For anyone who wants straightforward ED care and refills handled, without booking and paying for a visit every single time.
Essentials membership · $69/mo · one simple membership, no markup
Generic ED medication is cheap when nobody marks it up. Here's a real monthly example.
Almost everything men are quietly ashamed of here has a documented mechanism. Knowing it changes what good treatment looks like.
Educational, not medical advice. Your provider tailors any plan to you.
Take it ahead of time; works for a window of a few hours. The classic on-demand option: simple and inexpensive.
A small daily dose keeps you ready without planning around a clock. Many people prefer the spontaneity.
Some men don't respond to pills, and some can't take them at all. Injectable therapy is the established option when that happens, and it works directly.
A very fine needle delivers medication right where it's needed, so there's no waiting on a pill to kick in and no depending on arousal. If you're on nitrates for your heart, where pills are off the table, this is the path that still works. It's the same approach urologists have relied on for decades.
Your provider sets your starting dose and a titration plan (what a good response looks like, and how to step up if you need to) and guides you through it. It's compounded, so it's billed at our cost, like everything else. No markup.
BimixTrimixCompoundedBilled at costThese are vasodilators. Bimix combines papaverine and phentolamine; Trimix adds alprostadil (prostaglandin E1). They relax the smooth muscle inside the penis and open blood flow directly, which is why an erection typically follows within about 5–10 minutes and doesn't depend on arousal the way pills do. Major urology guidelines treat injection therapy as a first-choice option once oral PDE5 inhibitors have failed or aren't appropriate, and it's widely used for penile rehabilitation after prostate surgery. Because it acts locally, it tends to avoid the whole-body effects pills can cause.
Source: Penile injection therapy, Memorial Sloan Kettering → Source: Trimix injection, University of Utah Health →Get back to feeling like yourself: as-needed or daily options, refills handled by your provider, and generic medication that usually runs just a few dollars a month.
Low-key by default. visits happen online, and your card statement simply reads "Mica Peak Health."
Your provider manages refills inside membership: no per-refill fee, and nothing auto-ships without a prescription decision. You're seen when your care actually needs it.
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