Async reviewMen

Sildenafil

The generic, on-demand option for performance. Prescribed after a cardiovascular and metabolic check; reviewed asynchronously.

TherapyGeneric sildenafil, oral tablet or troche, dosed per your provider

ScheduleAs needed, 30–60 minutes before

Form · your provider confirms after labs

$39/ month

Medication + provider care + monitoring

Selected form:

Billed $39 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 history, medications and labs
Generic sildenafil in your chosen form
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 medication for you?

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

Check eligibility · 3 min

Often a fit

Men with performance concerns
No nitrate medications and stable cardiovascular health
Prefer an as-needed option

Not prescribed if

Nitrate medications (nitroglycerin, isosorbide)
Recent heart attack, stroke or unstable angina
Under 18

Your first 90 days

Day 0Eligibility, intake, payment

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

Day 7–9Async provider review; questions by message

Day 9–14First shipment arrives

Week 12Repeat labs, dose adjusted

What to expect

01Works within 30–60 minutes and lasts about 4–6 hours.

02A large meal or alcohol can delay or blunt the effect.

03Your provider may check testosterone if desire, not performance, is the main concern.

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

Blood pressure

Total T

Fasting glucose

Lipids

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

Safety information

Never combine with nitrates; the drop in blood pressure can be dangerous. Common effects: headache, flushing, nasal congestion, indigestion and temporary vision changes. Seek emergency care for an erection lasting more than 4 hours.