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Telemedicine Appointments Available! 

 Now Available Retatrutide 60mg - Semaglutide 10, 12.5 or 25mg vials  - Tirzepatide 60, 75 or 180mg vials

managing erectile dysfunction


Medications are often the first treatment tried for erectile dysfunction and premature ejaculation (PE). For most men who have trouble keeping an erection firm enough for sex (erectile dysfunction), these medications work well and cause few side effects.

Sildenafil (Viagra) and Tadalafil (Cialis) are both medications that reverse erectile dysfunction by increasing nitric oxide, a chemical naturally produced by your body. Nitric oxide opens and relaxes blood vessels in the penis, helping you get and keep an erection. These erectile dysfunction medications don't increase your sex drive, though, and cause erections only when you are sexually stimulated.

Bremelanotide PT 141 was developed from Melanotan II, targeting its aphrodisiac effects. This peptide has been shown to have a substantial effect on libido, generating sexual arousal in both men and women within minutes of administration. It has been shown to be effective in treating erectile dysfunction, even in men who have not responded to other ED treatments, such as Viagra and Cialis. This peptide is also able to cross the blood-brain-barrier, bypassing the vascular system and acting at the level of the central nervous system. PT- 141 has been shown to have significant results on male test patients, with what are described as “intense” and “frequent” erections lasting between 2-6 hours.

Tramadex is a blend of two compounded combination of medications which are used to treat premature ejaculation (PE). It can be combined with Viagra or Cialis. It works by the targeted modulation of synaptic receptors and processes of the central nervous system that are involved in the ejaculatory process. Treating PE with Tramadex can help to increase Intravaginal Ejaculatory Latency Time or the Time-to-Ejaculation (T2E) thereby enhancing enjoyment of sexual intercourse. This treatment has the ability to both extend the T2E as well as completely suppress the ejaculatory response at higher doses on the order of two to three capsules.

Comparing Erectile Dysfunction Medications

Viagra, Cialis, PT 141 and Tramadex — How Are They're Different

Although they work in similar ways, each of these medications has a slightly different chemical makeup. These minor differences affect the way each medication works, such as how quickly it takes effect and wears off, and the potential side effects. We will consider these factors when deciding if one of these medications is a good choice for you.

Viagra- take it without food, no more than once a day, take it 60 minutes or longer before sex, effective up to 4 hours.

Cialis- take it without food, no more than once a day, take it 30 minutes or longer before sex, effective for up to 36 hours

PT 141- injection done a couple hours before sex, effects may be felt up to 12 hours from the time of administration and have been known to last for up to 3 days, diminishing each day.

Tramadex - take it without food, 1.5 - 2 hours before sex, can take 1-2 capsules, effective up to 6 hours.

Learn more about Safety and Side Effects of Erectile Disfunction Medications

Office Visits

Call 480-839-4131 or fill out a consultation request form to get started.

Your visit at transformyou will consist of a review of your medical history and any pertinent physical exams. If you take medication an assessment of possible interactions will be done. Depending on your medical history and personal convenience, a specific ED medication will be prescribed. The medication dosage and quantity is customizable. All medication is made in a licensed compounding pharmacy here in Arizona and is the generic version of the brand name. Sildenafil is the generic for Viagra and Tadalafil is the generic for Cialis.  These generics are equally as effective as the name brand medications but at a reduced price (approximately 50% off the retail pharmacy price in purchased through transformyou).

All patients always work directly with one of our licensed physicians to ensure patient safety and confidentiality.