Pill Icon PHYSICIAN-PRESCRIBED Sexual Health OPTIMIZATION

Optimize Sexual Health With Science

Clinically backed Sexual Health treatment with physician support, delivered discreetly to your door.

4.8/5 from 12,000+ patients
SHOP TREATMENT
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Clinically Proven Results

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Physician Guided Care

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High-Quality

Ingredients

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Discreet &

Covenient

Choose Your Treatment

MEN'S SEXUAL HEALTH Treatments

Select your medication, dosage, and plan below. All prices include doctor visit, prescription & free shipping.

Generic Viagra Sildenafil
MOST POPULAR

Generic Viagra Sildenafil

As-needed ED treatment, taken 30-60 minutes before activity; lasts 4-6 hours.

$60 /month

All-inclusive, no hidden fees

Supports stronger erections with sexual stimulation.
Improves blood flow to support erectile function
Available in common strengths such as 50mg and 100mg
Taken as needed before sexual activity
Physician's prescribed
No insurance required
ORDER GENERIC VIAGRA $60/MO
Generic Cialis Tadalafil · ED
PREMIUM CHOICE

Generic Cialis Tadalafil · ED

As-needed ED treatment with effects lasting up to 36 hours. Take 30 min before activity.

$60 /month

All-inclusive, no hidden fees

Helps support stronger, longer-lasting erections
Improves blood flow to support erectile function
Available in common strengths such as 10mg and 20mg
Longer effectiveness than many ED options.
Physician-prescribed & monitored
Trusted for daily or as-needed use.
ORDER GENERIC CIALIS $60/MO
PRESCRIPTION TREATMENT

Cialis Daily Tadalafil ED
MOST POPULAR

Cialis Daily Tadalafil ED

Daily low-dose Tadalafil so you're always ready. One tablet every day no planning needed.

$90 /month

All-inclusive, no hidden fees

Daily support for erectile function
Helps improve healthy blood flow
Taken once daily for more natural readiness
No need to time each dose before intimacy
Physician's prescribed & monitored
Trusted daily ED treatment option
ORDER CIALIS DAILY $90/MO
Sertraline PE
PREMIUM CHOICE

Sertraline PE

Daily low-dose Sertraline for premature ejaculation. Clinically proven to increase time to climax. Take 1 daily.

$60 /month

All-inclusive, no hidden fees

Helps support better ejaculatory control
May help delay ejaculation when prescribed appropriately
Used off-label for premature ejaculation support
Discreet treatment for men’s sexual confidence
Physician-prescribed & monitored
Convenient monthly treatment plan.
ORDER SERTRALINE PE $180/3 MO
Clinically Backed Ingredients
Discreet Shipping Nationwide
No Insurance Required
Find Your Treatment Option

PT-141
MOST POPULAR

PT-141

A melanocortin peptide supporting sexual health and performance for men and women working centrally through the nervous system

$189 /month

All-inclusive, no hidden fees

Sexual health & neurological signaling support
Standard pharmaceutical formulation
Physician-guided injection
Physician-prescribed
ORDER PT-141 $189/MO
Physician-Prescribed & Monitored
Clinically Backed Ingredients
Discreet Shipping Nationwide
No Insurance Required
Sexual health treatments may include FDA-approved medications such as sildenafil, tadalafil, and other physician-prescribed options used to support erectile function, sexual performance, or related concerns. Some treatments may also be prescribed off-label when medically appropriate. All medications should be prescribed only after review by a licensed medical provider, as they may cause side effects or interact with other medications. Compounded or off-label treatments are not FDA-approved for every use and may not have been reviewed for safety, effectiveness, or quality for that specific purpose.
THE HERMANRX DIFFERENCE

Everything Included. No Hidden Fees.

Other telehealth companies charge membership fees, consultation fees...

No Membership Fees

No Membership Fees

Zero subscription fees.Your medication cost covers everything.

Competitors charge $79 - $149/mo
Doctor Visits Included

Doctor Visits Included

Physician consultation, prescription, and ongoing clinical oversight - all included.

Competitors charge $50 - $150 per visit
Free Shipping

Free Shipping

Free shipping in discreet packaging, delivered to your door.

Competitors charge $5-$15 per shipment
24/7 Customer Support

24/7 Customer Support

Questions at midnight? We're here. Reach our support time anytime day or night.

Competitors limited business hours.
24/7 Doctors Access

24/7 Doctors Access

Direct access to our physician network around the clock. Adjust your protocol.

Competitors require appointments.
Cancel Anytime

Cancel Anytime

No contracts, No commitments. Cancel with your member portal with a few clicks.

Competitors cancellation fees applies
HIPAA COMPLIANT

HIPAA COMPLIANT

LICENSED PHYSICIAN

LICENSED PHYSICIAN

FREE DISCREERT SHIPPING

FREE DISCREERT SHIPPING

HIPAA COMPLIANT

HIPAA COMPLIANT

US - LICENSED PHARMACY

US - LICENSED PHARMACY

YOUR JOURNEY

Three SimpleSteps

01
02
03
Choose Your Protocol

Choose Your Protocol

Select the sexual health treatment that best fits your needs, such as erectile dysfunction support, performance and confidence.
~5 minutes
Physician Review

Physician Review

A US-licensed physician reviews your order within 24 hours and confirms your treatment is appropriate for your health profile.
~24 Hours
Ships Complete at Door

Ships Complete at Door

Your treatment ships free in plain, discreet packaging. Injectable orders include your full supply kit .
~72 Hours
WHY HERMANRX

Experience The Difference

01

Clinically Proven

Contains the same active ingredient as Viagra® (Sildenafil ) clinically proven to help improve erectile function.

Fast & Easy
02

Fast & Easy

Order online in 5 minutes. No office visit, no waiting rooms. Your physician reviews your profile and your meds ship within 72 hours.

Transparent Pricing
03

Transparent Pricing

No hidden fees See the price upfront what you see is what you pay. All-inclusive pricing with physician oversight.

Expert Clinicians
04

Expert Clinicians

Every prescription is overseen by a fully licensed, insured physician. Ongoing clinical support throughout your treatment journey.

Real results. Real support. Real difference.
Your health. Our mission.

Trusted by Patients Nationwide

J
Jade R.
7 months ago
★★★★★

HermanRX has a very smooth process, which took some stress off of my weight loss journey. A supportive team that had what I needed for this journey, including reliability.

Hailee M.
7 months ago
★★★★★

I was a little skeptical at first, but honestly this is the easiest process I've gone through. The delivery was fast, everything was clearly explained, and I started noticing changes in weeks.

H
Hannah C.
7 months ago
★★★★★

HermanRX has been amazing! I lost a lot of weight and feel so much better. The process was super easy, everything shipped fast, and it cost way less than going through my local clinic.

S
Sarah P.
8 months ago
★★★★★

Highly recommend! The doctors actually listen to your concerns and follow up. It feels like real healthcare.

M
Mark T.
9 months ago
★★★★★

Great service and the shipping was incredibly discreet, just as promised. Will be returning next month.

A
Ashley K.
10 months ago
★★★★★

Incredible support from start to finish. I finally found a program that fits into my busy schedule without hidden fees.

J
Jade R.
7 months ago
★★★★★

HermanRX has a very smooth process, which took some stress off of my weight loss journey. A supportive team that had what I needed for this journey, including reliability.

Hailee M.
7 months ago
★★★★★

I was a little skeptical at first, but honestly this is the easiest process I've gone through. The delivery was fast, everything was clearly explained, and I started noticing changes in weeks.

H
Hannah C.
7 months ago
★★★★★

HermanRX has been amazing! I lost a lot of weight and feel so much better. The process was super easy, everything shipped fast, and it cost way less than going through my local clinic.

S
Sarah P.
8 months ago
★★★★★

Highly recommend! The doctors actually listen to your concerns and follow up. It feels like real healthcare.

M
Mark T.
9 months ago
★★★★★

Great service and the shipping was incredibly discreet, just as promised. Will be returning next month.

A
Ashley K.
10 months ago
★★★★★

Incredible support from start to finish. I finally found a program that fits into my busy schedule without hidden fees.

★★★★★

The customer service is excellent! I have 100% confidence in the validity of their products. They are the only company that I purchase these products from. I highly recommend this company.

MJ
★★★★★

5-star customer service and products. So difficult to find American CS reps and the response time is fast. This always makes a critical difference in choosing any product- quality of CS. Will continue to support them.

Matt Goetz
★★★★★

In a space that is fairly new to me I feel very comfortable and trust I am in good hands. From Quality products to quick great customer service, I will continue to be a customer as long as I need.

Eric M
★★★★★

Lightning fast shipping and the packaging was excellent. I had a question about dosage and the support team answered me within 10 minutes. Fantastic experience.

David S.
★★★★★

This is exactly what tele-health should be. Straightforward, easy to use portal, and doctors who actually care about your progress.

Rebecca L.
★★★★★

I've tried three different providers before finding Ascend. This is by far the most professional and reliable option on the market today.

John W.
★★★★★

The customer service is excellent! I have 100% confidence in the validity of their products. They are the only company that I purchase these products from. I highly recommend this company.

MJ
★★★★★

5-star customer service and products. So difficult to find American CS reps and the response time is fast. This always makes a critical difference in choosing any product- quality of CS. Will continue to support them.

Matt Goetz
★★★★★

In a space that is fairly new to me I feel very comfortable and trust I am in good hands. From Quality products to quick great customer service, I will continue to be a customer as long as I need.

Eric M
★★★★★

Lightning fast shipping and the packaging was excellent. I had a question about dosage and the support team answered me within 10 minutes. Fantastic experience.

David S.
★★★★★

This is exactly what tele-health should be. Straightforward, easy to use portal, and doctors who actually care about your progress.

Rebecca L.
★★★★★

I've tried three different providers before finding Ascend. This is by far the most professional and reliable option on the market today.

John W.

Have questions?
Get answers

FAQ Image

Ascend Vitality is a telehealth platform connecting you with licensed providers for targeted weight loss, wellness, and men's health treatments.

Simply complete an online intake form, have your profile reviewed by a U.S.-licensed provider, and if prescribed, get your medication shipped directly to your door.

Our network consists of board-certified physicians and specialized clinicians operating through the Dr. Telx network.

No, we operate on a transparent cash-pay model. You do not need insurance to use our services.

We are available in all U.S. states except Louisiana, Mississippi, Kansas, New Mexico, and West Virginia.

HSA and FSA accounts use pre-tax dollars. You can use your HSA/FSA card at checkout just like a standard debit card for eligible telehealth expenses.

Ready for convenient health solutions?

Start your online visit today and discover how easy it is to get personalized care delivered.

ORDER NOW
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