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.
U.S.-Licensed Clinicians
Discreet Delivery
Cash-Pay Simplicity
Easy Monthly Refills
Get the results you’re looking for
Explore solutions designed to help you feel confident, prepared, and in control of your sexual wellness.
Long Window + On-Demand Power
AV ROCKET™
Starting at $99.99/month
As low as with 6-month plan
Actives: Tadalafil 20 mg + Sildenafil 70 mg
- Strong same-day performance with weekend-length coverage
- Two PDE5s paired under clinician direction
- Great for bigger nights and flexible timing
Daily Baseline Readiness
AV Marathon Gum
Starting at $99.99/month
As low as with 6-month plan
Actives: Tadalafil 5 mg + Vardenafil 5 mg + Vitamin D3 200 IU + Vitamin K2 1 mg
- Set-it-and-forget-it daily plan for spontaneity
- Micro-dose short-acting PDE5 to support responsiveness
- D3 + K2 added for supportive vascular health
Daily Spontaneity + Cellular Support
AV Rejuvenate
Starting at $99.99/month
As low as with 6-month plan
Actives: Tadalafil 5 mg + NMN 50 mg
- Daily tadalafil for steady readiness
- NMN to support the NAD⁺ pathway and cellular energy
- Simple routine with clinician follow-up
On-Demand
Generic Sildenafil
Starting at $49.00/month
As low as with 6-month plan
Actives: Sildenafil (multiple strengths available)
- Fast-window, on-demand option for planned use
- Straightforward, familiar ED medication choice
- Choose strength, complete intake, discreet delivery if prescribed
Long Window
Generic Tadalafil
Starting at $49.00/month
As low as with 6-month plan
Tadalafil 20 mg
- Longer-window option for less clock-watching
- Designed for flexibility and more natural timing
- Simple online intake + discreet delivery if prescribed
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.
Generics vs. Brand names— what you’re actually getting
We use the same FDA-approved active ingredients found in well-known brand-name ED medications. You’ll see the ingredients and strengths on every product so there’s no guesswork.
Sildenafil (citrate)
Brand-Name Reference: Viagra®
Where We Use It
AV Rocket™
Tadalafil
Brand-Name Reference: Cialis®
Where We Use It
AV Rocket™
AV Marathon
AV Rejuvenate
Vardenafil
Brand-Name Reference: Levitra®
Where We Use It
AV Marathon
Avanafil
Brand-Name Reference: Stendra®
Where We Use It
Not used in these formulas
Brand names are used for reference only; all trademarks are the property of their respective owners. Our combination products are compounded for you by licensed pharmacies and are not FDA-approved finished drug products.
How Ascend Vitality Works
Tell us your goals. Complete a quick, secure intake
Meet your clinician. A licensed provider reviews your history and questionnaire to confirm eligibility.
Pharmacy ships. If prescribed, your medication is delivered discreetly with simple instructions.
Ongoing support. Manage refills, message your care team, and track progress in your portal.
Why Choose Ascend Vitality
Clarity First
Exact ingredients and strengths listed on every product
Personalized Care
Clinician-guided dosing, not one-size-fits-all.
Cash-pay Simplicity
Straightforward monthly pricing
Private & discreet
Plain packaging; secure patient portal.
Essential Safety
(Applies to all products)
- Do not use with nitrates (e.g., nitroglycerin) or riociguat.
- Tell your clinician about alpha-blockers, strong CYP3A inhibitors, or heart/liver/kidney issues.
- Seek urgent care for chest pain, fainting, sudden vision/hearing loss, or erections lasting > 4 hours.
Compounded medications are prepared for patient-specific needs and are not FDA-approved finished drugs. Use only as directed by your clinician.
You have questions? Get the results
Frequently Asked Question