Erectile Dysfunction: Should You Consider Cialis? - Urology

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Hello, I recently discovered that I have erectile dysfunction and am having some difficulties during intercourse.
Should I consider taking Cialis? I'm not sure if this medication is covered by health insurance, and if so, how much would I need to pay? Also, what would be the cost if I were to purchase it outright? Thank you.

Fanrao, 30~39 year old female. Ask Date: 2007/09/18

Dr. Lin Hexing reply Urology


Hello, regarding your recent erectile dysfunction, the first thing to consider is whether there is any work-related stress.
Assess your daily routine, including whether you are staying up late, smoking, or drinking alcohol.
If any of these issues are present, it is advisable to address them before considering medication.
If none of these factors apply, you should rule out coronary artery disease and the use of nitrates before taking Cialis.
It is important to check for any absolute contraindications for using medications like Cialis or Viagra.
Please note that Cialis and Viagra are not covered by health insurance.
The out-of-pocket cost for Cialis varies by hospital, generally ranging from $450 to $500.

Reply Date: 2007/09/18

More Info


Erectile dysfunction (ED) is a common condition that affects many men at some point in their lives. It can be caused by a variety of factors, including psychological issues, physical health problems, and lifestyle choices. If you are experiencing difficulties with achieving or maintaining an erection, it is important to understand your options and consider whether medications like Cialis (tadalafil) might be appropriate for you.

Cialis is a phosphodiesterase type 5 (PDE5) inhibitor, which works by increasing blood flow to the penis during sexual stimulation, helping to achieve and maintain an erection. It is one of the most commonly prescribed medications for ED and is known for its long duration of action, lasting up to 36 hours, which allows for more spontaneity compared to other ED medications.

Before considering Cialis, it is crucial to consult with a healthcare provider. They can help determine the underlying cause of your ED and whether Cialis is suitable for you. This is especially important if you have underlying health conditions such as heart disease, diabetes, or high blood pressure, as these can affect your ability to take ED medications safely.

Regarding insurance coverage, whether Cialis is covered by your health insurance plan depends on the specific policy. In many cases, insurance may cover a portion of the cost, but you may still be responsible for a copayment or deductible. The out-of-pocket cost can vary widely depending on your insurance plan and the pharmacy you use. If you do not have insurance coverage for Cialis, the price can range from $10 to $30 per pill, depending on the dosage and the pharmacy. Some pharmacies also offer discount programs or generic versions, which can significantly reduce the cost.

If you decide to pursue treatment with Cialis, your healthcare provider will typically start you on a low dose to assess your response and tolerance. The usual starting dose is 10 mg, taken prior to anticipated sexual activity. Depending on your response, your doctor may adjust the dosage. It is important to follow your healthcare provider's instructions and not exceed the recommended dose.

In addition to medication, it is essential to consider lifestyle changes that can improve erectile function. These may include:
1. Healthy Diet: Eating a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can improve overall health and blood flow.

2. Regular Exercise: Physical activity can enhance circulation and reduce stress, both of which are beneficial for erectile function.

3. Weight Management: Maintaining a healthy weight can help prevent or improve ED, especially if it is related to conditions like diabetes or cardiovascular disease.

4. Limiting Alcohol and Quitting Smoking: Both alcohol and tobacco use can negatively impact erectile function, so reducing or eliminating these substances can be beneficial.

5. Managing Stress and Mental Health: Psychological factors such as anxiety, depression, and stress can contribute to ED. Seeking therapy or counseling can help address these issues.

In summary, if you are experiencing erectile dysfunction, it is advisable to consult with a healthcare provider to discuss your symptoms and explore treatment options, including Cialis. They can provide guidance on whether the medication is appropriate for you, discuss potential costs, and help you develop a comprehensive plan to address your ED. Remember, you are not alone, and effective treatments are available to help you regain confidence and improve your sexual health.

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