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We understand that the sexual response has both brain and genital components. Libido and the experience of orgasm is a brain function. Neurotransmitters involved include sex steroids, serotonin, dopamine, oxytocin, and melanocortin all play an important in your sexual health. We offer custom compounded solutions to improve sexual function for both men and women. Our treatment protocol can be used in conjunction to help with erectile dysfunction, vaginal dryness, low libido, and other sexual dysfunction.
There are multiple causes of Erectile Dysfunction (ED) including psychosomatic conditions. However, it is often caused by Low Testosterone, which means we need to treat your Low Testosterone first in order to fix your ED, rather than just giving you Viagra and other related medications. Libido is a term that’s often misused. To avoid confusion, we think of it simply as “sexual desire.” This is quite different from physical limitations to sex, like ED. Here are some options to help you with sexual dysfunction.
Testosterone Replacement Therapy (TRT) is a good treatment option to improve libido and treat ED.
We also prescribe SSRIs to help you with depression, anxiety, psychosomatic component of ED, and premature ejaculation.
We have access to some of the same brand name erectile dysfunction medications at a fraction of their normal price. We offer Sildenafil (Viagra), Verdenafil (Levitra), Tadalafil (Cialis), and Avanafiln (Stendra). They are generally safe, well tolerated, and similar in safety and effectiveness.
Whether you’re a male or female looking for a more spontaneous and natural sexual experience our novel approach may be exactly what you’ve been looking for.
Apomorphine is a dopaminergic agonist with affinity for dopamine receptor sites within the brain known to be involved in sexual function. It enhances normal neurological signaling in sexual response. It stimulates dopamine receptors in the hypothalamus, causing neural signals that relax smooth muscle and allowing erections to happen more easily.
Like Apomorphine, PDE-5 Inhibitor such as Tadalafil is a proven ED medication and its effects are cumulative and improve with daily use. For females, Tadalafil orally can be effective to increase sexual desire, sexual arousal, sexual orgasm and sexual satisfaction. It not only increases nitric oxide in the corpus cavernosum of men, but in women it also results in the relaxation of clitoral and vaginal smooth muscle and increased blood flow in these sites, a normal step in arousal and necessary to achieve orgasm.
Apomorphine with Tadalafil, Sildenafil, or Vardenafil is often the perfect combination for both men and women to experience a spontaneous and natural sexual encounter. Apomorphine is effective in 43% of men who don’t respond to tadalafil alone. Daily use allows sexual activity to happen any time, without needing to wait for a pill to start working.
This compounding medication contains Papaverine, Phentolamine Mesylate, and Prostaglandin E1. While the components of TriMix are, on their own, indicated for a vast number of different conditions, the practice of bringing them together in concert to treat erectile dysfunction has become commonplace in sexual medicine and is now considered to be the go-to treatment if conventional PDE5 inhibitors are contraindicated or non-responsive. In other words, it is most useful for men who cannot take oral medication or for those for which oral medication has not been shown effective. It usually comes in an injectable form but now available in transdermal gel.
Schedule an online consultation with our licensed physician to see if the medications are right for you. We will have our affiliated pharmacy compound the medications and shipped them to your door.
Sexual health is having a healthier body. A satisfying sex life. Valuing and feeling good about yourself. Having peace of mind. Positive relationships, whether short term or long term. Experiencing pleasure, intimacy, and joy. Here are some medications that promote sexual wellness.
The Scream Cream is also know as the Arousal Cream. This is a topical cream made of l-Citrulline, Aminophylline, Ergoloid Mesylate, and Pentoxifylline. It can also be compounded with other products including L-arginine, sildenafil citrate, and testosterone. This synergistic medication draws upon the properties of each ingredient that can increase female libido and sexual stimulation. The primary mechanism of action is substantial vasodilation to the area of application which increases sensitivity. It has been reported that only ~25% of women achieve orgasm from sexual intercourse, and even with clitoral stimulation that number only increases to 43%. Women have reported adding Scream Cream significantly increased libido, intensity of orgasm, and also vaginal lubrication. It’s applied to the clitoris during intercourse.
Oxytocin is a peptide hormone and neuropeptide. It is normally produced in the hypothalamus and released by the posterior pituitary. It stimulates contraction of uterine smooth muscle during gestation and causes milk ejection after milk has been produced in the breast. Oxytocin has been associated with mating, parental, and social behaviors. Oxytocin is released during intercourse in both men and women, which has led to the belief that it is involved in sexual bonding.
While Oxytocin certainly lives up to its reputation as the “Love Hormone,” it also has broader applications like weight management and sexual dysfunction treatment. Oxytocin levels reach extreme levels during childbirth and breastfeeding, however they have also found to be elevated during sexual arousal, skin to skin contact, and orgasm. Due to this, research has been conducted and shown that exogenous administration of Oxytocin can improve libido, orgasm intensity/frequency, and intimacy.
Oxytocin can increase contentment and bonding after intercourse. It is the hormone of trust, affection, sociability, warmheartedness, and concerns about others. It can be administered intranasally via a nasal spray bottle or dissolve under the tongue by itself or compounded with a PDE5i.
PT-141 (Bremelanotide) is a synthetic peptide developed from Melanotan 2. PT-141 is used for the treatment of erectile dysfunction or impotence in men and HSDD (hypoactive sexual desire disorder) in women. PT-141 is a peptide that was originally developed as a sunless tanning agent. It is a melanocyte-stimulating hormone (MSH) that affects sexual arousal, aiding enhanced libido levels and penile erections. Unlike all PDES inhibitors, PT-141 does not target the vascular system. Instead, it acts on the nervous system via activation of neurons in the hypothalamus to increase sexual desire. Benefits may include:
Bremelanotide currently has no contraindications and is 80% effective in people who don’t respond to Viagra or Cialis. It was developed for aphrodisiac effects. It works at the levels of the brain, thus eliciting a rather natural sexual response. It can be administered as a nasal spray or inject subcutaneously. Rapid onset of arousal is within minutes. Bremelanotide is also used to treat low sexual desire in women who have not gone through menopause and have not had low sexual desire in the past. Some common side effects include nausea, stretching, and yawning.
Tadalafil/Oxytocin/PT-141 is three sexual dysfunction medications combined to help you increase erection, energy, libido, and orgasm. It may also decrease premature ejaculation and performance anxiety. It works as fast as 5 minutes and sometimes longer for some patients.
