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    OPTMZ
    Programs Sexual Health
    Sexual Health

    Desire, not performance theater.

    Clinician-guided care for desire and intimacy — discreet, unhurried, whole-person.

    Care for desire and intimacy — treated as a whole person, with discretion and warmth.

    Investment
    from $60/mo

    A private clinician evaluation and discreet treatment, matched to you — shipped discreetly when clinically appropriate. Labs only when clinically relevant.

    Your fee covers clinician care, labs, and messaging. Medication, when prescribed, is billed separately — your clinician confirms the cost before anything ships.

    See if it's for you
    • Cancel anytime — no long-term contract.
    • Direct-pay pricing; we don't bill insurance (most HSA/FSA cards accepted).
    • If a clinician determines treatment isn't right for you, you won't be charged for the medication.

    Clinician evaluation required. Medications issued only when clinically appropriate.

    Your options

    Choose the treatment that fits you.

    See all available options first, then choose the treatment and plan that works best for you.

    1

    Select your product

    2

    Choose quantity

    Options update based on the product selected.
    3

    Choose your plan

    Care designed around your routine — clinician-reviewed, discreet, and easy to continue.

    Clinician-reviewed
    and trusted
    Discreet shipping
    to your door
    Ongoing care
    that adapts to you
    If this sounds like you

    You want desire and connection that keep pace with the rest of your life.

    You're ready to optimize desire and intimacy — the whole picture, handled with discretion. You bring the whole picture; your clinician takes it as seriously as you do, with full discretion.

    What stands behind your care
    • LegitScript-certified — independently reviewed for compliance.
    • US-licensed physicians prescribing in your state.
    • FDA-approved medications when clinically appropriate.
    • Available in most US states.
    A couple in their early 50s sitting close on a sofa, looking at each other with a private smile — connection and warmth.
    What you can expect

    Care you shape, built on your labs and history.

    • 01

      A private, unhurried conversation — clinician to person.

    • 02

      Discreet shipping, with treatment options matched to you and your goals.

    • 03

      You're heard first — and care runs only when it's clinically appropriate.

    • 04

      The aim: closeness restored, ease with your partner.

    HOW OPTMZ WORKS

    A simple path to clinician-guided care.

    Complete your assessment online. A licensed clinician reviews your information and, when appropriate, prescribes treatment for delivery to your door.

    1. Tell us about your health

      Complete a brief, secure online medical assessment and share your treatment goals.

    2. A clinician reviews your information

      A licensed clinician evaluates your answers and determines whether treatment is appropriate for you.

    3. Your treatment is delivered

      If prescribed, your treatment is prepared by the pharmacy and shipped discreetly to your door.

    4. ONGOING CARE

      Continue your care

      Access ongoing support, complete check-ins, and discuss adjustments with your clinician when needed.

    Member reviews

    Coming soon — we don't publish testimonials we haven't verified.

    Research-based FAQ

    Questions, answered plainly.

    What are Sildenafil and Tadalafil?
    Sildenafil and Tadalafil are both an oral tablet, prescription medicines that are FDA approved to treat erectile dysfunction (ED).
    How do Sildenafil and Tadalafil work?
    Sildenafil and Tadalafil are in a group of medications called phosphodiesterase 5 (PDE5) inhibitors. Sildenafil and Tadalafil treat ED by increasing blood flow to the penis during sexual stimulation, which leads to an erection. Sildenafil is taken one hour before sexual activity and its effects last 4-6 hours. Tadalafil can be taken up to 36 hours before sexual activity and therefore is often known as the “weekender”.
    What can I expect with Sildenafil and Tadalafil treatment?
    ED medications work by relaxing the blood vessels in the penis, allowing for increased blood flow when sexually stimulated. This enhanced blood flow can lead to firmer and longer-lasting erections. The onset of action varies between different ED medications. Sildenafil and Tadalafil ideally are taken 1 hour before expected sexual activity but since Tadalafil gives you the ability to obtain an erection for up to 36 hours, Tadalafil gives you extra convenience. Daily Tadalafil at a lower dose (5mg) is also an option and this gives you the ability to obtain an erection without needing to time a dose to match expected sexual activity. ED medications don’t automatically cause an erection. Sexual stimulation is still required to trigger the response. The medication simply enhances the body’s natural response to sexual arousal.
    How to take Sildenafil and Tadalafil?
    Both medications should be taken with a full glass of water and can be taken on an empty stomach or with a normal-sized meal. It’s important to note that Sildenafil and Tadalafil will not give you an erection for the entire period that they are in your system. They simply allow you to achieve a satisfactory erection when you are sexually stimulated.
    What are the possible side effects of Sildenafil and Tadalafil?
    Sildenafil and Tadalafil are generally safe and well-tolerated by most men. However, like any medication, they can have side effects. Common side effects of ED medications may include: Headache: This is one of the most common side effects reported with ED medications. It is usually mild and transient. Facial flushing: Some men may experience redness or warmth in the face and neck. Nasal congestion: Stuffy or runny nose can occur as a side effect. Upset stomach : Some men may experience indigestion or gastrointestinal discomfort. Dizziness: ED medications can cause a temporary drop in blood pressure, leading to dizziness in some individuals. Vision changes: Some men may experience mild and temporary changes in vision, such as a blue tinge or blurred vision. Back pain or muscle aches: These side effects are less common but can occur. Priapism: This is a rare but potentially serious side effect. Priapism is a prolonged and painful erection that lasts for more than four hours. It requires immediate medical attention to prevent tissue damage to the penis. It’s important to note that not everyone will experience these side effects, and they are usually mild and temporary. If you do experience any of these side effects and find them bothersome or persistent, you should contact your healthcare provider. It’s also essential to be aware that ED medications may not be suitable for everyone, especially men with certain medical conditions or those taking specific medications. For example, men who have severe heart disease, uncontrolled hypertension, or are taking nitrates for chest pain should avoid ED medications due to potential interactions and health risks.
    What should I do if I miss a dose of Sildenafil or Tadalafil?
    For Sildenafil (all strengths) or Tadalafil (10mg or 20mg), take 1 tablet as needed for sexual activity. Do not take any more than is directed by your doctor. If you are taking daily Tadalafil (5mg), take your dose around the same time each day. If you miss a dose, take that dose once you remember if it’s still within the same-day. If you completely miss your daily dose, do not double up the next day. You can just get back on your normal dosing schedule as prescribed by your doctor.
    How should I store Sildenafil or Tadalafil?
    Keep this medication in the original container that you received it in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
    What is Sertraline?
    Sertraline is an oral tablet, prescription medicine that is widely used to treat Premature Ejaculation (PE).
    How does Sertraline work?
    Sertraline belongs to a group of drugs called selective serotonin reuptake inhibitors (SSRIs). Traditionally prescribed as an antidepressant, Sertraline is also very effective in helping men with Premature Ejaculation (PE) when taken daily in a low dose.
    What can I expect with Sertraline treatment?
    Taking Sertraline daily can greatly reduce PE. Researchers found that a 25mg daily dose of Sertraline lengthened the average ejaculatory interval (the time between the start of intercourse and ejaculation) from 1 minute to 7 minutes (600% increase!). You don’t have to time your dose or be bothered with topical applications, just take 1 tablet daily and PE is greatly reduced for most men.
    How to take Sertraline?
    Taking 1 tablet daily helps most men reduce their PE issue. It may take a few weeks for the medication to reach its full effect, so be patient and continue following your doctor’s instructions. Sertraline needs to be taken daily. If you skip days or doses, you may not receive the full benefit for PE.
    What are the possible side effects of Sertraline?
    Sertraline is often very well tolerated, especially at the low dose used for PE. However, side effects may occur. Some of the side effects are as follows: Nausea: Feeling sick or queasy, which may occur initially but often improves with continued use. Headache: Some people may experience mild to moderate headaches. Insomnia or drowsiness: Sertraline can affect sleep patterns, leading to either difficulty sleeping (insomnia) or increased drowsiness. Diarrhea or constipation: Changes in bowel movements may occur in some individuals. Dry mouth: A common side effect that can cause discomfort. Dizziness: Feeling lightheaded or dizzy. Agitation or restlessness : In some cases, Sertraline may lead to increased feelings of anxiety or restlessness. Suicidal thoughts: Although rare, some individuals may experience an increase in suicidal thoughts, especially when first starting the medication. Close monitoring is essential, especially in younger individuals.
    What should I do if I miss a dose of Sertraline?
    If you forget to take your daily dose of Sertraline, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
    How should I store Sertraline?
    Keep this medication in the original container that you received it in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
    What is PT-141?
    PT-141 (Bremelanotide) is a centrally acting melanocortin receptor agonist used to enhance sexual desire and arousal in both men and women. Originally developed to treat sexual dysfunction, it is FDA-approved for hypoactive sexual desire disorder (HSDD) in premenopausal women and is also commonly used off-label in men with low libido or erectile dysfunction —especially when psychological or central causes are suspected. Unlike traditional ED medications, PT-141 works through the brain rather than blood flow.
    How does it work?
    PT-141 stimulates the brain’s arousal centers through the melanocortin system: CNS-Based Arousal Enhancement • PT-141 activates melanocortin receptors (MC3R and MC4R) in the hypothalamus, increasing sexual desire and drive by acting on the central nervous system. Independent of Blood Flow • Unlike PDE5 inhibitors (like sildenafil or tadalafil), PT-141 does not depend on nitric oxide pathways or vascular mechanisms—making it effective for both genders and for arousal-related dysfunction. Rapid, On-Demand Effect • Administered via subcutaneous injection 45–60 minutes before sexual activity , PT-141 enhances arousal, responsiveness, and sensitivity for several hours.
    What can I expect from PT-141 therapy?
    Inject 1 hour before sexual activity (typically 1.75mg dose) Onset: 45–60 minutes , duration: 6–12 hours Do not exceed 1 dose in 24 hours or 8 doses per month (per FDA guidelines for women) Results improve with repeated, consistent use over time Safe to combine with TRT , HRT , or PDE5s (under supervision) Missed dose? PT-141 is on-demand—only use when needed
    How to take Sertraline?
    Taking 1 tablet daily helps most men reduce their PE issue. It may take a few weeks for the medication to reach its full effect, so be patient and continue following your doctor’s instructions. Sertraline needs to be taken daily. If you skip days or doses, you may not receive the full benefit for PE.
    What are the possible side effects of PT-141 therapy?
    Common Side Effects: • Nausea (transient) • Flushing or warmth • Headache • Injection site reactions Less Common / Monitor If Present: • Elevated blood pressure (temporary) • Fatigue or yawning • Dizziness • Darkening of gums or skin (rare with prolonged use)
    What is Valacyclovir?
    Valacyclovir is an oral tablet, prescription medicine that is FDA approved to treat cold sores and genital herpes.
    How does Valacyclovir work?
    Valacyclovir is an antiviral medication that is used to treat certain viral infections, primarily caused by herpes viruses. Valacyclovir works by inhibiting the replication of herpes viruses. It does this by interfering with the viral DNA synthesis process. By inhibiting viral DNA synthesis, Valacyclovir helps to reduce the spread of the virus and control the infection. It is most commonly used to treat genital herpes and cold sores (oral herpes). It’s essential to note that while Valacyclovir can help manage herpes virus infections, it does not cure the infection completely. The virus remains in the body, and outbreaks may still occur, especially during times of weakened immunity or stress.
    What can I expect with Valacyclovir treatment?
    Valacyclovir is effective in reducing the frequency and severity of herpes outbreaks. For people with recurrent herpes infections, taking Valacyclovir regularly can help suppress the virus and decrease the number of outbreaks experienced. When taken during an active herpes outbreak, Valacyclovir can help speed up the healing process and reduce the duration of symptoms like pain, itching, and blisters. Valacyclovir can reduce the risk of transmitting herpes to sexual partners when taken as a daily suppressive therapy. However, it’s essential to use additional precautions such as condoms, as the risk of transmission is not completely eliminated. The duration of Valacyclovir treatment will vary depending on the reason for use. For acute outbreaks, treatment is usually for a few days. For suppressive therapy, it may be taken daily for an extended period under the guidance of a healthcare professional.
    How to take Valacyclovir?
    Valacyclovir works best if it is used within 48 hours after the first symptoms of genital herpes (pain, burning, or blisters) begin to appear. For recurrent outbreaks of genital herpes, Valacyclovir works best if it is used within 24 hours after the symptoms begin to appear. For these recurrent outbreaks, taking Valacyclovir daily instead of just during an outbreak, will greatly reduce the number of total outbreaks per year.
    What are the possible side effects of Valacyclovir?
    Valacyclovir works very well for the treatment of cold sores and genital herpes. Like most medications, Valacyclovir may cause side effects in some individuals. Common side effects include: Nausea and vomiting Headache Dizziness Abdominal pain Diarrhea Skin rash Fatigue or weakness Most of these side effects are generally mild and go away on their own without any specific treatment. However, if any of these side effects persist or become bothersome, it’s essential to inform your healthcare provider. In rare cases, Valacyclovir can cause more serious side effects that require immediate medical attention. If you experience any of the following severe side effects, seek medical help right away: Allergic reactions: Signs may include rash, itching, swelling of the face, lips, tongue, or throat, severe dizziness, and difficulty breathing. Unusual bruising or bleeding: Valacyclovir can affect the blood’s clotting ability in some cases. Kidney problems: Symptoms may include change in the amount of urine, back/side pain, or signs of dehydration. Neurological symptoms : Rarely, some people may experience confusion, hallucinations, tremors, or seizures. It’s essential to take Valacyclovir as prescribed by your doctor and inform them about any other medications or supplements you are taking to avoid potential drug interactions. If you have a history of kidney problems or immune system issues, let your healthcare provider know, as they may need to adjust the dosage or monitor your condition more closely.
    What should I do if I miss a dose of Valacyclovir?
    If you are taking Valacyclovir for an outbreak and you miss a dose, you may need to start your therapy over again. Consult with your healthcare provider or pharmacist. If taking Valacyclovir for suppressive therapy and you miss a daily dose, take your dose as soon as you remember if it is same-day. If you completely missed a daily dose, go back to your normal dosing schedule the next day. Do not double up on the next day’s dose.
    How should I store Valacyclovir?
    Keep this medication in the original container that you received it in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
    What is Valacyclovir?
    Valacyclovir is an oral tablet, prescription medicine that is FDA approved to treat cold sores and genital herpes.
    How does Valacyclovir work?
    Valacyclovir is an antiviral medication that is used to treat certain viral infections, primarily caused by herpes viruses. Valacyclovir works by inhibiting the replication of herpes viruses. It does this by interfering with the viral DNA synthesis process. By inhibiting viral DNA synthesis, Valacyclovir helps to reduce the spread of the virus and control the infection. It is most commonly used to treat genital herpes and cold sores (oral herpes). It’s essential to note that while Valacyclovir can help manage herpes virus infections, it does not cure the infection completely. The virus remains in the body, and outbreaks may still occur, especially during times of weakened immunity or stress.
    What can I expect with Valacyclovir treatment?
    Valacyclovir is effective in reducing the frequency and severity of herpes outbreaks. For people with recurrent herpes infections, taking Valacyclovir regularly can help suppress the virus and decrease the number of outbreaks experienced. When taken during an active herpes outbreak, Valacyclovir can help speed up the healing process and reduce the duration of symptoms like pain, itching, and blisters. Valacyclovir can reduce the risk of transmitting herpes to sexual partners when taken as a daily suppressive therapy. However, it’s essential to use additional precautions such as condoms, as the risk of transmission is not completely eliminated. The duration of Valacyclovir treatment will vary depending on the reason for use. For acute outbreaks, treatment is usually for a few days. For suppressive therapy, it may be taken daily for an extended period under the guidance of a healthcare professional.
    How to take Valacyclovir?
    Valacyclovir works best if it is used within 48 hours after the first symptoms of genital herpes (pain, burning, or blisters) begin to appear. For recurrent outbreaks of genital herpes, Valacyclovir works best if it is used within 24 hours after the symptoms begin to appear. For these recurrent outbreaks, taking Valacyclovir daily instead of just during an outbreak, will greatly reduce the number of total outbreaks per year.
    What are the possible side effects of Valacyclovir?
    Valacyclovir works very well for the treatment of cold sores and genital herpes. Like most medications, Valacyclovir may cause side effects in some individuals. Common side effects include: Nausea and vomiting Headache Dizziness Abdominal pain Diarrhea Skin rash Fatigue or weakness Most of these side effects are generally mild and go away on their own without any specific treatment. However, if any of these side effects persist or become bothersome, it’s essential to inform your healthcare provider. In rare cases, Valacyclovir can cause more serious side effects that require immediate medical attention. If you experience any of the following severe side effects, seek medical help right away: Allergic reactions: Signs may include rash, itching, swelling of the face, lips, tongue, or throat, severe dizziness, and difficulty breathing. Unusual bruising or bleeding: Valacyclovir can affect the blood’s clotting ability in some cases. Kidney problems: Symptoms may include change in the amount of urine, back/side pain, or signs of dehydration. Neurological symptoms : Rarely, some people may experience confusion, hallucinations, tremors, or seizures. It’s essential to take Valacyclovir as prescribed by your doctor and inform them about any other medications or supplements you are taking to avoid potential drug interactions. If you have a history of kidney problems or immune system issues, let your healthcare provider know, as they may need to adjust the dosage or monitor your condition more closely.
    What should I do if I miss a dose of Valacyclovir?
    If you are taking Valacyclovir for an outbreak and you miss a dose, you may need to start your therapy over again. Consult with your healthcare provider or pharmacist. If taking Valacyclovir for suppressive therapy and you miss a daily dose, take your dose as soon as you remember if it is same-day. If you completely missed a daily dose, go back to your normal dosing schedule the next day. Do not double up on the next day’s dose.
    How should I store Valacyclovir?
    Keep this medication in the original container that you received it in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom).
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