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Erectile dysfunction treatment for men

Closer. More you.

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

Explore treatmentsTake the quiz
  • US clinicians
  • Licensed pharmacy
  • LegitScript
  • 4.5 on Google
  • Free discreet shipping
  • HSA/FSA eligible

Start or switch your treatment this season. Your lab panel is on us.

Nov 1 to Jan 31. Given at your 3-month mark.

Find your sexual health treatment.

Free lab panel at month 3Sildenafil tablets package

Sildenafil

Tablet · 100 mg

From $5.81/tablet

Billed $209 every 90 days

Get startedLearn more
Free lab panel at month 3Tadalafil tablets package

Tadalafil Daily

Tablet · 5 mg

From $3.78/day

Billed $679 every 180 days

Get startedLearn more
Free lab panel at month 3PT-141 (Bremelanotide) injection package

PT-141 Injection

Injection · 10 mg/mL

From $73.17/mo

Billed $439 every 168 days

Get startedLearn more
Free lab panel at month 3PT-141 (Bremelanotide) nasal spray package

PT-141 Nasal Spray

Nasal Spray · 10 mg/mL

From $73.17/mo

Billed $439 every 168 days

Get startedLearn more

Free shipping. HSA/FSA eligible. Prescribed only if appropriate.

Sound familiar?

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

  • Trouble getting an erection
  • Losing it halfway through
  • Softer erections
  • Performance worry
  • Low desire
  • Less bedroom confidence
  • Erections fading with age
  • Stress killing the mood
  • Diabetes affecting sex
  • Wanting to feel spontaneous
Sildenafil tablets package

Sildenafil

Tablet · 100 mg

From $5.81/tablet

See Sildenafil
Two men in their late 40s sharing a close, relaxed moment

30–50 million

men in the US are estimated to have erectile dysfunction

Source: NIDDK, Definition and facts for erectile dysfunction
  • 40% to 70%

    of men are affected at 40, rising to 70% by age 70

    Source: NIDDK, Definition and facts for erectile dysfunction
  • 82%

    of men on 100 mg reported better erections, vs 24% on placebo (four trials, 1,797 men)

    Source: Viagra prescribing information, section 14

You are far from alone. A US-licensed clinician reviews every request privately.

Start without the risk

  • $20 review refunded if not prescribed
  • Cancel anytime
  • Full refund before your blood draw

For confidence. For closeness. For you.

Your sex life is personal. Your care should be, too.

Man with his bicycle outside a neighborhood café

Feel more like yourself

For the confidence to show up as you.

Man kissing his partner’s cheek outside a cinema

Make room for closeness

For affection, connection, and time together.

A couple sharing a close moment at home

Be in the moment

For less planning and more being present.

What changes the result

Three things that matter alongside treatment.

  1. 01

    Look after the vessels, not just the tablet

    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.

  2. 02

    Move more, sit less

    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.

  3. 03

    Quiet the stress loop and time your meal

    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.

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.

With daily tadalafil, you don’t need to time a tablet around intimacy. Let closeness happen when it feels right, with arousal still part of the moment.

More reliable erections may help intimacy feel less uncertain. Take stock of what’s working and share how you’re feeling with your clinician.

If daily tadalafil is working for you, that support can continue. Keep making space for connection, with care that adjusts to your needs.

Keep the connection going. Ongoing treatment may help maintain the progress you’ve made, with regular check-ins to make sure your plan still fits.

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 tadalafilLong-term supportPT-141 prescribing information

From goal to doorstep in four steps

Woman completing a private online health intake at home

Step 1

Tell us your goals

A few minutes

Step 1

Tell us your goals

A short, private intake about your health and what you want to improve.

A few minutes

A man with gray hair in a cream knit sweater relaxing on a sunny terrace beside olive trees, smiling during a phone call.

Step 2

A clinician reviews

Within 24 hours

Step 2

A clinician reviews

A licensed provider reviews your info and labs, if needed, and builds your plan.

Within 24 hours

Discreet treatment delivery

Step 3

Delivered to your door

2–5 business days

Step 3

Delivered to your door

Approved treatment ships free in plain, discreet packaging.

2–5 business days

Woman checking her ongoing care plan on her phone at home

Step 4

Ongoing care

Ongoing

Step 4

Ongoing care

Message your PocketMD provider anytime; we adjust your plan as you progress.

Ongoing

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Your questions, answered.

Messaging the care team from home
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.

What does it cost to start?+

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.

How fast is it?+

A US-licensed clinician reviews within 24 hours, and approved orders ship free in 2 to 5 business days.

The clinicians behind your care

Your treatment is reviewed and prescribed by US-licensed clinicians in our network.

William Blackwell, MD

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

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.

Explore other goals

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Raise your own testosterone without shutting down sperm production.

One tablet a day, dosed from your labs.

Explore increase testosterone
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Weight care. For your life.

A plan built around your health, your routines, and where you want to go.

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Your hair. Your way.

Get ahead of thinning. Find a hair-care routine that fits your life.

Explore improve appearance
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A start-low, build-up NAD+ injection with clinician oversight.

The human evidence is still early.

Explore live longer & better
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Keep your thyroid levels steady.

Levothyroxine from a US pharmacy, dosed from your TSH and free T4.

Explore manage thyroid
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Low B12, fixed at the source.

A weekly methylcobalamin injection that skips your gut.

Explore supplements
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Your skin. Your everyday.

Clearer, smoother skin with one simple nightly step, prescribed for you.

Explore clearer skin

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.

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Stay on top of your health.

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Prescription products require an online consultation with a licensed clinician who will determine if a prescription is appropriate. Individual results vary. Not for use in a medical emergency. © Vitals Vault

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From $5.81/tablet · $20 clinician review.

Billed $209 every 90 days. $20 review refunded if not prescribed. Cancel anytime.

See treatments