Confidence, delivered privately.

MensMD Sexual Health is for adult men experiencing erectile dysfunction, premature ejaculation, or symptoms of low testosterone (fatigue, low libido, mood changes, muscle loss). Best suited for men who want medical oversight and proper diagnosis, value discretion, and prefer not to discuss these issues with their family physician. Not suitable for: men under 18, those with severe cardiovascular conditions, certain heart medications (specifically nitrates), severe hypotension, or active prostate cancer (for TRT specifically). Eligibility is determined by physician screening.

We treat three core areas: Erectile Dysfunction (ED), Premature Ejaculation (PE), and Low Testosterone (Low T). Each is treated with physician oversight, appropriate screening, and ongoing monitoring. The protocol is matched to your specific symptoms, biology, and lifestyle — not a one-size-fits-all approach.

Privacy is built into every layer. Your assessment and consultation are confidential and DPDP-compliant. Medication ships in plain packaging with no labels mentioning what's inside or who it's from. Billing appears generically — no medication or program references. Your health records are encrypted and never shared with your insurance company unless you authorise it. Discretion is non-negotiable for us.

Six FDA-approved medications across three categories: PDE5 inhibitors (Sildenafil, Tadalafil, Vardenafil, Avanafil) for erectile function; topical treatments (Sildenafil cream, Lidocaine spray) for ED or premature ejaculation; and Testosterone Replacement Therapy (Cypionate injection, gel, patches) for low T. Your physician selects the right option based on your screening results, lifestyle, and preferences.

Common side effects (in ~10–20% of users): headache, flushing, nasal congestion, indigestion, visual disturbances (bluish tint), muscle aches. These typically diminish over time and at lower doses. Rare but serious: priapism (erection lasting >4 hours requires immediate medical attention), sudden hearing loss, sudden vision changes. PDE5 inhibitors are absolutely contraindicated with nitrate medications (used for chest pain) and can cause dangerous blood pressure drops.

Common: acne, oily skin, fluid retention, increased red blood cell count (hematocrit), increased oestrogen levels, sleep disruption. Less common: mood swings, breast tenderness. Serious risks: cardiovascular concerns in some patients, fertility impact (TRT can reduce sperm production — discuss this before starting if you plan to have children), worsening of sleep apnoea, potential effects on prostate health. We monitor bi-weekly to catch any issues early.

PDE5 inhibitors and topicals work on demand — within 15–60 minutes of taking them. TRT effects are gradual: increased energy and libido typically within 2–4 weeks, mood improvements in 1–2 months, full effects (muscle mass changes, body composition) over 3–6 months. Your physician will adjust dosing based on how your body responds.

Currently MensMD is a direct-to-consumer program not billed through insurance. This is intentional — it keeps your sexual health records out of your insurance file. Some medications may be partially reimbursable through certain plans if you choose to submit on your own — we provide receipts and prescription details. There are no hidden costs; all pricing is transparent upfront.

Yes. There are no contracts or commitment periods. You can cancel any month. For TRT, your physician will guide you on safe tapering or transition off therapy if appropriate. We don't lock you in — we want you in the program because it's working.

Only if you tell them. We don't share information with your primary care physician unless you explicitly authorise it. Your insurance company will only see this if you submit claims (which we don't do on your behalf). Your prescription records remain confidential in our system. Billing on your statement appears as a generic charge — no medication or sexual health references.

Some men don't qualify based on screening — cardiovascular issues for PDE5s, certain prostate concerns for TRT, or other contraindications. If that's the case, your physician will explain why and discuss alternative options: lifestyle modifications, behavioural techniques, addressing underlying causes (sleep, stress, weight, certain medications you might be taking), or referral to a specialist if needed. The consultation isn't wasted — you leave with a clear understanding of your situation and next steps.