Individualized sexual wellness consultation

Combination Sexual Wellness Troches

This compounded treatment combines three ingredients that act through different biological pathways. Your provider reviews your health history, medications and concerns before determining whether it may be appropriate.

The finished compounded combination is not FDA-approved and has not been established as safe or effective. Evidence for the individual approved medications does not establish the benefit of this combination or its troche formulation.

Three ingredients, distinct considerations

PT-141 (Bremelanotide)

Acts on central nervous system pathways involved in sexual desire and arousal. The FDA-approved injection's indication does not establish effectiveness for this compounded troche. PT-141 use in men is off-label.

Tadalafil

Relaxes blood vessels and affects blood flow. FDA-approved oral tadalafil is used for erectile dysfunction and certain other conditions. Its approved labeling does not establish equivalence for the compounded combination troche.

Oxytocin

A naturally occurring hormone involved in several physiological processes. Effectiveness for sexual dysfunction in this compounded combination has not been established.

Important medication precautions

Do not use tadalafil with nitrate medications or riociguat because of the risk of dangerous drops in blood pressure. Discuss every medication and cardiovascular concern with your provider. Bremelanotide's approved injection is contraindicated with uncontrolled hypertension or known cardiovascular disease. The compounded combination requires its own individualized risk review.

Transparent subscription pricing

One Clear Price. No Hidden Fees.

Your listed PT-141 or sermorelin price includes medication when prescribed, provider evaluation, routine treatment support and standard home delivery. No surprise consultation fees, additional required membership fees or unexpected standard shipping charges. Any additional testing or services are explained before you authorize them.

Monthly subscription

Combination Sexual Wellness Troches

$139/month

Automatically renews. Cancellation requires 7 days' advance notice. See Subscription Terms.

Provider Evaluation + Medication + Standard Shipping Included

Eight compounded combination troches per approved monthly refill.

  • Provider evaluation
  • Prescription management
  • Medication when prescribed
  • Standard home delivery
  • Routine treatment support
Get Started, PT-141 + Tadalafil + Oxytocin

For eligible adults physically located in Florida during telehealth care. Payment does not guarantee a prescription. All treatments and refills require individualized provider approval.

HSA + FSA Accepted

We accept HSA and FSA cards for eligible medical services. Eligibility and reimbursement may vary by individual plan.

Subscription & Cancellation Terms

No minimum commitment or cancellation fee for the listed PT-141, sermorelin and tablet tier subscriptions.

All subscription cancellations require at least 7 full calendar days' notice before the next scheduled recurring payment or prescription renewal processing date, whichever occurs first.

Recurring payments and prescription renewals may begin processing before the renewal date. This advance notice allows our office adequate time to stop automatic billing, coordinate with the dispensing pharmacy when applicable, and prevent unnecessary prescription renewals or shipments.

Cancellation requests received fewer than 7 days before the next scheduled renewal may not take effect until the following billing cycle. Payments already processed and prescriptions already submitted to the pharmacy may not be eligible for cancellation or refund, subject to applicable law and the existing refund policy.

Cancellation stops future renewals after the effective cancellation date. Any existing minimum membership commitment remains subject to its agreed terms.

Patients may discontinue a medication for medical reasons at any time. This administrative cancellation policy does not restrict clinical care or medical decision-making.

Request cancellation

Subscription questions

Patient Portal

The care process

From exploring to provider review

  1. 01

    Explore your options

    Read about the treatment, its limitations, pricing and subscription terms.

  2. 02

    Select your plan

    Choose a package for evaluation. A selection is not a determination of eligibility.

  3. 03

    Complete secure enrollment

    Payment, health history and consent stay in the secure clinical system, not this website's forms.

  4. 04

    Provider review

    Your provider reviews your information, may request further evaluation and prescribes only when medically appropriate.

Combination treatment questions

Learn About PT-141 Without the Combination
Ashley Payne, APRN, CNM, C-EFM

Clinician-led care

Care starts with a conversation

Ashley Payne, APRN, CNM, C-EFM leads care at Lakeland IV + Wellness, a signature service of Lakeland Birth & Gynecology. Your history, current medications and treatment goals guide the evaluation. A live visit, examination, laboratory testing or specialist care may be needed when telehealth is not sufficient.

Meet Ashley Payne

These compounded formulations are not FDA-approved. FDA does not review compounded medications for safety, effectiveness or quality before they are marketed. Evidence for an approved product does not establish equivalence for a compounded formulation.

Telehealth is not emergency care. Call 911 for a medical emergency.

Medical references

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