Five conditions. Treated by the specialty that wrote the rules for them.
We do five things, and we do nothing else. Each one is governed by a clinical practice guideline managed by real urologists — in between seeing real patients and doing surgeries. We want to help you too.
- Erectile dysfunction
- Premature ejaculation
- Low testosterone
- Urinary tract infections
- Medical weight loss
We are not an emergency service
We practice entirely by video. There is no clinic to walk into and no one here overnight. Call 911 or go to an emergency room — do not message us and wait — if any of the following happens, whether or not you are already our patient.
- An erection lasting more than four hours.
- Chest pain or breathlessness during sex or exertion.
- Urinary symptoms with fever, chills, or back pain.
- You cannot pass any urine at all, and your bladder feels full.
- Severe, persistent belly pain with vomiting on weight-loss medication.
- Confusion, fainting, or a racing heart alongside an infection.
Messages sent through the portal are answered during business hours only.
The highest standard for these five conditions is a document. Urologists wrote it.
Every condition we treat is governed by a clinical practice guideline authored by our specialty through the American Urological Association. The AUA convenes the panels, grades the evidence, and publishes the standard that hormone clinics, prescription apps, med spas, and primary care are all meant to be following. Practising by video changes where we sit. It does not change which document we answer to.
What these guidelines demand is largely laboratory work, careful history, and honest follow-up, which is why they can be done properly at a distance — and precisely why so many services skip them anyway. Labs are inconvenient. We order them regardless. Some conditions do carry a recommended physical examination. Where yours does, we say so and refer you to a provider near you for that part, then carry on your care from the findings.
Requires evaluating cardiovascular risk before writing a prescription, and a discussion of every treatment option — not only the first-line pill.
How that works by video: we order blood pressure, glucose, and lipids at a lab near you and review them with your history before anything is prescribed. A service that mails tablets after a two-minute questionnaire is treating the symptom and discarding the warning.
Clinical premature ejaculation means ejaculation within roughly two minutes, without a sense of control, causing distress. Fewer than 5% of men meet that definition — but more than 30% report the experience.
How that works by video: this is the most conversation-dependent of the five, and video suits it. No drug is FDA-approved for premature ejaculation in the United States, so first-line treatment — a topical anesthetic or an SSRI — is prescribed off-label, and combining medication with behavioral therapy outperforms either alone. Injectable bulking agents are classed as experimental. Anyone selling you one is outside the guideline.
Diagnosis requires two separate total testosterone measurements below 300 ng/dL, both drawn early in the morning, combined with actual symptoms.
How that works by video: two early-morning draws at a lab near you, on separate days, before any prescription — plus LH, prolactin, hematocrit, and PSA. Testosterone swings through the day and afternoon values run lower. Treating on one convenient result is how men end up on lifelong therapy they never needed, with the monitoring that must accompany it left undone.
Diagnosis needs documented inflammation and uropathogenic bacteria alongside acute symptoms. Bacteria in the urine without symptoms is not treated. Empiric antibiotics without a culture are discouraged.
How that works by video: a culture with each symptomatic episode, collected at a lab near you or by mail-in kit. This is where the gap is widest — prescribing an antibiotic off a symptom checklist is the entire business model of most online UTI services, and it is the specific thing the 2025 revision argues against. Every unnecessary course narrows what will still work next time.
Our specialty has not published a standalone weight-loss guideline. What it has published is the instruction to address weight directly: both the ED and testosterone guidelines name weight and lifestyle as first-line, before or alongside any prescription.
How that works by video: metabolic bloodwork before starting, home vitals you record between visits, and scheduled follow-up rather than an automatic refill. Weight sits upstream of the other four conditions, so the drug protocols here follow obesity medicine standards — and we would rather tell you that than imply a urologic guideline exists where it doesn't.
What that means on your actual video visit
- No testosterone prescription off one afternoon lab draw.
- Your cardiac risk gets assessed before your ED gets treated.
- No antibiotic for a urine culture that was never sent.
- Fertility discussed before testosterone therapy starts, not after.
- Off-label prescribing named as off-label, out loud.
- Bloodwork monitored on schedule once you're on therapy.
- Weight treated as a cause, not sold as a separate product.
- A real visit with a urologist, not a questionnaire and a checkout page.
How care actually works
Everything happens by video and through the portal. The only part that takes you out of the house is the lab, and we send you to whichever one is closest.
Book and fill in the form
Pick a time, list your medications — including anything bought online or from a gym — and describe what's going on. There's a free-text box if you'd rather write it than say it.
Your video visit
Twenty to thirty minutes with a urologist, not a questionnaire. Bring your partner into the call if it would help. You'll need a private space and a working camera.
Labs near you
We send orders to a lab in your area, or a mail-in kit where that works. Testosterone requires two early-morning draws on separate days, so that step takes about a week.
Plan, prescription, follow-up
Results and a written plan reach you through the portal within 72 hours. Prescriptions go to your pharmacy. Follow-up is scheduled, not left to you to remember.
Where we can see you
Telemedicine is licensed state by state, and we can only treat you in a state where one of our clinicians holds a licence. You must be physically located in that state at the time of your visit — not just resident there. If your state isn't listed, tell us and we'll say when we expect to be there.
- Alabama
- Arizona
- California
- Colorado
- Florida
- Georgia
- Illinois
- Michigan
- New York
- North Carolina
- Ohio
- Pennsylvania
- Tennessee
- Texas
- Virginia
What we don't treat, and what video can't do
A focused telemedicine practice is only an advantage if it's honest about its edges. Tell us anyway — we'll point you to a urologist near you rather than leave you searching.
- Blood in your urineNeeds prompt in-person workup. Call us and we'll help you find someone rather than book you a video visit.
- Kidney stonesAcute stone pain, stone removal, and prevention.
- Prostate enlargement and PSA screeningWeak stream, night-time urination, biopsy decisions, and cancer care.
- A lump or pain in the testicleNeeds an ultrasound and an examining hand, quickly.
- Incontinence and overactive bladderLeaking with a cough, or urgency you can't hold.
- Vasectomy, reversal, and fertility proceduresIncluding varicocele repair and sperm retrieval.
Who you'll see
Three urologists, all working the same conditions. You're scheduled with whoever matches your reason for booking, and you see the same physician at follow-up.
Dr. A. Brian Allen, D.O.
Urology
[Add bio: board certification, clinical focus, years in practice, states licensed.]
Dr. William Terry, M.D.
Urology
[Add bio: board certification, clinical focus, years in practice, states licensed.]
Dr. Robert Helm, M.D.
Urology
[Add bio: board certification, clinical focus, years in practice, states licensed.]
What it costs, before you book
One price per consultation, published here, charged whether or not we end up prescribing anything. You are paying a urologist for an opinion — not paying for a prescription, which is what makes it possible for the answer to be no.
Routine consultation
$250
Erectile dysfunction, premature ejaculation, low testosterone, recurrent urinary tract infections, and medical weight loss.
Includes the video visit, your lab orders, a written plan in the portal, and review of the results when they land.
Surgical consultation
$400
Whether an operation is indicated, what the alternatives are, and what to ask the surgeon who would perform it.
Includes review of imaging and records you send ahead. We do not operate — this is the opinion before the referral, not the referral itself.
Second opinion, urologic oncology
$600
A considered second read on a prostate, bladder, kidney, or testicular cancer diagnosis and the plan you've been offered.
Includes review of pathology, imaging, and prior notes before the visit, and a written summary you can take to your treating team.
What isn't in the fee
Laboratory work is billed by the laboratory, not by us. Most routine panels are modest, and many are covered even when a visit isn't. We tell you what we're ordering before you go.
Medication is billed by your pharmacy. Coverage for weight-loss medication varies widely and some plans exclude it entirely — check yours before you count on it.
Follow-up visits within an active treatment plan are included for the first six months. After that they're billed at the routine rate.
Insurance: we can provide an itemized superbill after any visit for you to submit to your plan for out-of-network reimbursement. We can't tell you what your plan will pay.
Questions people ask before booking
How are you different from the other online men's health services?
We order the labs. That's most of it. The guidelines for these five conditions call for bloodwork, cultures, and scheduled monitoring, and those are the steps that get dropped when the goal is a fast checkout. We're also urologists — the specialty that writes the standard those services are meant to be following.
Can you really prescribe testosterone without seeing me in person?
Yes, currently. Testosterone is a Schedule III controlled substance, and federal rules normally require an in-person exam first. The DEA has extended telemedicine flexibilities that waive that requirement, most recently through 31 December 2026, while permanent rules are still being written. If the rules change, we'll tell every affected patient directly and help arrange what's needed — we won't leave you to discover it at a pharmacy counter.
Why only five conditions?
Because these five are where the gap between the guideline and what patients actually receive is widest, and because they're the ones that can be done properly at a distance. They depend on labs, history, and follow-up rather than on an examining hand. Doing five things to the letter beats doing twenty approximately.
Do I have to go somewhere for the labs?
Usually yes, once or twice — a draw centre near you, which takes about fifteen minutes. Some tests can be done by mail-in kit. We'll tell you at the visit which applies and send the order before you hang up.
Will testosterone affect my ability to have children?
Yes, and this gets missed constantly. Testosterone therapy suppresses sperm production and can do so durably. If children are a possibility for you, say so before you start — there are alternatives that raise testosterone without shutting down fertility.
Can I get weight-loss medication without the rest of it?
No. The medication is prescribed inside a supervised program with metabolic bloodwork and scheduled follow-up, because that's what makes it safe and what makes it work. If you want a prescription with no workup attached, we're not the right practice.
What if I need to be examined?
We'll say so and help you arrange it locally. Some findings need hands — a penile plaque, a testicular lump, a prostate. We'd rather send you for twenty minutes with someone nearby than pretend a camera can do it.
Waiting rarely makes it simpler
Book a video visit, or send a request through the portal and we'll reach out within one business day. If what you're dealing with isn't one of our five, or needs examining in person, say so anyway — we'll point you to the right urologist rather than leave you searching.
Call (800) 555-0142