
Sildenafil
From $5.81/tablet

Closer. More you.
Make room for connection. Find private care that fits you.

From $5.81/tablet

From $3.78/day

From $73.17/mo

From $73.17/mo
You’re far from the only one. A US-licensed clinician looks at what you’re noticing and whether treatment fits you.

30–50 million
men in the US are estimated to have erectile dysfunction
Source: NIDDK, Definition and facts for erectile dysfunction40% to 70%
of men are affected at 40, rising to 70% by age 70
Source: NIDDK, Definition and facts for erectile dysfunction82%
of men on 100 mg reported better erections, vs 24% on placebo (four trials, 1,797 men)
Source: Viagra prescribing information, section 14You are far from alone. A US-licensed clinician reviews every request privately.
Your sex life is personal. Your care should be, too.

For the confidence to show up as you.

For affection, connection, and time together.

For less planning and more being present.
Three things that matter alongside treatment.
ED shares its risk factors with heart disease: blood pressure, blood sugar and cholesterol. Bring a recent blood pressure reading, and ask about a panel covering fasting glucose, A1C, lipids and free testosterone.
Long sitting and low muscle mass are linked to poorer metabolic health, and metabolic health and erections run together. Walking breaks and strength training are the cheapest upgrade.
Chronic stress keeps cortisol up and performance worry loud. A short walk or slow breathing before sex helps, and a lighter meal gets sildenafil working sooner.
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.

Step 1
A few minutes

Step 2
Within 24 hours

Step 3
2–5 business days

Step 4
Ongoing

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.
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.
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.
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.
A $20 clinician review, refunded if you’re not prescribed. Each plan shows its lowest rate with the real bill, and you can cancel anytime.
A US-licensed clinician reviews within 24 hours, and approved orders ship free in 2 to 5 business days.
Your treatment is reviewed and prescribed by US-licensed clinicians in our network.

Weight and metabolic health
Board certified in emergency medicine and practicing telehealth since 2018. Focuses on weight management and metabolic health.

Dermatology
Board certified dermatologist and Associate Professor of Dermatology at Duke University School of Medicine. Specializes in skin cancer and dermato-oncology.

One tablet a day, dosed from your labs.
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