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Private sexual health care

Nothing towhisper about.

Clinician-prescribed sildenafil, tadalafil, vardenafil and PT-141. Evaluated privately, shipped plainly. From $95/mo.

Start private intakeExplore both sides
Licensed U.S. cliniciansPlain, unmarked packagingNo insurance, no paper trailLicensed U.S. pharmaciesCancel any timeIf you don’t qualify, you don’t payLicensed U.S. cliniciansPlain, unmarked packagingNo insurance, no paper trailLicensed U.S. pharmaciesCancel any timeIf you don’t qualify, you don’t payLicensed U.S. cliniciansPlain, unmarked packagingNo insurance, no paper trailLicensed U.S. pharmaciesCancel any timeIf you don’t qualify, you don’t payLicensed U.S. cliniciansPlain, unmarked packagingNo insurance, no paper trailLicensed U.S. pharmaciesCancel any timeIf you don’t qualify, you don’t pay

Two conversations

One night.
Two different questions.

Performance is a blood-flow question; desire begins in the brain. They are treated differently, and often for two people in the same bed. Pick your side.

01 · Performance

Performance · the tablets

Ready when you are.

Three PDE5 inhibitors and one clinician conversation. Take one an hour before, or a low daily dose so nothing needs scheduling.

  • Tadalafil
    from $95/mo
  • Sildenafil
    from $145/mo
  • Vardenafil
    from $149/mo
Start the performance intake
02 · Desire

Desire · PT-141

Desire, treated as desire.

Bremelanotide works upstream of blood flow, on the brain’s melanocortin pathway. Prescribed for women’s low desire; clinicians may also prescribe it for men.

  • PT-141
    from $165/mo
Start the desire intake

The tablets, compared

How long the door
stays open.

All three block the same enzyme. They differ in how quickly they start, how long the window lasts, and what they cost. Scroll and watch the hours pass.

0h6h12h18h24h30h36h
Elapsed 0h
  1. 01

    Sildenafil

    The original. Works best on a light stomach; a heavy meal slows it down.

    Onset 30–60 minUp to ~4–6 h
    On demand
    $145/moStart sildenafil
  2. 02

    Vardenafil

    A close relative of sildenafil in a different molecule, for men who want an alternative.

    Onset 30–60 minUp to ~4–6 h
    On demand
    $149/moStart vardenafil
  3. 03

    Tadalafil

    Food does not change it. Taken as a low daily dose, there is nothing to plan.

    Onset 30 min–2 hUp to 36 h
    On demand, or low-dose daily
    $95/moStart tadalafil

And separately, PT-141

Not a tablet. Not a window. A different question.

Bremelanotide is injected under the skin about 45 minutes before intimacy, no more than once in 24 hours and up to eight times a month. It acts on desire rather than blood flow, so it is not measured in hours of effect.

$165/moStart PT-141

Onset and duration figures come from the published prescribing information for the brand-name versions and are typical ranges, not guarantees. Compounded medications are not FDA-approved. Your clinician sets your dose. Individual results vary.

In the body

What each one
actually does.

Three sentences, no hand-waving. If you want the long version, your clinician will happily give it.

  1. 01The signal

    Arousal sends the signal. Nitric oxide relaxes the vessels, and blood flows in.

    That is how it is meant to work. For many men it still does, just less reliably than it used to.

  2. 02The tablets

    PDE5 is the enzyme that switches it off. Sildenafil, tadalafil and vardenafil hold that switch open.

    They do not create arousal. They let the response you already have last long enough to matter.

  3. 03PT-141

    Desire starts earlier, in the brain. Bremelanotide acts on melanocortin receptors there, upstream of blood flow.

    Which is why it can help when the problem was never blood flow in the first place.

For both of you

The night is still yours.

Whatever changed, blood flow, desire, or both, it is treatable. And it is treatable quietly, without a waiting room or a conversation at the counter.

Discretion

Nobody needs
to know.

Not the pharmacist, not the front desk, not the person who signs for your packages. That is the whole design.

What the label says
VITL · your name · your address.
That is all.
  • 01

    Plain packaging

    An unmarked box. Nothing on the outside says what is inside, and nothing on the inside is loud about it either.

  • 02

    Private evaluation

    A written intake reviewed by a licensed clinician. No waiting room, no small talk, no explaining yourself twice.

  • 03

    No pharmacy counter

    Filled by a licensed U.S. pharmacy and shipped to your door. Nobody reads your name off a bag.

  • 04

    No paper trail

    Nothing is billed to insurance, so nothing appears on a statement. Your records are HIPAA-protected and yours.

Honest medicine

We’ll say no
when we should.

These are prescriptions. The clinician reviewing yours is looking for reasons to decline as carefully as reasons to approve. Some of them are absolute.

Sildenafil · Tadalafil · Vardenafil

For the tablets

  • You take nitrates for chest pain (nitroglycerin, isosorbide) or riociguat
  • A heart attack or stroke in the last six months
  • Blood pressure that is uncontrolled, high or low
  • You have been told sexual activity is unsafe for your heart
  • Severe liver or kidney disease, or a history of sudden vision loss (NAION)

Bremelanotide

For PT-141

  • Uncontrolled high blood pressure
  • Known cardiovascular disease
  • Pregnant, breastfeeding or trying to conceive
  • Medications that interact with it, which we check one by one

Not a complete list. Your clinician reviews your full history and every medication you take before anything is prescribed.

Pricing

One number
per month.

Medication, clinician evaluation and shipping, billed monthly after approval. If you don’t qualify, you don’t pay.

  1. 01

    Tadalafil

    Lowest price

    The long window. Up to 36 hours, or a low daily dose.

    Tablet · On demand or daily$95/mo
  2. 02

    Sildenafil

    The original PDE5 inhibitor, about an hour before.

    Tablet · On demand$145/mo
  3. 03

    Vardenafil

    An alternative molecule with a similar window.

    Tablet · On demand$149/mo
  4. 04

    PT-141

    Acts on desire in the brain, about 45 minutes before.

    Injection · As needed, up to 8×/mo$165/mo
  • Licensed clinician evaluation and follow-ups
  • Medication from a licensed U.S. pharmacy
  • Plain packaging, shipped to your door
  • Adjust dose or switch molecule with your clinician
  • Unlimited messaging with your care team
  • Cancel or pause any time

Prescription required. Clinician-reviewed compounded or generic medications; compounded medications are not FDA-approved. Individual results vary. Prices shown are current monthly program rates.

Overheard

Dinner, unplanned.

Members

Said quietly,
then said to us.

  • “I take the daily one. There is no pill-in-the-pocket moment anymore, and honestly that was the whole point.”
    Daniel R.Tadalafil · Daily · Verified member
  • “I had stopped wanting to, and I had stopped talking about it. Forty-five minutes before, and I am back in the room.”
    Priya N.PT-141 · Verified member
  • “The box could have been a phone charger. Nobody blinked, including me.”
    Marcus T.Sildenafil · On demand · Verified member

Questions

Asked often,
answered plainly.

All three block the same enzyme, PDE5. Sildenafil and vardenafil act within about an hour and last several hours, so they suit planned, on-demand use. Tadalafil lasts up to 36 hours and is also prescribed as a low daily dose, which removes timing altogether. Your clinician recommends based on your health history and how you want to use it, and you can switch later.

Your move

Say it once. Then stop thinking about it.

A private evaluation that takes a few minutes. A licensed clinician reviews it, usually within 72 hours. Medication ships plainly to your door if prescribed.

Start private intakePrescription required · If you don’t qualify, you don’t pay