Sexual Health
Oxytocin Therapy
Hormone nasal spray or sublingual forms to potentially enhance intimacy and connection.
Tadalafil
Tadalafil is a long-acting oral medication used to support erectile function and enhance sexual performance. Unlike short-acting ED medications, it provides up to 36 hours of effect, allowing for greater flexibility and spontaneity. It may also support urinary symptoms related to benign prostatic hyperplasia (BPH).
- Extended duration of action (up to 36 hours)
- Supports firmer and more sustainable erections
- Allows for more spontaneous intimacy
- May reduce performance anxiety
- May improve urinary flow in men with BPH
HSA/FSA reimbursable
No insurance required
Licensed US pharmacies
Select Your Supply
Tadalafil (commonly known by the brand name Cialis®) is a selective PDE5 inhibitor that increases blood flow to the penis during sexual stimulation by supporting nitric oxide pathways. It’s prescribed for erectile dysfunction and, in lower daily doses, for urinary issues from enlarged prostate. With a half-life of around 17.5 hours, it offers longer-lasting effects compared to other ED medications, allowing more freedom around timing and intimacy. Tadalafil is effective for many men, including those dealing with performance anxiety or mild urinary symptoms.
Who Can Benefit from Tadalafil?
1
Difficulty achieving erections
Men who struggle to initiate or maintain erections may benefit from tadalafil’s ability to support nitric oxide pathways and increase blood flow during sexual stimulation.
2
Reduced firmness or sustainability of erections
Tadalafil helps men maintain stronger erections throughout sexual activity, especially when loss of firmness occurs during intimacy.
3
Performance anxiety
By providing a reliable physical response, tadalafil can help reduce anxiety about sexual performance, allowing for a more relaxed and enjoyable experience.
4
Urinary issues due to enlarged prostate (BPH)
At low daily doses, tadalafil may improve urinary symptoms such as frequent urination or weak stream in men with BPH, offering dual benefits.
5
Occasional support for sexual performance
Some men without diagnosed ED may use tadalafil occasionally to improve confidence and experience during intimate moments, especially when fatigue or stress are factors.
How Tadalafil Works
Tadalafil inhibits the PDE5 enzyme, which helps relax smooth muscle in the blood vessels of the penis during sexual arousal. This allows for improved blood flow and firmer erections. It also helps reduce the breakdown of cGMP, a chemical that supports vascular dilation and sustained erection during stimulation.
How It Works in Your Body
Selectively inhibits PDE5 enzyme to boost blood flow
Enhances nitric oxide signaling for vasodilation
Supports arterial inflow and venous retention in the penis
Requires sexual stimulation to initiate effects
Effective within 30–60 minutes
Long half-life offers extended action window
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Frequently Asked Questions
Everything you need to know about Tadalafil treatment
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Compounded medications provided through Fountain Health's platform are only available to patients with a valid prescription who medically qualify after consultation with a licensed health care practitioner. Compounded medications are not FDA-approved — they have not undergone FDA review for safety or efficacy before being dispensed, and have not been demonstrated to the FDA to be safe or effective. Stylized product images are for marketing purposes only and do not reflect the actual label or size of the prescription vial or bottle.