Erectile Dysfunction: Compounded ED Meds & Therapies at Town & Country Compounding Pharmacy
Erectile dysfunction (ED) affects millions of men, with studies showing that moderate ED impacts approximately 20% of the total adult male population, 30–50% of men over 40, and more than 60% of men older than 70. While many are familiar with traditional oral ED medications, the reality is that these pills don’t work for everyone — and they’re certainly not the only answer available.
At Town & Country Compounding Pharmacy in New Jersey and New York, among other states, our specialized pharmacists focus on men’s health therapies and understand that, when it comes to addressing erectile dysfunction, there’s no “one-size-fits-all” approach. We work closely with patients and practitioners to offer personalized compounded ED meds and therapies that go far beyond conventional options.
What is erectile dysfunction? Understanding the condition
Erectile dysfunction isn’t simply the complete inability to achieve an erection. As our experts explain, “Erectile dysfunction is an erection that’s just not suiting your needs; whether that be not firm enough, or not lasting long enough. It does not have to be the complete failure of obtaining an erection.”
This broader definition is important because it acknowledges that ED exists on a spectrum, and therapies should be tailored to each individual’s specific needs and circumstances.
Learn about what options and testing are available for different types of clinical issues that may be decreasing sexual function.
Post-prostate surgery ED: A common challenge
One of the most common causes of erectile dysfunction is prostate surgery. If you’ve had prostate surgery and are experiencing ED, know that this affects the majority of men who undergo these procedures. During surgery, the delicate nerves and blood vessels that control erections can be damaged.
Using ED medications after prostate surgery isn’t just about sexual performance — it’s actually about “penile rehabilitation” to keep tissues healthy and prevent long-term damage. Many doctors recommend starting these therapies as soon as possible after surgery as part of the recovery process.
Erectile dysfunction and heart health: The important connection
Here’s something many men don’t realize: erectile dysfunction is often the first warning sign of heart problems. Think of it this way — your penis has some of the smallest blood vessels in your body. When these tiny blood vessels start having trouble with blood flow, it’s usually a sign that bigger blood vessels (like the ones going to your heart) might be having problems too.
This is why doctors often say “what’s bad for your heart is bad for your penis.” Problems like high blood pressure, diabetes, high cholesterol, and smoking don’t just affect your heart — they affect blood flow everywhere in your body, including the blood flow needed for strong erections.
The good news? This connection works both ways. When you improve your overall cardiovascular health through better diet, exercise, and proper therapies, you’re not just helping your heart — you’re often improving your sexual health too. This is why the most effective ED therapies focus on improving blood circulation and overall vascular health.
This connection also explains why traditional ED pills sometimes don’t work as well as expected. If underlying health issues aren’t addressed — like poor circulation or low nitric oxide levels (which we’ll explain below) — even the best medications may not be as effective.
Compounded ED meds and therapies at Town & Country Compounding
Oral and sublingual medications
Commercial generic tablets
- Generic Sildenafil tablets: 50 mg or 100 mg
- Generic Tadalafil tablets: 20 mg or 5 mg
Compounded formulations
Our pharmacy can compound various ED medications into alternative dosage forms when prescribed by your healthcare provider:
- Troches/Lozenges: Dissolve under the tongue or in the cheek for potentially faster absorption
- Rapid Dissolve Tablets: Break down quickly in the mouth and can be scored for dose adjustment
- Custom Strength Capsules: Tailored dosing when standard strengths aren’t appropriate
- Combination Products: Multiple active ingredients in one formulation
Compounded ED injections: Tri-mix, bi-mix, and quad-mix
For men who don’t find success with oral medications, we compound specialized penile injections:
- Compounded Tri-Mix Injections
The most popular injectable option, compounded tri-mix combines three active ingredients to provide reliable, customizable results. Each injection is compounded based on individualized needs and response at our PCAB-accredited compounding pharmacy. Learn proper injection techniques with our comprehensive video tutorial.
- Compounded Bi-Mix and Quad-Mix Options
Depending on your specific needs and tolerance, Town & Country Compounding can compound bi-mix (two active ingredients) or quad-mix (four active ingredients) formulations.
- Auto-Injector Devices
For patients who have difficulty with traditional syringes or needle anxiety, we offer auto-injector devices that make self-administration easier and more comfortable. Watch our step-by-step tutorial on using the Owen Mumford Autoject Ei injection aid device.
Vacuum erection devices for erectile dysfunction
These prescription-free devices have been successfully used by men for decades. They work by creating a vacuum that draws blood into the penis, with a retention ring used to maintain the erection during intercourse. The vacuum pump can also serve as a form of physical therapy. Watch our instructional video on how to properly use a vacuum pump for ED.
Low testosterone and compounded hormone therapy
- Low Testosterone and ED
Low testosterone levels often contribute to erectile dysfunction, characterized by symptoms such as:
- Loss of libido
- Erectile dysfunction
- Depressed mood
- Lethargy
After proper diagnosis including testing for testosterone, estrogen, and luteinizing hormone (LH), properly directed therapy may significantly reverse these symptoms.
- Compounded Testosterone Gel for Men
Town & Country Compounding compounds topical testosterone gel in various strengths (0.5% up to 20%) using our superior Atrevis™ Hydrogel base. Independent testing has shown that testosterone compounded in this base delivers more hormone through the skin than other tested compounding bases.
Nitric oxide supplements for erectile dysfunction
Many traditional ED medications have been shown to be ineffective when nitric oxide levels in the body are not optimal. By age 40, the enzyme-dependent pathway for producing nitric oxide is reduced to 50% of its capacity, making supplementation increasingly important. One of the most overlooked aspects of sexual health is nitric oxide (NO) levels. Known as “the missing piece in sexual health,” nitric oxide is essential for:
- Proper circulatory function
- Cardiovascular health
- Sexual function in both men and women
Testing and supplementation
We offer:
- At-home nitric oxide testing strips for a quick 15-second saliva test
- Nitric oxide supplements to support healthy circulation
- Personalized recommendations based on your test results
Why choose Town & Country Compounding Pharmacy for compounded ED meds?
What sets Town & Country Compounding apart is our commitment to personalized medicine and patient education. Our PCAB accreditations place us in the top 1% of compounding pharmacies, ensuring the highest quality and safety standards for all our compounded ED meds and preparations.
Men's health consultations at Town & Country Compounding
We offer comprehensive consultations with our men’s health specialists:
- 45-minute consultations for $150
- Pre-consultation questionnaires and lab testing options
- Referrals to practitioners who prescribe advanced ED medications
- Free 15-minute consultation when you order ZRT home testing kits
- Discussion of supplement options, prescription alternatives, and device recommendations
Beyond ED: comprehensive men's health services
While erectile dysfunction is often the primary concern, Town & Country Compounding Pharmacy understands that men’s sexual health encompasses much more. Our comprehensive approach addresses:
- Low testosterone and hormone imbalances
- Libido and sexual desire issues
- Prostate medication side effects
- Overall male wellness and vitality
Getting started with compounded ED meds at Town & Country Compounding
If you’re dealing with erectile dysfunction, remember that you have options beyond traditional oral medications. Whether you’re just beginning to experience ED symptoms or have tried other options without success, Town & Country Compounding Pharmacy may help you find a therapy that works for your specific situation.
Don’t let embarrassment or stigma prevent you from seeking help. Erectile dysfunction is a common medical condition that responds well to proper care. At Town & Country Compounding, we provide discrete, professional service with the personalized attention you deserve.
The information provided in this blog is for educational purposes only and should not replace professional medical advice. Always consult with a healthcare provider before starting any new treatment for erectile dysfunction or making changes to your current therapy.
Additional resources from Town & Country Compounding
For more detailed information about specific aspects of men’s health and erectile dysfunction medications, explore our comprehensive library of educational content:
