Async reviewMen and women

Sexual health and libido

Provider-prescribed treatment for desire and performance, matched to the cause your labs and history point to. Reviewed asynchronously.

TherapyPT-141, sildenafil or tadalafil, chosen by your provider after labs and history

Medications in this program

PT-141 (Bremelanotide)SubQ injection · Nasal spray · $129/mo SildenafilOral tablet · Troche · $39/mo TadalafilOral tablet (daily) · Oral tablet (as needed) · Troche · $45/mo

$99/ month

Medication + provider care + monitoring

Billed $99 monthly. Cancel any time.

Prescription required. Subject to provider evaluation.

Start treatment · check eligibility

Auto-renews each cycle. Cancel any time before your next shipment. If your provider doesn't prescribe, the plan portion is refunded automatically; you pay only for labs.

What's included

Provider review of labs, history and medications
Medication and supplies, shipped monthly
Free monthly shipping, discreet packaging
Unlimited care-team messaging
Dose adjustments on request
Follow-up labs at 12 weeks, then every 6 months
Initial lab panel billed separately ($89 est.)

1 statesProviders licensed in each

100%Prescriptions preceded by labs

Named MDYou see who prescribes before you pay

$0Plan cost if you're not prescribed

Is this program for you?

Your provider makes the final call after labs. This is where most patients start.

Check eligibility · 3 min

Often a fit

Adults with reduced desire, arousal or performance
Normal cardiovascular screening on intake and labs
Want a provider-matched option, not a one-size pill

Not prescribed if

Nitrate medications or uncontrolled cardiovascular disease
Uncontrolled hypertension
Under 18

Your first 90 days

Day 0Eligibility, intake, payment

Day 2–7Lab panel: metabolic, lipids, testosterone, glucose

Day 7–9Async provider review; questions by message

Day 9–14First shipment arrives

Week 12Repeat labs, dose adjusted

What to expect

01Sildenafil and tadalafil work within hours; PT-141 acts on desire and is dosed as needed.

02Your provider may pair treatment with a hormone program if labs show a hormonal cause.

03Dose is adjusted on response and side effects, not on request alone.

Who prescribes

A licensed provider reviews your labs and history and decides whether this treatment is right for you. Every prescription is written by a named provider, never a questionnaire.

Built on your labs

Illustrative panelbaseline · 12 wk

Total T

Fasting glucose

Lipids

Blood pressure

Metabolic panel, lipids, glucose and testosterone at baseline and 12 weeks, then every 6 months. Blood pressure is recorded at intake and every check-in.

Safety information

Not for people taking nitrates or with unstable cardiovascular disease. Sildenafil and tadalafil can cause headache, flushing, nasal congestion and vision changes; seek care for an erection lasting over 4 hours. PT-141 can cause nausea, flushing and a temporary rise in blood pressure.