Sexual Health | Physician-Directed | Coming Soon | ElevateMD
Coming Soon
Men's Performance Medicine

Sexual health is a clinical marker. We treat it like one.

Erectile function is one of the earliest indicators of cardiovascular and metabolic health. Our physicians treat the underlying physiology — not just the symptom — as part of your integrated longevity protocol.

Join the Waitlist →
Board-Certified Physicians · Licensed Compound Pharmacy · HIPAA Compliant
Board-Certified Physicians HIPAA Compliant Licensed 503A Pharmacy Physician-Owned
The Integrated Approach

This is not a pill-by-mail service.

Vascular endothelial dysfunction — the same mechanism behind heart disease — presents in the penile vasculature years before it appears in coronary arteries. Hormonal decline, metabolic dysfunction, and chronic inflammation compound the problem. Treating sexual health in isolation misses the point.

Full Clinical Evaluation

Cardiovascular screening, hormonal assessment, and metabolic review before any compound is prescribed. If your sexual health is declining, there is a reason. We find it.

Multi-Mechanism Compounds

Physician-designed formulations prepared by a licensed 503A pharmacy. These target multiple physiological pathways — not a single mechanism like generic tablets.

Integrated with Your Protocol

Sexual health compounds are prescribed alongside your broader longevity protocol. NAD+, hormonal optimization, and metabolic health all contribute to vascular function.

Physician-Directed Throughout

Board-certified physicians oversee every prescription. Ongoing monitoring, dosage adjustments, and clinical oversight — not a one-time questionnaire.

Why It Matters

A leading indicator of systemic health.

Erectile dysfunction is not an isolated condition. The research is clear: vascular function in the penile arteries reflects vascular health throughout the body.

3–5 yrs
ED precedes cardiac events
52%
Of men 40–70 experience ED
4+
Pathways in our compounds
Early Access

Be the first to know when we launch.

Join the waitlist for priority enrollment, program details, and pricing — delivered directly to your inbox.

No spam. Waitlist notification only.

Common Questions

Frequently asked questions.

When does the sexual health program launch?

We are finalizing compound formulations and clinical protocols. Waitlist members will be notified first and receive priority enrollment.

Is this generic Viagra or Cialis?

No. Our formulations are multi-mechanism compounded medications designed by our physicians. They are not generic sildenafil or tadalafil tablets. Each compound is prepared by a licensed 503A pharmacy and targets multiple physiological pathways — vascular function, nitric oxide signaling, hormonal support, and neurological response.

Will I need a medical evaluation?

Yes. Every member receives a complete clinical evaluation — including medical history, cardiovascular screening, hormonal assessment, and metabolic review — before any prescription is written. This is a physician-directed program. If you are not a good candidate, we will tell you.

Do Optimize members get a discount?

No. The sexual health program is offered at a flat rate for all members regardless of membership tier. Pricing details will be announced at launch.

How is this different from Hims or Roman?

Those services prescribe generic PDE5 inhibitors after a brief online questionnaire. We perform a full clinical evaluation, prescribe multi-mechanism compounded formulations through a licensed 503A pharmacy, and integrate sexual health into your broader longevity protocol. Different category of medicine entirely.

Available Now

Build the foundation while you wait.

Sexual health is downstream of your overall physiology. Start optimizing now with physician-directed protocols that support cardiovascular function, hormonal balance, and cellular health.

Hero Protocol

NAD+ Therapy

Physician-prescribed subcutaneous NAD+ injections. Supports cellular energy, DNA repair, and vascular function — the same pathways that underpin sexual health.

$299/mo
Learn More →
Combined Protocol

The Longevity Stack

NAD+ and Sermorelin in one integrated protocol. Cellular energy during the day, hormonal optimization during sleep. The foundation your performance protocols build on.

$499/mo
Learn More →
Diagnostics

Lab Panels

Physician-designed panels covering hormonal, metabolic, cardiovascular, and longevity biomarkers. Know your numbers before you optimize.

From $149
Learn More →
Free Community

Join the conversation while you wait.

Connect with physicians, longevity researchers, and fellow optimizers in our free Skool community. No purchase required. Education, protocols, and peer support — available now.

Physician Access

Ask questions directly to our clinical team in a community setting.

Evidence-Based Content

Research discussions, protocol breakdowns, and longevity science updates.

Peer Support

Connect with others on similar protocols. Real experiences, real results.

Get Started Today

Already interested in our current treatments?

Complete a free eligibility screening for our available protocols — NAD+, Sermorelin, the Longevity Stack, and more. No payment required. Physician review within 24 hours.

Step 1 of 4

What’s your primary health concern?

Select the area you’d most like to address.

How long have you been experiencing this?

There’s no wrong answer — this helps our physicians understand your timeline.

Have you tried supplements or other interventions?

Many of our patients come to us after OTC supplements fell short.

You may be a candidate for physician-directed therapy.

Complete your screening below — it takes 60 seconds. Free. No payment required.