Confidence in the moments that matter, handled discreetly.
Treatments for erectile dysfunction and low desire, for men and women, prescribed by a licensed clinician and delivered in plain packaging.

Every option, priced in full.
Your clinician recommends the right one for your history and goals. Prices include medication, shipping and your clinician's reviews.
A small daily dose so you're ready any time, without planning ahead.
- Erections
- Always ready
Take before sex; works for up to 36 hours.
- Erections
- Lasts up to 36 hours
The active ingredient in Viagra, at a compounded strength.
- Erections
- As needed
Works on desire in the brain rather than blood flow. The same molecule as FDA-approved Vyleesi, which is approved for premenopausal women.
- Desire
- Arousal
- Desire
- Performance
- Desire
- Arousal
Images are for illustration. Your medication is prepared and shipped directly by a licensed US pharmacy, so vials, labels and packaging may look different.
Safety, in plain words.
- Compounded medications are not FDA-approved. Brand names are mentioned only to identify the active ingredient.
- Never take tadalafil or sildenafil with nitrates (such as nitroglycerin) or with riociguat. The combination can drop blood pressure dangerously.
- Get medical help right away for an erection lasting more than 4 hours.
Before you set out.
What if the clinician doesn't approve me?
Then you pay nothing. When you finish your health questions we place a $50 hold on your card, not a charge. It becomes a charge only if a clinician prescribes treatment. If they don't, the hold is released.
Is Vitascend a pharmacy or a medical practice?
Neither. Vitascend is the company you sign up and pay with. Your care comes from independent, licensed clinicians who make every prescribing decision, and your medication is prepared by a licensed US compounding pharmacy.
What does "compounded" mean, and is it safe?
A compounded medication is prepared by a licensed pharmacy for an individual patient's prescription. Compounded medications are not FDA-approved, which means the FDA doesn't review them for safety, effectiveness or quality before they're dispensed. Licensed pharmacies are regulated and inspected by their state boards, and your clinician will talk you through the risks.
What's included in the price?
Your medication, shipping (cold-packed when it needs to be) and your clinician's reviews for as long as you're on the plan. The one extra is the $50 visit fee on your first order, and only if you're approved. There's nothing to pay for renewals beyond the plan price.
How does the 3-month plan work?
You pay for three months at a time at a lower monthly price. Around day 75 we check in on how you're doing; your clinician reviews it and your next three months ship before you run out. Nothing renews without that check-in.
Start your sexual health route.
About ten minutes of questions. If you aren't approved, you pay nothing.