut will refer out for cases beyond PDE5 management — though the referral pathway is less developed than at premium-tier providers with clinical depth.