Frequently Asked Questions
What is Hard Health?
Hard Health is a telemedicine platform that provides men with discreet, convenient access to ED treatments through an online telehealth process. Medications are discreetly shipped to you.
Who is Hard Health for?
Hard Health is for adults 18+ experiencing erectile dysfunction who want a convenient, online prescription service.
Is my personal information safe?
Yes, we comply with all U.S. privacy laws and use strict encryption to protect your information.
How does the process work?
- 1. Choose your desired medication strength
- 2. Complete an online medical consultation.
- 3. A licensed physician reviews your responses to determine if the medication is warranted.
- 4. If approved, your prescription is issued.
- 5.Your medication is shipped discreetly to your door.
Do I need a prescription before using Hard Health?
No, our doctors will evaluate your health and issue a prescription if appropriate.
How long does it take to get approved?
Prescription approval is usually within a day. Then it will take 2-3 days to process through the pharmacy and 3-5 day shipping time. There are rare cases where the physician may need to reach out to a patient for additional information, which may delay the process further.
Will I need a video call with a doctor?
NO. This is not required for ED treatments.
What ED medications does Hard Health prescribe?
Hard Health provides Sildenafil (Generic Viagra) and Tadalafil (Generic Cialis) in a powerful combined single dose that starts working quickly and stays effective longer. These medications are taken sublingually (dissolved in the mouth between cheek and gum) allowing for the quicker onset time (15-30 mins) instead of swallowed where the onset time is 45 minutes. Results last up to 24 hours.
How do ED medications work?
PDE5 inhibitors like Sildenafil (Generic Viagra) and Tadalafil (Generic Cialis) help relax blood vessels, improving blood flow to enable an erection. These medications do not increase sexual desire but rather enhance the body’s natural response to arousal by improving blood flow to the penis.What causes erectile dysfunction (ED)?
Erectile dysfunction can be caused by a variety of physical, psychological, and lifestyle factors. Some common causes include:
Physical Causes of ED:
- Cardiovascular Disease: Reduced blood flow due to conditions like high blood pressure, high cholesterol, or atherosclerosis (narrowed arteries).
- Diabetes: Nerve damage and poor blood circulation can contribute to ED.
- Hormonal Imbalances: Low testosterone levels or thyroid disorders may impact erectile function.
- Neurological Conditions: Conditions such as Parkinson’s disease, multiple sclerosis, or spinal cord injuries can affect nerve signals.
- Medications: Some prescription drugs, including antidepressants, antihistamines, and blood pressure medications, may cause ED as a side effect.
- Obesity & Poor Circulation: Excess weight and lack of physical activity can impair blood flow.
Psychological Causes of ED:
- Stress & Anxiety: Performance anxiety, work-related stress, or general anxiety can prevent proper arousal.
- Depression: Low mood and lack of motivation may reduce sexual desire and function.
- Relationship Issues: Poor communication or emotional disconnect with a partner may contribute to ED.
Lifestyle Factors That May Contribute to ED:
- Smoking: Damages blood vessels and restricts blood flow.
- Excessive Alcohol Use: Can interfere with nerve signals and hormone production.
- Poor Diet: High-fat, high-sugar diets may contribute to weight gain and poor cardiovascular health.
- Lack of Exercise: Regular physical activity improves blood circulation and overall cardiovascular health.
- Recreational Drug Use: Certain substances, such as opioids or stimulants, may negatively impact sexual function.
Tip: Addressing lifestyle factors, managing stress, and maintaining overall health can help improve erectile function alongside medical treatment.
Are ED medications safe?
When taken as prescribed, Sildenafil (Generic Viagra) and Tadalafil (Generic Cialis) are safe and effective for most men. However, they are not recommended for individuals who:
- Take nitrate medications (commonly prescribed for chest pain or heart conditions).
- Have severe heart disease, low blood pressure, or uncontrolled high blood pressure.
- Have experienced a recent heart attack or stroke.
- Have been diagnosed with severe liver or kidney disease.
What are the common side effects of ED medications?
Most side effects are mild and temporary, but the most commonly reported ones include:
- Headache
- Flushing (warmth or redness in the face, neck, or chest)
- Dizziness
- Nasal congestion (stuffy or runny nose)
- Indigestion or upset stomach
- Back pain or muscle aches (more common with Tadalafil)
These side effects usually fade within a few hours. If you experience persistent or severe symptoms, you should stop taking the medication and consult a doctor.
When should I seek medical attention?
In rare cases, ED medications may cause serious side effects that require immediate medical attention, including:
- Chest pain or shortness of breath
- Sudden vision loss or changes in vision (e.g., blurred vision, blue-tinted vision)
- Hearing loss or ringing in the ears
- An erection lasting more than 4 hours (priapism) – this is a medical emergency and requires urgent care.
Tip: Always follow your doctor’s guidance on how and when to take ED medications to ensure safety and effectiveness.
How do I place an order?
- 1. Choose your desired medication strength.
- 2. Complete an online consultation to determine if the medication and dosage is warranted
- 3. If approved, your prescription will automatically be processed.
- 4. Receive discreet shipping to your door.
- 5. Begin to see results immediately.
How long is my prescription valid?
One year from the date issued or until all prescription fills are utilized.
Can I change my dosage or quantity of medication?
Maybe, please email us at CustomerService@hard.health and we will work with you. It will depend upon what has been prescribed to you.
Can I adjust my order before my next shipment?
Maybe, please email us at CustomerService@hard.health and we will work with you. It will depend upon what has been prescribed to you.
How do refills work?
Patients are on auto renewal based on the frequency selected and prescribed by physician. Patients can order within the year of the date the prescription was issued without a new consultation.
Can I pause or cancel my subscription?
Once an individual shipment has been charged, and processed, it cannot be cancelled, however you may cancel your future automatic refills at any time.
How much does Hard Health cost?
Pricing depends on the medication and dosage selected.
Why Hard Health is More Affordable Than Traditional In-Person Care: Hard Health offers cost-effective ED treatment compared to traditional healthcare visits by eliminating doctor appointment fees, insurance hassles, and pharmacy markups. Here’s how we save you money:
| Expense Type | Traditional Doctor Visit | Hard Health |
|---|---|---|
| Doctor Consultation | $100–$250 per visit (without insurance) | Included in the online evaluation |
| Insurance Co-Pays | $30–$50 per visit (if insured) | Not required – pay only for the medication |
| Pharmacy Costs | Varies (often marked up) | Direct pricing with no hidden costs |
| Time & Transportation | Travel time, waiting rooms, parking | 100% online, order from home |
| Privacy & Convenience | In-person pharmacy pickups | Discreet, direct-to-door shipping |
By choosing Hard Health, you skip unnecessary costs and delays, making treatment more affordable and convenient.
No insurance required. No hidden fees. Just straightforward, effective ED treatment.
When will I be billed?
After the physician issues your prescription, processing of the prescription will take 2-3 days, and shipping will take 3-5 days to reach you. You will be billed prior to shipping of your prescription, so in most cases you will be billed within 3 days of beginning the order process.
Do I get billed if my prescription is denied?
Patients are not charged when prescriptions are denied. Hard Health places a hold on the card prior to the consultation. If approved, the payment card provided will be charged when the medication ships. If denied, the hold is released.
Does Hard Health accept insurance?
No, Hard Health does not accept insurance, but we offer affordable pricing.
How long does shipping take?
Standard shipping is 3-5 days.
Is shipping free?
Standard shipping is FREE
Do I need to sign for my package?
No. Signature is not required
Is packaging discreet?
Yes, all Hard Health orders are shipped in plain, unbranded packaging with no mention of Hard Health or ED medication on the label for privacy.
Can I return my medication?
No, prescription medications cannot be returned by law for safety and regulatory reasons. However, if you no longer wish to receive your medication, you can cancel your future prescriptions at any time.
What if there is an issue with my order?
If there is a prescription error (e.g., incorrect medication, dosage, or fulfillment mistake), Hard Health will work with you to correct or replace the order at no additional cost. Please contact our support team if you experience any issues with your shipment.
Our goal is to ensure you receive the correct treatment, safely and reliably.
Can I get a refund?
Once ordered, medication cannot be cancelled or refunded, however you may cancel any future auto-shipment or recurring charges or change the quantity ordered as long as your prescription allows it.
Are there any health conditions that make ED medications unsafe?
Men with severe heart conditions, low blood pressure, or those taking nitrates should not use ED medication. Your medical intake and physician review will ensure that you are not prescribed medication which will harm you based on the conditions you communicate to them.
Why do I need to provide my blood pressure?
Providing information on your Blood Pressure allow the physician to determine if the medication is safe for you to use.
How can I communicate with the physician?
There is messaging with the doctor, which can be done through email or text message.
Is Hard Health HIPAA-compliant?
Hard Health does not receive access to HIPAA private medical data. Our Telehealth and Pharmacy partners are HIPAA-compliant