New Sermorelin oral capsules are now available.
Explore SermorelinPrivate, clinician-guided care
Explore prescription erectile-dysfunction options through a confidential online intake, licensed-provider review, and discreet fulfillment when approved.Explore private ED treatment options with confidential intake and licensed-provider review.
Prescription required · Not for women or children · Individual results vary

Provider-reviewed options.
Understanding ED
Your health is under your control.
Own it.
Erectile dysfunction can be associated with blood flow, stress, hormone balance, medications, and other health conditions. A licensed provider evaluates the full picture instead of treating it as “just in your head.”
Cardiovascular health
Blood pressure, cardiac history, and whether sexual activity is medically advisable.
Current medications
Nitrates, riociguat, and other medicines can make ED treatment unsafe.
Health history
Kidney, liver, vision, hearing, and other relevant conditions are reviewed.
Personal goals
Your concerns and preferences help shape the provider’s recommendation.
Compare at a glance
Two formulas.
One clinical decision.
Neither option is automatically appropriate. Your provider selects the formulation and instructions after reviewing your intake.
Compare pathway, formula, format, supply, and one-time total.



- Primary pathway
- Provider-directed compounded care
- Published formula
- Tadalafil / apomorphine · 40 mg / 6 mg or 80 mg / 6 mg
- Format
- Compounded troche
- Supply options
- 30-Day Performance Kit · 20 troches; 90-Day Maximum Value · 60 troches
- One-time total from
- From $200

- Primary pathway
- Blood-flow support
- Published formula
- Oxytocin 100 IU + tadalafil 10 mg + sildenafil 30 mg
- Format
- Sublingual troche
- Supply options
- 20 troches · 30-day supply; 60 troches · 90-day supply
- One-time total from
- From $250
One confidential process
Take control of your performance
with total privacy.Private care. Clear next steps.
01Choose a direction
Compare treatment paths and understand the options before beginning an intake.
02Complete your intake
Share your medical history, current health information, and goals through a private online process.
03Provider review
A licensed U.S. provider reviews your intake and may consult by secure messaging or video, depending on state requirements.
04Receive clear next steps
If approved, your prescription is fulfilled by a partner pharmacy with instructions and tracking.
Safety before treatment
Your full health picture comes first.
Do not use ED medications with nitrates or guanylate cyclase stimulators such as riociguat. Tell your provider if you have cardiovascular disease, low blood pressure, advanced kidney or liver disease, or have been advised against sexual activity for cardiac reasons.
Possible side effects vary by formulation and may include headache, flushing, nausea, upset stomach, dizziness, or low blood pressure. Tell your provider about all medicines, including other ED treatments and nausea medicines such as ondansetron.
Seek emergency care for chest pain, sudden vision or hearing changes, severe symptoms of low blood pressure, or an erection lasting more than four hours.
Valexor and Auravex are compounded prescription medications. The finished compounded combinations are not reviewed or approved by the FDA as finished drug products.
View complete safety informationPrivate care experiences
Care that feels
clear from the start.
01 “The online visit, private prescription, and discreet delivery avoided waiting rooms and awkward in-person conversations.”
02 “A lunchtime telehealth consultation, clear instructions, and simple refills made treatment fast, private, and practical.”
03 “The provider was straightforward, the treatment fit an established routine, and everything was handled without a clinic visit.”
Common questions
Private care,
explained.
Will treatment cause an automatic erection?
No. Sexual stimulation is still required. These medications support the physiological response but do not create an automatic erection.
How do Valexor and Auravex differ?
Valexor contains tadalafil / apomorphine in 40 mg / 6 mg or 80 mg / 6 mg troches. Auravex uses Mount Rushmore: oxytocin 100 IU, tadalafil 10 mg, and sildenafil 30 mg. Both offer 20 troches for 30 days or 60 troches for 90 days. A licensed provider determines suitability, dose, and instructions.
Which Valexor plans are available?
Both Valexor strengths are offered in the 30-Day Performance Kit with 20 troches and the 90-Day Maximum Value plan with 60 troches. Prices shown are one-time totals from the live store catalog, with consultation and discreet delivery included. Supply length is not a dosing schedule; use only as directed by your provider.
Can I use these treatments with nitrates?
No. ED medications must not be combined with nitrates or guanylate cyclase stimulators such as riociguat because the combination can cause a dangerous drop in blood pressure.
Are these finished products FDA-approved?
No. Valexor and Auravex are compounded prescription medications. The finished compounded combinations are not reviewed or approved by the FDA as finished drug products.
Is a prescription required?
Yes. A licensed U.S. provider reviews your intake and issues a prescription only when treatment is clinically appropriate.
Are results guaranteed?
No. Individual response varies. Treatment suitability, formulation, dose, and instructions are determined by a licensed provider.
How long will the effects last?
Timing varies by the selected formulation, dose, food intake, health history, and individual response. Sildenafil-based and tadalafil-based pathways have different expected windows, so follow the instructions provided with your prescription rather than relying on a fixed duration.
Can I drink alcohol while using treatment?
Alcohol can reduce erectile response and may increase dizziness, headache, or low-blood-pressure symptoms. Discuss your usual alcohol intake with your provider and follow their guidance.
Can ED treatment be taken every day?
Only when your provider prescribes a daily schedule. Some options are intended for on-demand use, while certain tadalafil pathways may use a different schedule. Never take treatment more often than directed.
Does ED treatment permanently increase size?
No. ED treatment does not permanently change anatomical size. It supports the physiological erectile response when clinically appropriate.
When you are ready
