Sexual health
Erectile dysfunction care, handled privately.
A video visit with a licensed clinician, then our physician reviews your history and prescribes only if it's safe for you. Discreet from start to finish.
- Online visit
- Discreet packaging
- Ships free
Prescriptions are reviewed and issued by Clay Buchanan, MD.
Free assessment · Available in Texas and Florida · Prescription required
† “From” prices are 12-month plan rates, billed monthly. Models shown. See plan terms.
Is this right for me?
Men who have trouble getting or keeping an erection.
This may be a fit if you're
- Men 18+ in Texas or Florida
- Trouble getting or keeping an erection
- Want private, clinician-reviewed care
- Can share blood pressure and heart history
This isn't for you if you're
- Take nitrates (e.g., nitroglycerin) or use “poppers”
- Chest pain during sex or exercise
- Heart attack or stroke in the last 6 months
- Very low or uncontrolled high blood pressure
Your clinician reviews your full history either way. This list isn't complete.
Treatment options
Options your clinician may prescribe.
Prescription required. Medications are prescribed only if our physician determines they are clinically appropriate.
FDA-approvedSildenafil
Oral tablet, as needed
A generic prescription tablet for erectile dysfunction.
From $25/mo (see pricing footnote)- FDA-approved
Tadalafil
Oral tablet, as needed or daily
A generic prescription tablet for erectile dysfunction.
From $29/mo (see pricing footnote)
† “From” prices are 12-month plan rates, billed monthly. Models shown. See plan terms.
Clinical oversight
Clinical oversight
Our physician reviews every evaluation and prescribes only when it's the right call.
Clay Buchanan, MD · Medical Director and prescribing physician
Video evaluations are performed by licensed clinicians through our telehealth partner. Every prescription is reviewed and issued by Dr. Buchanan.
Meet our physician & care teamHow it works
Four steps, all online.
Share your history
Answer a few questions about your health and goals. It's free.
Video visit
Meet a licensed clinician by video. Labs are ordered if your treatment needs them.
Physician review
Our physician, Clay Buchanan, MD, reviews your visit and prescribes only if it's right for you.
Approve your plan, ships free
Choose your plan (you're charged only then). Your medication ships free, and your care team is a message away.
What's included
One monthly price covers your care.
- Video visit with a licensed clinician
- Messaging with your care team
- Your medication, if prescribed
- Free, discreet shipping
- Annual video check-in
- Cancel anytime, no membership fees
What to expect
Your first year, step by step.
- Day 0Assessment and video visit
- Day 1If prescribed, approve your plan
- Day 2–5Ships free in discreet packaging
- Week 4–6Check-in with your care team
- Every 12 monthsVideo check-in
Timing varies. Treatment continues only if your clinician determines it's appropriate.
Safety information
Important safety information.
Common side effects may include
- Headache
- Flushing
- Nasal congestion
- Indigestion
- Back or muscle aches
- Vision changes
This is not a complete list.
Never take these medications with nitrates or “poppers”; the combination can cause a dangerous drop in blood pressure. Seek emergency care for an erection lasting more than 4 hours or sudden vision or hearing loss.
StemNovaMD is not an emergency service. If this is a medical emergency, call 911 or go to the nearest emergency room.
Full safety information for each medication:
Frequently asked questions
What’s the difference between sildenafil and tadalafil?
They are both FDA-approved generics with different timing and duration. Your clinician will recommend one based on your health and preferences.
Is it discreet?
Yes. Plain packaging, and no medication names in our emails or texts.
Do I need a video visit?
Yes. Every patient has a video visit with a licensed clinician before any prescription, and at least once every 12 months. Our physician, Dr. Buchanan, reviews every visit before prescribing. It's included in your plan price.
Are these FDA-approved?
Sildenafil and tadalafil are FDA-approved generics. Any compounded option is labeled as not FDA-approved.
How am I billed?
You're charged only after you approve your plan. Plans renew until you cancel. Shipping is free.
Can I cancel?
Yes, anytime online in your account.
This page is for general education. It is not medical advice and does not create a clinician–patient relationship.
Start your private assessment. A licensed clinician reviews every request.
About 10 minutes. No charge unless you're prescribed. Serving adults in Texas & Florida.
Cancel anytime · No membership fees