Sexual Performance Protocol

Confidence.
On demand.
Delivered discreetly.

Tadalafil (generic Cialis) — daily or as-needed. Better blood flow, reliable performance, no more anxiety. Prescribed by a real doctor, shipped to your door in unmarked packaging.

24–72hr
Duration of Effect
Daily or PRN
Dosing Options
$49/mo
Starting Price
100%
Discreet Shipping
Get Started → Free consultation · Ships in 2 days · No awkward visits
More Common Than You Think

You're not alone in this

Over 30 million American men experience ED. It's a medical condition with medical solutions — not a character flaw.

Erectile Dysfunction

Difficulty getting or maintaining an erection firm enough for sex. Can be caused by low blood flow, stress, low testosterone, or underlying health conditions.

52% of men 40–70 experience some degree
Low Libido

Loss of sexual desire or interest. Often linked to low testosterone, stress, depression, or medication side effects. Not the same as ED — but they often co-occur.

Up to 40% of men report at some point
Performance Anxiety

The fear of not performing creates a self-fulfilling cycle. Your brain's stress response restricts blood flow exactly when you need it most.

~25% of ED cases are primarily psychological
Premature Ejaculation

Ejaculation that occurs sooner than desired, causing distress. Affects ~30% of men at some point. Treatable with medication and behavioral techniques.

Affects ~1 in 3 men aged 18–59
Compare Protocols

Your protocol. Your terms.

Three approaches to sexual health — your provider recommends the best fit based on your symptoms, lifestyle, and goals.

Most Popular · Always Ready

Daily Tadalafil (2.5–5mg)

One small pill daily keeps tadalafil in your system 24/7. No planning, no timing — always ready when the moment happens. The "set it and forget it" approach most men prefer.

Dosage2.5mg or 5mg daily
OnsetAlways active after 3–5 days
DurationContinuous (24/7)
Best ForFrequent sexual activity
Price$49/mo all-in
Why Men Choose This
Eliminates timing pressure completely
Reduces performance anxiety (always working)
Additional cardiovascular benefits
Lower dose = fewer side effects
Can also help BPH symptoms
Good to Know
Takes 3–5 days to reach full effect
Daily commitment (like a vitamin)
Not compatible with certain heart meds
Flexible · Take When Needed

As-Needed Tadalafil (10–20mg)

Take 30–60 minutes before activity. Effects last up to 36 hours — known as "the weekend pill." Ideal if you prefer not to take daily medication.

Dosage10mg or 20mg as-needed
Onset30–60 minutes
DurationUp to 36 hours
Best ForWeekend / occasional use
Price$49/mo all-in
Why Men Choose This
Only take when you need it
36-hour window (no rush)
Higher single dose = stronger effect
No daily commitment
Lower monthly usage if infrequent
Good to Know
Requires some advance planning
Higher dose may mean more side effects
Doesn't address performance anxiety as well
Complete · Multi-Target

Performance Stack

Tadalafil + testosterone optimization for men whose ED is linked to low T. Treats the root cause (hormonal) and the symptom (blood flow) simultaneously for maximum results.

IncludesTadalafil + TRT protocol
OnsetED: days / T: 4–8 weeks
ApproachRoot cause + symptom
Best ForED + low T symptoms
PriceFrom $149/mo all-in
Why Men Choose This
Treats root cause AND symptoms
Energy + libido + performance combined
Lab-verified approach (not guessing)
Most comprehensive sexual health solution
Often resolves low libido too
Good to Know
Requires bloodwork to qualify for T
Higher investment (combined protocols)
Full T results take 4–8 weeks
How It Works

From quiz to doorstep
in days.

01

Take the quiz

2 min

2-minute health assessment. No account required.

02

Complete your labs

3-5 days

At-home blood kit or walk into any Labcorp. We check 50+ biomarkers.

03

Meet your provider

15 min

1-on-1 video call with a board-certified physician who reviews your full panel.

04

Treatment ships

2-4 days

Your personalized protocol arrives at your door. Discreet packaging. Always.

Simple Pricing

One price. Everything included.

No per-pill pricing games. No hidden consultation fees. Medication + provider + shipping — one flat monthly rate.

Most Popular

Tadalafil Protocol

Daily or as-needed — your provider decides the right approach

$49/mo
All-inclusive · Cancel anytime
Tadalafil (daily 5mg or as-needed 20mg)
Provider consultation
Ongoing messaging access
Free discreet shipping
Dose adjustments included
Get Started
Root Cause

Performance Stack

Tadalafil + testosterone protocol for complete sexual health

$149/mo
All-inclusive · Cancel anytime
Everything in Tadalafil Protocol
Testosterone optimization (TRT or enclomiphene)
Comprehensive lab panel (4x/year)
Video consultations
Estrogen monitoring included
Priority provider access
Get Started
📦
100% discreet, always
Unmarked packaging with no indication of contents. No pharmacy name, no product name, no logos. Your credit card statement shows "COMPOUND HEALTH" — nothing else.
Questions

Sexual health FAQ

What's the difference between tadalafil and sildenafil (Viagra)?+
Tadalafil (generic Cialis) lasts up to 36 hours vs sildenafil's 4–6 hours. This longer window eliminates timing pressure and allows for more spontaneity. Tadalafil also works well as a daily low-dose option, which sildenafil doesn't support as effectively. Most men who've tried both prefer tadalafil for this reason.
Do I really need a prescription for this?+
Yes — tadalafil is a prescription medication. But you won't need an in-person visit. Our board-certified providers conduct your consultation entirely online. If appropriate, they prescribe and we ship directly. The entire process takes under 24 hours from assessment to doorstep.
Will anyone know I'm taking ED medication?+
No. Packaging is completely unmarked — no logos, no product names, no pharmacy branding. Your credit card statement shows only "COMPOUND HEALTH." We treat discretion as non-negotiable.
How quickly does tadalafil work?+
As-needed (10–20mg): Takes effect within 30–60 minutes and lasts up to 36 hours. Daily (2.5–5mg): Reaches steady-state in 3–5 days, then you're always ready. No timing or planning required.
Are there side effects?+
Most men tolerate tadalafil very well. The most common side effects are mild headache, slight flushing, or nasal congestion — these typically resolve within a few hours. Serious side effects are rare. Your provider will review your health history to ensure tadalafil is safe for you.
What if my ED is caused by low testosterone?+
This is extremely common — and often missed. Low testosterone directly causes reduced libido AND contributes to ED. If your provider suspects low T is a factor, they may recommend our Performance Stack which combines tadalafil with a testosterone protocol. This treats both the symptom (blood flow) and the root cause (hormones) simultaneously.

Your body runs on
data, not guesses.

Free 2-minute assessment. Matched with a provider. Personalized protocol shipped in days.

Get Your Protocol ↗
No commitment · 30-day money-back guarantee · FSA/HSA accepted