Clinician-prescribed sildenafil, tadalafil, vardenafil and PT-141. Evaluated privately, shipped plainly. From $95/mo.
Licensed U.S. clinicians · Plain packaging · If you don't qualify, you don't pay
Two conversations
Performance is a blood-flow question; desire begins in the brain. They are treated differently, and often for two people in the same bed. Pick your side.
01 · PerformancePerformance · the tablets
Three PDE5 inhibitors and one clinician conversation. Take one an hour before, or a low daily dose so nothing needs scheduling.
02 · DesireDesire · PT-141
Bremelanotide works upstream of blood flow, on the brain’s melanocortin pathway. Prescribed for women’s low desire; clinicians may also prescribe it for men.
01 · PerformancePerformance · the tablets
Three PDE5 inhibitors and one clinician conversation. Take one an hour before, or a low daily dose so nothing needs scheduling.
02 · DesireDesire · PT-141
Bremelanotide works upstream of blood flow, on the brain’s melanocortin pathway. Prescribed for women’s low desire; clinicians may also prescribe it for men.
The tablets, compared
All three block the same enzyme. They differ in how quickly they start, how long the window lasts, and what they cost. Scroll and watch the hours pass.
The original. Works best on a light stomach; a heavy meal slows it down.
A close relative of sildenafil in a different molecule, for men who want an alternative.
Food does not change it. Taken as a low daily dose, there is nothing to plan.
And separately, PT-141
Bremelanotide is injected under the skin about 45 minutes before intimacy, no more than once in 24 hours and up to eight times a month. It acts on desire rather than blood flow, so it is not measured in hours of effect.
Onset and duration figures come from the published prescribing information for the brand-name versions and are typical ranges, not guarantees. Compounded medications are not FDA-approved. Your clinician sets your dose. Individual results vary.
In the body
Three sentences, no hand-waving. If you want the long version, your clinician will happily give it.
Arousal sends the signal. Nitric oxide relaxes the vessels, and blood flows in.
That is how it is meant to work. For many men it still does, just less reliably than it used to.
PDE5 is the enzyme that switches it off. Sildenafil, tadalafil and vardenafil hold that switch open.
They do not create arousal. They let the response you already have last long enough to matter.
Desire starts earlier, in the brain. Bremelanotide acts on melanocortin receptors there, upstream of blood flow.
Which is why it can help when the problem was never blood flow in the first place.
For both of you
Whatever changed, blood flow, desire, or both, it is treatable. And it is treatable quietly, without a waiting room or a conversation at the counter.
Discretion
Not the pharmacist, not the front desk, not the person who signs for your packages. That is the whole design.
An unmarked box. Nothing on the outside says what is inside, and nothing on the inside is loud about it either.
A written intake reviewed by a licensed clinician. No waiting room, no small talk, no explaining yourself twice.
Filled by a licensed U.S. pharmacy and shipped to your door. Nobody reads your name off a bag.
Nothing is billed to insurance, so nothing appears on a statement. Your records are HIPAA-protected and yours.
Honest medicine
These are prescriptions. The clinician reviewing yours is looking for reasons to decline as carefully as reasons to approve. Some of them are absolute.
Sildenafil · Tadalafil · Vardenafil
Bremelanotide
Not a complete list. Your clinician reviews your full history and every medication you take before anything is prescribed.
Pricing
Medication, clinician evaluation and shipping, billed monthly after approval. If you don't qualify, you don't pay.
The long window. Up to 36 hours, or a low daily dose.
The original PDE5 inhibitor, about an hour before.
An alternative molecule with a similar window.
Acts on desire in the brain, about 45 minutes before.
Prescription required. Clinician-reviewed compounded or generic medications; compounded medications are not FDA-approved. Individual results vary. Prices shown are current monthly program rates.
Overheard
Members
“I take the daily one. There is no pill-in-the-pocket moment anymore, and honestly that was the whole point.”
“I had stopped wanting to, and I had stopped talking about it. Forty-five minutes before, and I am back in the room.”
“The box could have been a phone charger. Nobody blinked, including me.”
Member-reported experiences. Individual results vary and are not guaranteed.
Questions
All three block the same enzyme, PDE5. Sildenafil and vardenafil act within about an hour and last several hours, so they suit planned, on-demand use. Tadalafil lasts up to 36 hours and is also prescribed as a low daily dose, which removes timing altogether. Your clinician recommends based on your health history and how you want to use it, and you can switch later.
Your move
A private evaluation that takes a few minutes. A licensed clinician reviews it, usually within 72 hours. Medication ships plainly to your door if prescribed.
