ED Treatment That Treats
the Root Cause.
Erectile dysfunction is often a symptom of something deeper — like low testosterone. We diagnose the underlying cause, prescribe FDA-approved medication to your local pharmacy, and your insurance may cover it. Discreet, effective, physician-guided.
Low Testosterone & ED:
The Hidden Connection
Erectile dysfunction affects an estimated 30 million men in the United States — and for many, low testosterone is the underlying cause. When T levels drop, so does the signaling pathway that initiates and maintains erections.
Many men go to telehealth companies and get a sildenafil prescription without ever testing their hormones. That's like taking painkillers for a broken bone — it might mask the symptom, but it doesn't fix the problem.
At Revive, we test your testosterone levels first. If low T is contributing to your ED, treating both conditions simultaneously delivers significantly better results than ED medication alone. Learn more about the connection between ED and low testosterone.
Causes of ED We Evaluate
- → Low Testosterone — the most common hormonal cause of ED in men over 30
- → Elevated Estrogen — too much estradiol from testosterone aromatization
- → Circulation & Vascular Health — blood flow plays a key role in erectile function
- → Metabolic Issues — diabetes, insulin resistance, and obesity
- → Medication Side Effects — blood pressure meds, antidepressants, and others
ED Medications Prescribed
to Your Local Pharmacy
We prescribe FDA-approved erectile dysfunction medications — sent to the pharmacy you choose. No mail-order compounds. Your insurance may cover the cost.
Sildenafil (Viagra)
The most widely prescribed ED medication. Taken 30–60 minutes before sexual activity. Effective for 4–6 hours. Available as a low-cost generic at any pharmacy.
- ✓ Fast-acting (30–60 minutes)
- ✓ Low-cost generic available
- ✓ Insurance often covers
- ✓ Taken as needed
Tadalafil (Cialis)
Long-lasting ED medication effective for up to 36 hours. Can be taken daily at a low dose for "always ready" spontaneity, or as needed before activity.
- ✓ Lasts up to 36 hours
- ✓ Daily low-dose option available
- ✓ Low-cost generic available
- ✓ Great for spontaneity
TRT + ED Combination
When low testosterone is contributing to ED, combining TRT with an ED medication produces significantly better results than either treatment alone. We optimize both.
- ✓ Treats the root cause (low T)
- ✓ Enhanced results vs. medication alone
- ✓ May reduce need for ED meds over time
- ✓ Included in Complete plan
ED Evaluation Requires
More Than a Questionnaire
Full Health Assessment
ED can be connected to broader health factors. An in-person visit means your doctor can check vitals, review your overall wellness, and make sure your treatment plan fits the whole picture — not just one symptom.
Hormone Testing
Our comprehensive lab panel tests testosterone (total and free), estradiol, SHBG, and metabolic markers. If hormones are the root cause, treating them is more effective than masking the symptom.
Medication Interactions
ED medications can interact dangerously with nitrates and certain blood pressure medications. A physician who examines you and reviews your full medication list can prescribe safely. An online form can miss critical interactions.
Complete Privacy
Your visit is completely confidential. We're a men's health clinic — everyone here is here for similar reasons. No family practice waiting room, no awkward encounters. HIPAA compliant, always.
Your Prescription. Your Pharmacy. Your Insurance.
We prescribe FDA-approved generic sildenafil and tadalafil to the pharmacy of your choice — Costco, Walgreens, CVS, or your neighborhood pharmacy. These medications are available as generics, and many insurance plans cover them.
Telehealth companies like Hims and Roman sell their own branded compounds through mail order at premium prices. You're paying for convenience — and giving up the insurance coverage that could make the medication virtually free.
Even without insurance, generic sildenafil at a pharmacy is often less than $1 per pill with discount programs like GoodRx. No subscription, no auto-ship, no locked-in pricing.
Patient Outcomes
ED for 2 years, tried online pills with no improvement. Low T was the root cause.
After combined TRT + tadalafil protocol: "Complete turnaround within 8 weeks. I wish I'd come here first instead of wasting a year on Hims."
Performance anxiety and inconsistent ED at 35. Labs revealed low free testosterone.
TRT normalized hormones, sildenafil as needed: "My confidence is back. It wasn't in my head — it was in my blood work."
Gradual ED worsening over 5 years. Elevated estradiol from aromatization was the culprit.
TRT with estrogen management + daily low-dose tadalafil: "I'd been treating the symptom for years. Revive treated the cause."
Representative patient outcomes. Individual results vary. Names changed for privacy.
Discreet, Confidential,
Judgment-Free Care
We understand that ED is a sensitive topic. Our clinic is designed for your comfort and privacy at every step.
Men's Health Clinic
Not a family practice. Every patient is here for men's health — TRT, ED, or weight loss. No awkward waiting rooms.
HIPAA Compliant
Your visit, diagnosis, and prescriptions are fully protected by HIPAA privacy regulations. Your information stays between you and your doctor.
Open Conversation
Our physicians have treated thousands of men for ED. There's nothing to be embarrassed about. We've heard it all, and we're here to help. See our doctor's guide to increasing male libido.
Take the First Step — Confidentially
Book a confidential consultation at any of our three locations. We'll test your hormones, evaluate the root cause, and build a treatment plan that actually works — not just a pill to mask the problem.
Book Your Consultation →Or call us: (206) 960-4770 · Seattle · Kirkland · Federal Way