Sexual health treatment
Sexual Health · Men's Health
In stock
Men's Health · Sexual Health

Sexual Health

Prescription treatments for erectile dysfunction and performance support — with transparent pricing, discreet delivery, and ongoing clinical care.

Unlimited 24/7 support
No hidden fees
Same price at every dose
Free expedited shipping
Get started
Why subscribe with Coivas
Provider review within 24 hours
Transparent pricing with no hidden fees and easy cancellation
FDA-registered US pharmacy
Discreet packaging and delivery
Get started
FSA / HSA eligible
Licensed pharmacy
No insurance needed
Compounded
Sildenafil
Fast-acting · As needed
Works in as little as 30–60 minutes
Ideal for planned intimacy
Trusted first-line ED option
Annual
Best value$29/mo
Semi-annual
$34/mo
Quarterly
$37/mo
Monthly
$39/mo
Compounded
Tadalafil
Long-acting · Daily or as needed
Up to 36 hours of support
Daily or on-demand dosing options
More flexibility for spontaneous moments
Annual
Best value$39/mo
Semi-annual
$44/mo
Quarterly
$47/mo
Monthly
$49/mo
Compounded
Sildenafil / Tadalafil
Most popular
Dual-action · Compounded
Combines fast and long-acting support
Personalized ratio based on your goals
One protocol, two mechanisms
Annual
Best value$49/mo
Semi-annual
$54/mo
Quarterly
$57/mo
Monthly
$59/mo
Compounded
Sildenafil / Tadalafil / Oxytocin
Triple-action · Enhanced
Adds oxytocin for connection and confidence
Designed for performance and experience
Most comprehensive sexual health protocol
Annual
Best value$59/mo
Semi-annual
$64/mo
Quarterly
$67/mo
Monthly
$69/mo
Get started

How it works

Get started
Quick assessment

Go through a quick questionnaire
about your health history

Provider review
Order statusApproved

Medical consultation is required with
a licensed care provider

Shipped to your door
Free discreet shipping

If prescribed, your medication ships
quickly & discreetly to your door

Get started
FAQ

Common
questions

Have more questions? Our care team is available 24/7.

Get started

Coivas offers compounded sildenafil, tadalafil, a sildenafil/tadalafil combination, and a sildenafil/tadalafil/oxytocin protocol. Your clinician will recommend the best option based on your health history, goals, and how you plan to use treatment.

Sildenafil typically works within 30–60 minutes and is often used as needed before intimacy. Tadalafil can last up to 36 hours and may be taken daily or on demand. Your provider will help you choose based on your lifestyle and response.

Combination protocols blend active ingredients to target multiple pathways — for example, pairing fast-acting and long-acting support, or adding oxytocin for enhanced connection and confidence. Your clinician personalizes the formulation to your needs.

Sildenafil often takes effect within 30–60 minutes when used as needed. Tadalafil may work within 30 minutes and can remain effective for up to 36 hours. Individual response varies based on dose, timing, and health factors.

Common side effects may include headache, flushing, nasal congestion, or upset stomach. These are usually mild and often improve with dose adjustments. Your provider will review your medications and health history before prescribing.

Yes — all orders ship in plain, unmarked packaging directly from a licensed US pharmacy. There are no long-term contracts, and you can pause or cancel your plan at any time.