Men’s Sexual Health
Real medication, Real results
Clinician-prescribed ED treatments designed for how you live. Choose fast on-demand power, daily readiness, or both—delivered discreetly with simple monthly refills.
Featured In
What we offer today
Clinician-guided ED options, from familiar generics to multi-active AV formulas — prescribed online and delivered discreetly.
AV FORMULAS
3 options · from $99.99/mo
AV ROCKET™
Tadalafil 20 mg + Sildenafil 70 mg. Strong same-day performance with weekend-length coverage, two PDE5s paired under clinician direction.
starting price
AV Marathon Gum
Tadalafil 5 mg + Vardenafil 5 mg + Vitamin D3 200 IU + Vitamin K2 1 mg. A set-it-and-forget-it daily plan, with D3 and K2 for supportive vascular health.
starting price
AV Rejuvenate
Tadalafil 5 mg + NMN 50 mg. Daily tadalafil for steady readiness, with NMN to support the NAD+ pathway and cellular energy.
starting price
GENERIC OPTIONS
2 options · from $49.00/mo
Sildenafil, multiple strengths available. A fast-window, on-demand option for planned use — choose your strength at intake.
starting price
Sildenafil, multiple strengths available. A fast-window, on-demand option for planned use — choose your strength at intake.
starting price
Tadalafil 5 mg. A longer-window option for less clock-watching and more natural timing.
starting price
Tadalafil 20 mg. A longer-window option for less clock-watching and more natural timing.
starting price
AV FORMULAS
3 options · from $99.99/mo
AV ROCKET™
Tadalafil 20 mg + Sildenafil 70 mg. Strong same-day performance with weekend-length coverage, two PDE5s paired under clinician direction.
starting price
AV Marathon Gum
Tadalafil 5 mg + Vardenafil 5 mg + Vitamin D3 200 IU + Vitamin K2 1 mg. A set-it-and-forget-it daily plan, with D3 and K2 for supportive vascular health.
starting price
AV Rejuvenate
Tadalafil 5 mg + NMN 50 mg. Daily tadalafil for steady readiness, with NMN to support the NAD+ pathway and cellular energy.
starting price
GENERIC OPTIONS
2 options · from $49.00/mo
Sildenafil, multiple strengths available. A fast-window, on-demand option for planned use — choose your strength at intake.
with 3-month plan
Sildenafil, multiple strengths available. A fast-window, on-demand option for planned use — choose your strength at intake.
with 3-month plan
Tadalafil 20 mg. A longer-window option for less clock-watching and more natural timing.
with 3-month plan
AV FORMULAS
3 options · from $99.99/mo
AV ROCKET™
Tadalafil 20 mg + Sildenafil 70 mg. Strong same-day performance with weekend-length coverage, two PDE5s paired under clinician direction.
starting price
AV Marathon Gum
Tadalafil 5 mg + Vardenafil 5 mg + Vitamin D3 200 IU + Vitamin K2 1 mg. A set-it-and-forget-it daily plan, with D3 and K2 for supportive vascular health.
starting price
AV Rejuvenate
Tadalafil 5 mg + NMN 50 mg. Daily tadalafil for steady readiness, with NMN to support the NAD+ pathway and cellular energy.
starting price
GENERIC OPTIONS
2 options · from $49.00/mo
Generic Sildenafil
Sildenafil, multiple strengths available. A fast-window, on-demand option for planned use — choose your strength at intake.
starting price
Generic Tadalafil
Tadalafil 20 mg. A longer-window option for less clock-watching and more natural timing.
starting price
Ascend Vitality connects patients with licensed providers who may prescribe medication through state-licensed pharmacies. Prescription medication is only available if prescribed after an online consultation with a healthcare provider. Physicians may prescribe compounded medications as needed to meet patient requirements or drug shortages. The FDA does not review or approve any compounded medications for safety or effectiveness. Results may vary. Plans are offered as a subscription service which you can cancel at any time. Actual product packaging may appear differently than shown.
Four steps. Built for speed.
Most programs stall between intake, review and shipping. We run the whole path end to end — and keep going after your first delivery.
01 — GOALS
Tell us your goals
Complete a quick, secure intake.
02 — CLINICIAN
Meet your clinician
A licensed provider reviews your history and questionnaire to confirm eligibility.
03 — PHARMACY
Pharmacy ships
If prescribed, a 30-day supply of enclomiphene citrate capsules (12.5 mg or 25 mg daily) arrives in unmarked packaging with clear dosing instructions and unlimited provider messaging for titration.
04 — SUPPORT
Ongoing support
Manage refills, message your care team, and track progress in your portal.
Why Choose Ascend Vitality
Five reasons people choose us — what changes day to day, and what you never have to chase.
Cravings Way Down
Smaller portions feel natural; “food noise” fades so sticking with it is easier.
Cash-Pay Clarity
Up-front pricing, refill control, no surprise fees.
Momentum You Can Feel
Personalized options that help drive meaningful, sustainable loss when paired with healthy habits.
Fast, Friction-Free Care
Smart intake → clinician review → discreet delivery.
Trusted Operations
HIPAA-compliant systems, U.S. pharmacy fulfillment.
Certified by the organizations that set the standard.
Every accreditation below is actively maintained and independently audited — not marketing claims.
Independently audited
Renewed every year
Publicly verifiable
Independently verified
Audited & renewed annually
American Peptide Association
Certified peptide provider
HSA / FSA Eligible
Use pre-tax dollars at checkout
ASOP Global
Alliance for Safe Online Pharmacies
American Telemedicine Association
Member — clinical telehealth standards
LegitScript Certified
Verified legitimacy · monitored
American Telemedicine Association
Member — clinical telehealth standards
LegitScript Certified
Verified legitimacy · monitored
HSA / FSA Eligible
Use pre-tax dollars at checkout
ASOP Global
Alliance for Safe Online Pharmacies
American Peptide Association
Certified peptide provider
Independently verified
Audited & renewed annually
Audited annually · HIPAA-compliant platform · Board-certified clinicians
Pay with pre-tax dollars.
HSA and FSA cards are accepted on eligible treatments — checkout is powered by Stripe, so your benefits card works just like a regular payment card.
Use your HSA/FSA card at checkout
Enter your benefits card just like any Visa or Mastercard — payments are processed securely through Stripe.
Get an itemized, HSA-ready receipt
We automatically email a fully coded receipt with your provider details, accepted by every major benefits administrator.
Save 20–40% with pre-tax dollars
Most patients save hundreds per year by using pre-tax funds on eligible weight-loss, wellness, and prescription care.
HSA / FSA Eligible
Use pre-tax dollars on eligible treatments at checkout.
Powered by Stripe
Eligibility depends on your specific HSA/FSA plan and the treatment prescribed. We recommend confirming with your benefits administrator. Payments are processed by Stripe; Ascend Vitality never stores your card details.
Essential safety
These apply to every product we prescribe
Get emergency care
Emergency room or emergency services. Don’t message your care team first.
- Chest pain
- Sudden loss of vision
- An erection lasting longer than 4 hours
- Fainting
- Sudden loss of hearing
Never combine with
Nitrates or riociguat.
Nitrates include nitroglycerin and similar heart medicines. Riociguat treats pulmonary hypertension.
Tell your clinician about
Alpha-blockers, strong CYP3A inhibitors, and any heart, liver or kidney conditions.
If you’re unsure what you take, list everything and we’ll check.
Compounded medications are prepared for patient-specific needs and are not FDA-approved finished drugs. Use only as directed by your clinician. These apply to every product we prescribe.
Answers, upfront.
Straight answers on how Ascend Vitality works, what’s included, and what to expect after checkout.