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Sexual Wellness

Erectile Dysfunction

CategorySexual Wellness

Sildenafil & Tadalafil tablets

Starting at$41.58 / month
Erectile Dysfunction
Clinician
reviewed
Free
shipping
Licensed
US pharmacy

Sexual Wellness

Clinician-prescribed generic Viagra® (Sildenafil) or generic Cialis® (Tadalafil), as-needed or daily, on a monthly or multi-month plan.

Step 1 of 3Choose your medication

Directions

Take one tablet by mouth one hour before sex. Max 1 tablet per 24 hours. Do not use with nitrates.

Prescription products require review by a licensed physician. After checkout you'll receive member portal access to complete your medical intake form. A physician reviews it and, if you qualify, your medication is dispensed. Dosing is determined by your provider during review.

Sildenafil (Generic Viagra)

Support the blood flow behind an erection.

Sexual stimulation triggers the release of nitric oxide, increasing a signaling molecule called cGMP that helps blood vessels in the penis relax and fill. PDE5 naturally breaks that signal down. Sildenafil temporarily inhibits PDE5, allowing the erection-supporting signal to last longer and improving the vascular response to sexual stimulation. It doesn't manufacture desire or create an automatic erection. It helps your body respond more effectively when arousal is already there.

When the desire is there, support the response.

An erection depends on a coordinated vascular response: blood vessels relax, blood flow increases and the body responds to sexual stimulation.

Sildenafil supports that process through the PDE5 pathway, helping men with erectile dysfunction achieve and maintain an erection when the moment calls for it.

On-demand, clinician-guided treatment with dosing selected around your needs and response.

Tadalafil (Generic Cialis)

Give your body a longer window to respond.

An erection depends on blood vessels relaxing and allowing more blood to flow into the penis during sexual stimulation. Tadalafil temporarily inhibits PDE5, helping preserve the cGMP signaling involved in that vascular response. Taken as needed, tadalafil has been shown to support erectile function for up to 36 hours after a dose. Daily dosing offers another option for men who prefer treatment that doesn't need to be coordinated around each sexual encounter. It doesn't create desire or an automatic erection. It helps your body respond when arousal is already there.

More spontaneity. Less watching the clock.

Sex doesn't always happen on a schedule.

Tadalafil supports the vascular response behind an erection, with an extended treatment window that gives you more flexibility around when intimacy happens.

Choose an as-needed or daily approach, with dosing selected by your clinician around your health, preferences and response.

At a glance

On demand

Taken around sexual activity

PDE5

Supports erectile blood flow

Established

FDA-approved treatment for erectile dysfunction

Clinician guided

Dose selected around response + health

A better place to start

69 biomarkers. $79. On purpose.

We don't believe meaningful insight into your health should feel out of reach. Essentials gives you a broad baseline across key areas of your biology for $79.

Not as a promotion. As a principle.

Start with Essentials
A closer look

Erectile dysfunction can be a health signal.

An erection relies heavily on healthy blood vessels.

That's why a change in erectile function can sometimes tell us something beyond sexual performance. Cardiovascular health, glucose regulation, testosterone, medications and other factors can all influence the vascular and neurological processes behind an erection.

For some men, treating erectile dysfunction is also an opportunity to take a closer look at the biology underneath it.

Explore Labs

Morning Total Testosterone

Recommended as part of the evaluation for men with erectile dysfunction and helps identify testosterone deficiency when present.

Glucose + Hemoglobin A1c

Diabetes and impaired glucose regulation can affect blood vessels and nerves involved in erectile function.

Lipid Panel

Cholesterol and other cardiovascular risk factors can provide important context around vascular health.

Blood Pressure + Cardiovascular History

Erectile dysfunction and cardiovascular disease share many of the same underlying risk factors. Blood pressure and cardiovascular history are an important part of treatment evaluation.

Kidney + Liver Function

May be reviewed when health history, age or medications could affect sildenafil exposure or dosing.

Medication Review

Especially important for nitrates, blood-pressure medications, alpha-blockers and other erectile dysfunction treatments.

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