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Men's Sexual Health

It isn't in your head. It's usually blood flow or hormones.

Low desire, trouble getting or staying hard, finishing too fast, orgasms that feel flat. These are physical problems with physical causes, and they have established treatments. A US-licensed provider works out which mechanism is involved, then prescribes for that one.

Discreet packagingFree shippingNo video call required

State eligibility confirmed during your intake. No charge until a provider approves.

A couple in their forties sitting close together at home in morning light

Any of this sound familiar?

  • ·Low or no desire
  • ·Trouble getting an erection
  • ·Trouble keeping an erection
  • ·Finishing sooner than you want
  • ·Orgasms that feel weak or flat
  • ·Just not interested anymore

Most of this comes down to circulation, hormones, medication side effects, or stress. Four different causes, four different treatments. Guessing costs you months.

A man in his late forties sitting at home, looking directly at camera

/ why we built this differently

Assessment based on your physiology

Blood flow and desire are different problems with different treatments. A US-licensed provider reviews your intake properly and prescribes for the one you have. Discreet, private, and shipped free.

See treatment options →

What the review covers

  1. 01Whether the problem is circulation, desire, or both
  2. 02Cardiovascular history and current medications
  3. 03Nitrate use, which rules out PDE5 medications entirely
  4. 04Blood pressure, and whether it changes what is safe
  5. 05Which mechanism fits, and the dose to start at

A checkbox quiz does not cover this. That is the difference.

Three options, all confirmed with your provider.

Priced per pack rather than as a monthly subscription. Complete your intake and a US-licensed provider will confirm what is appropriate for you before anything is prescribed.

Compounded Quattro, prescribed as a sublingual doseNew

Quattro 4-in-1 Oral Tincture

Combines vardenafil, apomorphine, sildenafil, and tadalafil in a 2 mL oral solution, taken only when you need it.

  • 2 mL oral solution, held under the tongue
  • Faster uptake
  • Prescribed after clinical review

$74/5-pack

Also in 10, 15 and 20-packs · not a subscription

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Compounded sildenafil tabletsOn demand

Sildenafil

The same active ingredient as Viagra, without the brand tax. Typically taken 30 to 60 minutes ahead, with a duration of about four hours.

  • 50 mg or 100 mg, orally disintegrating
  • Taken ahead of time, on demand
  • Same active ingredient as Viagra
  • Prescribed after clinical review

$26.80/6 tablets

Also in 12 and 18-packs · not a subscription

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Compounded tadalafil tabletsLonger window

Tadalafil

A longer-acting PDE5 option, which is the reason a provider chooses it over sildenafil. Same active ingredient as Cialis.

  • 20 mg, orally disintegrating
  • A longer dosing window
  • Same active ingredient as Cialis
  • Prescribed after clinical review

$26.56/6 tablets

Also in 12 and 18-packs · not a subscription

Get started →

Prices shown are the starting pack size; your provider confirms the pack and strength that fit you. You're not charged until a licensed provider reviews your intake and approves treatment, and nothing is prescribed without that review. Viagra and Cialis are registered trademarks of their respective owners and are named only to identify the active ingredient. BaselineRx is not affiliated with, endorsed by, or sponsored by those brands, and compounded medications are not FDA-approved.

What treatment is aimed at.

No promises. Here is what these medications are prescribed to address, and what your provider is deciding between.

A couple in their forties laughing together in a sunlit kitchen

Erectile function

What the PDE5 options are prescribed for, and what most people come here to talk about.

Desire and arousal

A different problem from circulation, with different treatment options. Which is why the review asks about both.

Performance anxiety

Often downstream of the physical problem rather than the cause of it, which is why treating the mechanism is the starting point.

Individual response varies. A provider will tell you what is realistic for your situation, and will decline to prescribe if treatment is not appropriate for you.

Frequently asked questions.

Which treatment do I need?+

Sildenafil and Tadalafil are PDE5 inhibitors that act on blood flow, and they differ mainly in how long the dosing window lasts. Quattro is a combination oral tincture, held under the tongue rather than swallowed. They are prescribed for different situations, and that is exactly what the clinical review is for.

How is this priced?+

Sildenafil and Tadalafil are priced per pack of tablets rather than as a monthly subscription, and Quattro is sold per pack as a treatment you take only when you need it. Your intake is reviewed by a US-licensed provider, who confirms what is appropriate for you and what it costs before anything is prescribed or charged.

What does "compounded" mean, and is it FDA-approved?+

Compounded medications are prepared specifically for you by a licensed pharmacy. They are not FDA-approved in the same way as commercially manufactured drugs, and the FDA does not verify their safety, effectiveness or quality. Your provider will walk you through what that means for your specific treatment.

Is this discreet?+

Yes. Plain packaging, no branding on the outside, shipped directly to your door at no cost.

Do I need a video call?+

Not usually. Your intake is reviewed asynchronously by a US-licensed provider, who will reach out if anything needs a conversation before prescribing.

Are Sildenafil and Tadalafil peptides?+

No, and we would rather be precise about it. They are PDE5 inhibitors, a class of small-molecule medication. Anyone telling you otherwise is being loose with the science.

Or keep both dosing windows covered.

Sildenafil and Tadalafil are both PDE5 inhibitors, so they work the same way and differ mainly in how long the window lasts. They are not taken together. Your provider decides whether keeping both on hand is appropriate for you before anything is prescribed.

Stack of two

Sildenafil + Tadalafil

A shorter-acting option for the nights you plan and a longer-acting one for the nights you do not. Most people who use both keep one of each on hand, and take one or the other rather than both at once.

From $53.36 for a 6-pack of each

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Not sure yet

Start with the review

You do not have to diagnose yourself before you buy. Complete the intake, and a provider will tell you which mechanism to treat first.

No charge until a provider approves treatment

Start my intake

Stop guessing which problem you have.

A few minutes of intake, a real clinical review, and a prescription aimed at the mechanism that is actually involved.

Get started →

Takes about 5 minutes · No charge until a provider approves