--- title: "ED and Sexual Health Treatment for Men | Vitals Vault" description: "Private, clinician-reviewed options for erections, desire and confidence. Oral tablets and on-demand injections, delivered discreetly." canonical: "https://www.vitalsvault.com/treatments/categories/mens-sexual-health" last-updated: 2026-08-22 --- # ED and Sexual Health Treatment for Men | Vitals Vault > Private, clinician-reviewed options for erections, desire and confidence. Oral tablets and on-demand injections, delivered discreetly. ## Find your sexual health treatment. ### Sildenafil [![Sildenafil tablets package](https://static.vitalsvault.com/treatments/editorial/6acaeb7650fa380ac8f4e7d4-lane61-mens-sildenafil-hero-1200-238a29a9cd8ebc63.webp)](https://www.vitalsvault.com/treatments/mens-sildenafil?audience=men&source=catalog) Tablet · 100 mg From $71/mo Billed $209 every 90 days [Learn more](https://www.vitalsvault.com/treatments/mens-sildenafil?audience=men&source=catalog) ### Tadalafil Daily [![Tadalafil tablets package](https://static.vitalsvault.com/treatments/editorial/6acaeb76c0b874369ec19133-lane61-mens-tadalafil-hero-1200-4494b5deb1660f43.webp)](https://www.vitalsvault.com/treatments/mens-tadalafil?audience=men&source=catalog) Tablet · 5 mg From $115/mo Billed $679 every 180 days [Learn more](https://www.vitalsvault.com/treatments/mens-tadalafil?audience=men&source=catalog) ### PT-141 Injection [![PT-141 (Bremelanotide) injection package](https://static.vitalsvault.com/treatments/editorial/6acaeb7350fa380ac8f4e655-lane61-care-pt-141-cms-1200-2539f164dba73c0a.webp)](https://www.vitalsvault.com/treatments/care-pt-141?audience=men&source=catalog) Injection · 10 mg/mL From $80/mo Billed $439 every 168 days [Learn more](https://www.vitalsvault.com/treatments/care-pt-141?audience=men&source=catalog) ### PT-141 Nasal Spray [![PT-141 (Bremelanotide) nasal spray package](https://static.vitalsvault.com/treatments/editorial/6acaeb7489c3af32bec9b901-lane61-care-pt-141-nasal-cms-1200-a5a440e4c29801a7.webp)](https://www.vitalsvault.com/treatments/care-pt-141-nasal?audience=men&source=catalog) Nasal Spray · 10 mg/mL From $80/mo Billed $439 every 168 days [Learn more](https://www.vitalsvault.com/treatments/care-pt-141-nasal?audience=men&source=catalog) Free shipping. HSA/FSA eligible. Prescribed only if appropriate. ## For confidence. For closeness. For you. Your sex life is personal. Your care should be, too. ![Man with his bicycle outside a neighborhood café](https://static.vitalsvault.com/treatments/editorial/sexual-benefit-confidence-d3aa402d46d16da6.webp) ### Feel more like yourself For the confidence to show up as you. ![Man and woman sharing an embrace in their kitchen](https://static.vitalsvault.com/treatments/editorial/sexual-benefit-closeness-41effff7d4262ff8.webp) ### Make room for closeness For affection, connection, and time together. ![Man and woman holding hands on a park walk](https://static.vitalsvault.com/treatments/editorial/sexual-benefit-presence-3487c5e66dabbd47.webp) ### Be in the moment For less planning and more being present. ## Your confidence, over time. Start a routine that makes room for you. With daily tadalafil, support for erections may begin in the first days as your body settles into treatment. DISCLAIMER This timeline describes possible experiences with daily tadalafil for erectile dysfunction. Benefits may begin early; the later milestones describe continued support, not steadily increasing effects. Timing and results vary and are not guaranteed. These milestones do not apply to PT-141. PT-141 use in men is off-label, evidence is limited, and compounded products are not FDA-approved. Research: [Daily tadalafil](https://www.dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=bcd8f8ab-81a2-4891-83db-24a0b0e25895) · [Long-term support](https://pubmed.ncbi.nlm.nih.gov/18557812/) · [PT-141 prescribing information](https://vyleesi.com/docs/Vyleesi-Full-Prescribing-Information.pdf) ## From goal to doorstep in four steps ![Woman completing a private online health intake at home](https://static.vitalsvault.com/treatments/editorial/vv-women-step-1-19f398db27ce4c19.webp) Step 1 ### Tell us your goals A few minutes ![Clinician reviewing a care plan](https://static.vitalsvault.com/treatments/editorial/vv-care-realistic-v2-review-1eb398070165ba12.webp) Step 2 ### A clinician reviews Within 72 hours ![Discreet treatment delivery](https://static.vitalsvault.com/treatments/editorial/vv-care-realistic-v2-delivery-ccc24f296592c9be.webp) Step 3 ### Delivered to your door 2–5 business days ![Woman checking her ongoing care plan on her phone at home](https://static.vitalsvault.com/treatments/editorial/vv-women-step-4-9b8fbfbd2e51582d.webp) Step 4 ### Ongoing care Ongoing [Explore treatments](https://www.vitalsvault.com/treatments/categories/mens-sexual-health#v2-treatments) ## Your questions, answered. Is low desire the same as erectile dysfunction? No. Desire is your interest in sex; erectile dysfunction is difficulty getting or keeping an erection. They can overlap, but treatment may differ. Tadalafil supports erections with sexual stimulation; it does not directly increase desire. How is daily tadalafil different from PT-141? Daily tadalafil supports blood flow to help with erections. PT-141 acts on a different pathway and is offered on demand. Use of PT-141 in men is off-label, evidence is limited, and the compounded injection and nasal spray are not FDA-approved. A clinician helps assess what is appropriate. What should I tell my clinician before starting? Share your health history and every medicine you take. Tadalafil must not be used with nitrates, including poppers, or riociguat. PT-141 is not appropriate with uncontrolled high blood pressure or known cardiovascular disease. Headache, flushing, and nausea can occur; ask your clinician about the risks of your specific treatment. Will I automatically get a prescription? No. A licensed clinician reviews your health history and goals first. They may recommend further evaluation or a different approach. If prescribed treatment causes an erection lasting more than four hours, or sudden vision or hearing changes, seek urgent medical attention. ## The clinicians behind your care Your treatment is reviewed and prescribed by US-licensed clinicians in our network. ![Diana Kumar, MD, FACOG](https://static.vitalsvault.com/treatments/editorial/diana-kumar-md-c56d4b361d5774a7.webp) ### Diana Kumar, MD, FACOG Women's hormone health Board certified in obstetrics and gynecology and a Menopause Society Certified Practitioner. Works with members on perimenopause, menopause and hormone therapy. ![William Blackwell, MD](https://static.vitalsvault.com/treatments/editorial/william-blackwell-md-da493dcf19541ad1.webp) ### William Blackwell, MD Weight and metabolic health Board certified in emergency medicine and practicing telehealth since 2018. Focuses on weight management and metabolic health. ![Meenal Kheterpal, MD, FAAD](https://static.vitalsvault.com/treatments/editorial/kheterpal-md-faad-0719a17d75055313.webp) ### Meenal Kheterpal, MD, FAAD Dermatology Board certified dermatologist and Associate Professor of Dermatology at Duke University School of Medicine. Specializes in skin cancer and dermato-oncology. ![Shamail Tariq, MD](https://static.vitalsvault.com/treatments/editorial/shamail-tariq-md-18ac53212de5decd.webp) ### Shamail Tariq, MD Cardiometabolic health Board certified in cardiovascular disease and interventional cardiology. Focuses on preventive cardiology, blood pressure and cholesterol. ![Payel Gupta, MD](https://static.vitalsvault.com/treatments/editorial/payel-gupta-md-761421d304fefc01.webp) ### Payel Gupta, MD Allergy and immunology Triple board certified in allergy and immunology, internal medicine and pediatrics. Clinical instructor at the Icahn School of Medicine at Mount Sinai. ## Explore other goals [![Man smiling outdoors in a navy knit polo](https://static.vitalsvault.com/treatments/editorial/mens-hormones-babak-eshaghian-unsplash-109f04497dfba71d.webp)](https://www.vitalsvault.com/treatments/categories/mens-hormones?source=catalog) ### Feel like yourself. Understand what’s changed. Find care that fits you. [Explore increase testosterone](https://www.vitalsvault.com/treatments/categories/mens-hormones?source=catalog) [![Man walking along a coastal trail](https://static.vitalsvault.com/treatments/editorial/mens-weight-coastal-enhanced-a5442f183e3d7125.webp)](https://www.vitalsvault.com/treatments/categories/mens-weight?source=catalog) ### Weight care. For your life. A plan built around your health, your routines, and where you want to go. [Explore lose weight](https://www.vitalsvault.com/treatments/categories/mens-weight?source=catalog) [![Man with curly dark hair resting his head lightly against his hands](https://static.vitalsvault.com/treatments/editorial/mens-hair-behzad-courtyard-7cee6a635f4876b1.webp)](https://www.vitalsvault.com/treatments/categories/mens-hair?source=catalog) ### Your hair. Your way. Get ahead of thinning. Find a hair-care routine that fits your life. [Explore improve appearance](https://www.vitalsvault.com/treatments/categories/mens-hair?source=catalog) [![Two men smiling and chatting during a forest hike](https://static.vitalsvault.com/treatments/editorial/mens-longevity-hikers-lighting-e36779df2b55e9fc.webp)](https://www.vitalsvault.com/treatments/categories/mens-longevity?source=catalog) ### More life. In your days. Stay engaged in what you love. Explore care with your future in mind. [Explore live longer & better](https://www.vitalsvault.com/treatments/categories/mens-longevity?source=catalog) [![Man in a green cap looking toward sunlight in the mountains](https://static.vitalsvault.com/treatments/editorial/mens-thyroid-wide-right-a9ecae27c12f1f7d.webp)](https://www.vitalsvault.com/treatments/categories/mens-thyroid?source=catalog) ### Find your balance. Understand what’s changed. Find a clearer path to feeling like you. [Explore manage thyroid](https://www.vitalsvault.com/treatments/categories/mens-thyroid?source=catalog) [![Man stretching on a sunny terrace before a run](https://static.vitalsvault.com/treatments/editorial/6abf4b226b5b5631c8a311f1-vv-step-outcome-nutrients-men-3833fc8c62610749.webp)](https://www.vitalsvault.com/treatments/categories/mens-nutrients?source=catalog) ### Care for the way you live. Explore nutrient support with a clinician who considers your health, your routine, and what you need. [Explore supplements](https://www.vitalsvault.com/treatments/categories/mens-nutrients?source=catalog) [![Man with a short beard sitting in warm sunlight](https://static.vitalsvault.com/treatments/editorial/6abf4b26f77cea570a98e695-vv-step-outcome-skin-men-64549bf39f0ba8db.webp)](https://www.vitalsvault.com/treatments/categories/mens-skin?source=catalog) ### Your skin. Your everyday. Clearer, smoother skin with one simple nightly step, prescribed for you. [Explore clearer skin](https://www.vitalsvault.com/treatments/categories/mens-skin?source=catalog) ## Let’s make room for connection. Changes in desire or erections can feel personal. You don’t have to work through them alone. Talk privately with a clinician and explore care built around what matters to you. [Explore treatments](https://www.vitalsvault.com/treatments/categories/mens-sexual-health#v2-treatments) --- Canonical HTML: https://www.vitalsvault.com/treatments/categories/mens-sexual-health - [llms.txt](https://www.vitalsvault.com/llms.txt) - [sitemap.xml](https://www.vitalsvault.com/sitemap.xml) - [Developer portal](https://www.vitalsvault.com/developers)