Clinical optimization platform

Licensed · 503A · HIPAA

03

Sexual Health

Performance, libido, confidence.
Evidence-based.

Sexual health is a vital indicator of overall health. Issues with erection quality, libido, or performance are common — and treatable. We offer FDA-approved oral medications and prescription protocols, often combined with hormone optimization for comprehensive results.

Starting

$25 / mo

Format

Oral + injectable

Combine with

TRT for comprehensive

Discretion

Unbranded packaging

Tadalafil

Daily low-dose or as-needed. 36-hour duration.

Generic Cialis. Daily low-dose for ongoing support, or as-needed dosing for 36-hour responsiveness. Often included in our subscription tiers and as an add-on to TRT protocols.

  • Cadence2.5–5 mg daily or 10–20 mg as needed.
  • DurationUp to 36 hours per as-needed dose.
  • Pricing$30 / mo standalone, or included in Tier 3.

Sildenafil

As-needed dosing. 4–6 hour duration.

Generic Viagra. As-needed dosing for spontaneous responsiveness over a 4-6 hour window.

  • Cadence25–100 mg as needed.
  • Duration4–6 hours per dose.
  • Pricing$25 / mo for monthly supply.

PT-141

When standard ED meds aren't enough.

Bremelanotide. A peptide that acts on central pathways for libido and arousal — distinct from sildenafil/tadalafil, which act on vascular pathways. Useful when standard treatments don't address the underlying issue.

  • FormatSubcutaneous injection, as needed.
  • MechanismCentral melanocortin pathway activation.
  • Pricing$80 / mo, or included in Tier 3.

Combination therapy

Hormones plus sexual health.

Many men benefit from combining hormone optimization (TRT) with sexual health prescriptions for comprehensive results. Your provider will design a protocol around your labs, goals, and what's worked or hasn't worked before.

— From the clinic

Sexual health concerns are usually a symptom, not a standalone problem. We look at hormones, sleep, stress, vascular health, and meds before we hand someone a pill — because the right plan addresses the underlying cause.
Stria Medical DirectorInternal Medicine, Men's Health · MD, board-certified

— What members say

Private, evidence-based, no script-reading.

Discreet packaging, refills on schedule, and a provider who actually asked questions about my health history instead of a one-page intake. That made the difference.

P.R.

Daily tadalafil · Member since 2024

Standard ED medications weren't enough for me. The provider walked me through PT-141 with full transparency about how it works and what to expect. Different mechanism, real result.

F.D.

PT-141 · Member since 2024

Combining TRT and tadalafil daily wasn't on my radar — my provider suggested it after reviewing my labs. The combined effect was noticeably better than either one alone.

W.A.

TRT + tadalafil · Member since 2024

— Next step

Start with the assessment.

15 minutes. Free to take. You don’t pay until a licensed provider approves your protocol.