Men's sexual health · evidence-graded
The conversation your urologist doesn't have time for.
Plain explanations of erectile function, testosterone, and the treatments, each claim graded by its evidence. Private tools to score yourself. A directory of licensed providers. All of it built to get you to a clinician better informed.
Often the first visible sign of a vascular or metabolic problem, years before a heart attack or a diabetes diagnosis. Why the body flags it here first, and why it's a reason to get a workup, not to feel shame.
Erectile dysfunction is a symptom, not a diagnosis. The full evaluation, from history and exam to the labs that find the cause, walked start to finish, so you know the map before you go, and know why skipping it is the part that costs you.
You got the workup. Now decode it. What total and free testosterone, SHBG, LH/FSH, fasting insulin, HbA1c, and hs-CRP actually mean, enough to have a real conversation with your clinician instead of guessing.
Viagra vs Cialis vs the rest, answered. How the four PDE5 inhibitors compare on speed, duration, food, and on-demand vs daily, plus the one hard safety rule they all share, and why they're more alike than different.
The validated IIEF-5 / SHIM screen, scored privately in your browser. It turns a vague worry into a number you can take to a clinician.
CalculatorEstimate free and bioavailable testosterone from total T, SHBG, and albumin (Vermeulen method): the number your total-T result doesn't show.
CalculatorAdd up the real stack of ED medication or testosterone therapy (labs, consult, medication, ancillaries) and see where the markup hides across pharmacy cash, discount card, prescriber-routed compounding, and clinic bundles.
Every claim on this site carries one of three grades, and every source is named. The grade tells you how much weight the evidence can bear before you take it into an appointment. A member's experience is welcome here, and it is always marked as one.
Guideline-level evidence.
PDE5 inhibitors like sildenafil are first-line therapy for erectile dysfunction.
Early or mixed research.
Higher-intensity exercise may improve erectile function through vascular adaptation.
Member experience, fenced off from fact.
“Cutting alcohol brought my morning erections back within a month.”
Next · The Log
A private tracker for the work itself, from baseline through intervention to outcome, exportable as one page for your clinician. In progress. The library stays free either way.