Erectile dysfunction treatment that doesn't stop at the prescription.
ED treatment in Bellingham, prescribed by a physician who reads your actual labs and considers what else might be going on. Cardiovascular, metabolic, hormonal — addressed together, not symptom-only.
What we
address.
- Difficulty getting or maintaining an erection
- Reduced firmness compared to years prior
- Performance anxiety affecting function
- Loss of morning erections
- Reduced libido or arousal
- Premature or delayed ejaculation
- ED in the context of cardiovascular risk factors
- Younger men (under 45) with new-onset ED that needs a proper workup
ED is often the canary, not the disease.
Erectile dysfunction is one of the earliest cardiovascular warning signs in many men — it shows up before chest pain, before a high resting heart rate, sometimes years before a real cardiovascular event. Telehealth ED treatment fixes the symptom and misses the warning. We do both: address the function so you can get back to your life, and check what else might be quietly going on underneath. ED treatment in Bellingham almost always means a prescription handed across a counter. Effective for the symptom; silent on the cause. Erectile dysfunction is one of the earliest signals the cardiovascular and metabolic systems are starting to fail — which means treating it as a stand-alone problem misses the actual diagnosis underneath.
- ✓Cardiovascular workup at first visit — lipid panel with ApoB, fasting glucose, blood pressure, family history.
- ✓Hormonal panel where indicated — total and free testosterone, SHBG, estradiol, prolactin.
- ✓Medication review — common antidepressants, beta-blockers, and finasteride contribute more often than people realize.
- ✓Lifestyle context — sleep apnea, body composition, alcohol, smoking — addressed alongside, not instead.
Pricing — for everyone.
ED treatment at Mt. Baker Medical is available to anyone — no membership required. Members save 15% on medication and have the full primary-care relationship included.
| Retail | Member | |
|---|---|---|
| ED ProgramSildenafil OR tadalafil, compounded · monthly supply · clinical management included | $129 / mo | $109 / mo |
How we approach it.
Workup first. Then prescription. Then the conversation about what else might be worth addressing.
Honest conversation.
What's actually happening, how often, since when, what you've tried. Discreet, professional, on your terms.
Real workup.
Cardiovascular markers, hormonal panel if indicated, medication review. The labs telehealth services skip.
Prescription that fits.
Sildenafil for as-needed, tadalafil for daily — chosen based on your patterns. Compounded so dosing can be customized.
Follow up.
Three-month check-in on response, side effects, and any underlying findings from the workup. Adjust as indicated.
Common questions.
The four questions we get most. Schema-eligible for AI Overview citation.
What are the alternatives to Viagra?
The most common alternatives are tadalafil (Cialis — longer-acting, can be taken daily), and avanafil (Stendra — faster onset, fewer side effects in some patients). For men where oral medication isn't enough or isn't tolerated, options include hormonal optimization (when low testosterone is contributing), penile injections (alprostadil), vacuum erection devices, and surgical options. At MBM we work primarily with sildenafil and tadalafil and route patients to specialty urology when needed.
What causes ED at age 40 or 50?
In men under 50, the most common reversible causes are medication side effects (SSRIs, beta-blockers, finasteride), lifestyle factors (sleep apnea, alcohol use, deconditioning), and hormonal imbalance (low testosterone is more common at 40+ than most men realize). Cardiovascular disease shows up in ED before it shows up in chest pain — which is why we run cardiovascular markers at the first visit even for younger patients.
What is the P-shot?
The P-shot is platelet-rich plasma (PRP) injected into the penis as a regenerative treatment for ED. The procedure is offered at some clinics; the underlying evidence base is limited and varies by indication. We don't offer the P-shot at Mt. Baker Medical because we don't think the evidence supports it as a primary treatment yet. Patients interested in regenerative approaches are best served by clinics that specialize in this specifically.
What is GAINSWave / shockwave therapy?
Shockwave therapy uses focused low-intensity acoustic waves to improve blood flow in penile tissue, marketed for ED treatment. The mechanism has some theoretical basis and modest clinical evidence for select patients, but the strongest evidence is for ED of vascular origin and the technology and protocols vary widely between providers. We don't offer GAINSWave at MBM — patients seeking it are better served by clinics specializing in the modality.
Start with a free conversation.
30 minutes with Dr. Scribner. Discreet, professional, on your terms. We talk through what's been going on and what a real workup would look like.
Or call(360) 498-7529