Learn about comprehensive erectile dysfunction therapy approaches — from injectable therapies and vacuum pumps to oral medications and testosterone support. This article guides men through options that may improve performance and confidence, explains how each works, and highlights the role of personalized care in finding solutions that fit individual needs.
Customized Compounded Men’s Health Medications at Town & Country Compounding
Erectile dysfunction (ED) often results from physical causes, such as nerve damage or injury, neurological disorders, hormonal imbalances, surgery, and chronic illnesses. In these cases, many medications may not be as effective because they do not address the underlying physical issue. Responses to medication can vary, and what works well for one person may not work as effectively for another.
Men often also have an especially challenging time with ED after prostate removal surgery (prostatectomy).
Erectile dysfunction medications such as Viagra (sildenafil), Cialis (tadalafil), and Levitra (vardenafil), may not be as effective over time for some men due to underlying health conditions, such as diabetes, high blood pressure, heart disease, obesity, and prostate cancer.
Town & Country Compounding partners with practitioners to help find what will work for you.
Men’s Sexual Health
Watch Town Country Compounding’s owner, pharmacist John Herr’s short video talking about men’s sexual health problems and some solutions.
ED Options Beyond the “Little Blue Pill”
When patients need more options, Town & Country Compounding is here to help. Our pharmacists create custom erectile dysfunction medications in various dosage forms.
Sublingual Lozenges (troches), rapid dissolve tablets, and injections are all options that allow for a quicker onset of action for the drugs. Strengths can be customized for what the patient needs.
Trimix, Bimix, or Quadmix: Worth the Injection
We commonly compound penile injections for those men who need or prefer other options. These injections are often called tri-mix, bi-mix, or quad-mix.
Sexual Health: Nitric Oxide (NO)
Nitric Oxide (NO) helps promote improved blood flow throughout the body. The saying goes that ‘Erectile Dysfunction is Endothelial Dysfunction’ where ED is explained by failings in the cardiovascular system. NO, a vital molecule in cardiovascular health, is essential in addressing ED. Many of the most popular traditional ED medications have been shown to be ineffective when NO levels in the body are not optimal.
Nitric Oxide (NO) Supplements
Good blood flow is essential for good erectile functioning, which may be enhanced with Nitric Oxide (NO) supplements.
The Missing Piece in Sexual Health Nitric Oxide (NO)
Men:
Beginning symptoms of erectile dysfunction (ED) in men can be an early sign of heart disease. NO levels need to be optimal in the body to successfully treat ED, yet most people have low levels and wouldn’t think to even test levels.
The prevalence of moderate Erectile Dysfunction (ED) in the United States appears to be about 20% in the total adult male population, 30%–50% in those aged over 40, and greater than 60% in men older than 70.
The saying goes that ‘Erectile Dysfunction is Endothelial Dysfunction’ where ED is explained by failings in the cardiovascular system. This is why nitric oxide (NO), a vital molecule in cardiovascular health, is essential in tackling ED.
Coupled with this, many of the most popular traditional ED medications have been shown to be ineffective when NO levels in the body are not optimal.
Women:
Hormone levels are important, and lubrication is important, but so is nitric oxide, which is essential for blood flow. Sexuality relies on blood flow in women and improved blood flow helps out “down south.”
Female Sexual Arousal Disorder affects up to 70% of women, with at least 25% of women unable to reach an orgasm. These incidences increase with age, however, it does not have to be an inevitable symptom of aging. Sexual responsiveness in women requires adequate blood flow to the vagina and clitoris.
Nitric oxide is an important signaling molecule in healthy circulation and has a central role in female sexual response to arousal. NO acts as a neurotransmitter in the brain affecting the release of oxytocin which is central in the modulation of sexual behavior. Oxytocin is called the ‘Love Hormone’ or the ‘Cuddle Chemical’. Oxytocin increases nitric oxide production, and levels greatly increase after an orgasm.
