Men’s Sexual Health

Find the Right Solution for Erectile Dysfunction and other Men’s Sexual Health Conditions

Men’s Sexual Dysfunction

Men worldwide suffer from problems concerning sexual health like erectile dysfunction (ED), low testosterone (Low-T), libido issues, and more. Sexual issues can lead to an array of other issues, whether physically, emotionally, or mentally. Failure to address these issues may be detrimental in socialization, relationships, and other aspects that bring quality to life.

Our pharmacists Ben Fais and pharmacist-owner John Herr at Town & Country Compounding specialize in helping with therapies for men’s health and erectile dysfunction and are available to do private consultations.

^{John Herr, RPh. (Left) & Ben Fais, RPh. are experts in Men’s Sexual Health Treatments.}

Do you have a question about ED or other sexual dysfunction in men?

Please let us know your questions about Men’s Sexual Dysfunction in the form below.

Men’s Health Overview

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. You will be counseled on the best way to store your medications because they may be temperature sensitive. Some may be frozen and some may be refrigerated.

Men also may complain of lack of desire, which we can also help with. Supplements can often help with libido or sex drive. Testosterone is a factor that will not necessarily correct ED but can help with the “want to” or desire.

Request Prescriber Referral

Men’s Health Overview

Request Prescriber Referral

Interested in knowing your testosterone levels?

Female/Male Saliva Profile III (Saliva Testing Kit)

Testosterone and other levels are done with this easy to use saliva test that can be done at your home.

Learn More

Female/Male Saliva Profile III (Saliva Testing Kit)

Testosterone and other levels are done with this easy to use saliva test that can be done at your home.

Learn More

Men’s Sexual Health Consultation

$150

45 minute expert consultation

SCHEDULE A CONSULTATION

At Town & Country Compounding we do the best to work with the patient and the practitioner to offer other options for the patients.

Nutritional Supplements for Men’s Sexual Health

Good blood flow is essential for good erectile functioning, which may be enhanced with Nitric Oxide (NO) supplements. We have an easy test kit to purchase to see if your levels of NO are sufficient.

Do you need Nitric Oxide Nutritional Supplementation?

Town & Country Compounding can ship Nitric Oxide Supplements directly to your door.

Do you need Nitric Oxide Nutritional Supplementation?

Town & Country Compounding can ship Nitric Oxide Supplements directly to your door.

T&C Nitric Oxide Supplements

Treatment Options

When mens’ needs go beyond nutritional supplementation, there are various prescription products such as Viagra, Cialis, and Levitra.

Sildenafil (Viagra Alternative)

The Affordable Alternative to Viagra® is now available at Town & Country Compounding Pharmacy.

#5 of the 20mg tablets = The same sildenafil content as a 100mg Viagra® tablet.

Sildenafil: 30 count of 20mg tablets for $50

THIS MEDICATION REQUIRES A PRESCRIPTION

T&C can call your prescriber for you!

Sildenafil (Viagra Alternative)

The Affordable Alternative to Viagra® is now available at Town & Country Compounding Pharmacy.

#5 of the 20mg tablets = The same sildenafil content as a 100mg Viagra® tablet.

Sildenafil: 30 count of 20mg tablets for $50

THIS MEDICATION REQUIRES A PRESCRIPTION

T&C can call your prescriber for you!

Other Options for Erectile Dysfunction (ED)

However, these medications have some drawbacks, such as they take a long time to get into the bloodstream and absorption may be prolonged.

For example, oral tablets have to go through the stomach and food can influence absorption.

There are alternative forms of medication for treating sexual health issues that are available which could be more appropriate for different individual needs.

This includes:

Lozenges or Troches
Mechanical Vacuum Pump
Injectables

If you are looking to explore different forms of erectile dysfunction (ED) treatment, please contact Town & Country Compounding Pharmacy >>

Lozenges or Troches

Due to this absorption/time to work factor, we are often asked to compound medications into a lozenge form. It is absorbed into the bloodstream directly from the blood vessels under the tongue and does not need to go through the stomach. Therefore, it is absorbed probably about 4x quicker into the bloodstream and works quicker than the oral tablets.

VARDENAFIL 75 MG TROCHE
SILDENAFIL 150 MG TROCHE
TADALAFIL 75 MG TROCHE

Alternatives: Vacuum Pumps & Injections

Beyond tablets, some patients may use a vacuum erection device (see video) and some may use a penile injection.

Medications are injected directly into the penis when other treatment modalities have failed. Commonly, an auto-injector is used to help make the injection process easier (see video).

Deluxe Vacuum Pump

Compounded tri-mix or quad mix injection Rx options

Trimix is an injectable three-drug prescribed medication used to treat erectile dysfunction. The active ingredients in the mixture are usually alprostadil, papaverine, and phentolamine.

The injection must be compounded by a pharmacy and administered via intracavernosal injection (an injection at either side, not the base, of the penis). Trimix is typically compounded by a pharmacy in a sterile environment and then frozen. ^[1][2][3][4]

Commonly Requested Compounds for Erectile Dysfunction Therapy

Bi-Mix 1 (Papaverine 30mg/ml – Phentolamine 0.5mg/ml) Injection
Bi-Mix 2 (Papaverine 30mg/ml – Phentolamine 1mg/ml) Injection
Tri-Mix 1 (Papaverine 30mg/ml – Phentolamine 1mg/ml – Prostaglandin 10mcg/ml) Injection
Tri-Mix 2 (Papaverine 30mg/ml – Phentolamine 1mg/ml – Prostaglandin 20mcg/ml) Injection
Tri-Mix 3 (Papaverine 30mg/ml – Phentolamine 1mg/ml – Prostaglandin 30mcg/ml) Injection
Tri-Mix 4 (Papaverine 30mg/ml – Phentolamine 1mg/ml – Prostaglandin 40mcg/ml) Injection
Standard Quad Mix (Alprostadil 40mcg/Atropine 0.1mg/Papaverine 30mg/Phentolamine 2mg)
Standard TriMix (Alprostadil 5.88mcg/mL Papaverine 18mg/mL Phentolamine 0.6mg/mL)
Super Tri-Mix (Papaverine 30mg/mL – Phentolamine 2mg/mL – Prostaglandin 40mcg/mL) Injection
Standard TriMix Trial Kit (Includes: #1 mL vial, 10 x Alcohol Pads)

Watch Tutorial & Penile Injection Techniques for Men >>

Watch Step-By-Step Auto Injector for Men >>

What is erectile dysfunction?

ED is a common problem, affecting 5-20% of men. ED is one of the most common sexual dysfunctions, and may affect up to 52% of men between the ages of 40 and 70.

While it can affect men of any age, older men have higher risk of getting ED. Studies indicate that men at age 75 only have about two thirds of the serum testosterone they had at age 25. About half of men older than 80 years old and 20% of men older than 60 have low serum testosterone concentrations.

At Town & Country Compounding Pharmacy, we care for many male patients who have experienced erectile dysfunction or sexual dysfunction. The basic way to describe erectile dysfunction is an erection that is just not suiting your needs, it doesn’t have to be a complete failure to be classified as a dysfunction. Examples of problems may be that the erection is not firm enough or maybe it doesn’t last long enough.

Premature Ejaculation

Premature ejaculation is a common sexual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.

As long as it happens infrequently, it’s not cause for concern. However, you might be diagnosed with premature ejaculation if you:

Always or nearly always ejaculate within one minute of penetration
Are unable to delay ejaculation during intercourse all or nearly all of the time
Feel distressed and frustrated, and tend to avoid sexual intimacy as a result

Source: Mayo Clinic

Some men struggle with premature ejaculation, and our pharmacy has topical products that can help with that problem. Contact our experts for more information >>

Low Testosterone (Low-T) in Men

For the majority of men, testosterone decline with age. Signs and symptoms of Low Testosterone or Low T may include:

Weakness
Fatigue
Osteoporosis
Heart Disease
Atherosclerosis
Irritability
Depression, anxiety
Metabolic syndrome
Slow wound healing

Reduced Libido
Erectile dysfunction (ED)
Prostate problems
Low sperm counts
Reduced muscle mass
Disturbed sleep
Insomnia
Impaired blood cell formation
Reduced cognitive function

You may be diagnosed with Low T if you have the symptoms or conditions stated above, but this should be confirmed by lab tests.

Testosterone

Once you’ve confirmed that you have Low T levels, talk to your physician about compounded medication. Your physician and pharmacist must work together to give you the optimal solution fit for your specific needs. Compounded medications has its advantages over other dosage forms.

Testosterone gels and creams for example, are easier to apply than transdermal patches, which require shaving the pubis area. The gel or cream can be applied two to three times a day without shaving.

Testosterone Absorption Issues? We have a compounding gel base available that helps provide superior testosterone delivery in men.

Independent testing showed that testosterone compounded into Atrevis™ Hydrogel base delivered more testosterone through the skin than other tested compounding bases. Our formulas range from concentrations of 0.5% up to 20%.

Hormone Replacement in Men

Alternative Treatments often consist of using a class of drug called phosphodiesterase-5-inhibitors which includes sildenafil, tadalafil, and vardenafil. These drugs are often effective in patients that are difficult to treat.

Doses may also come in lozenge form, such as tadalafil lozenge and sildenafil lozenge. Sildenafil acts as soon as 30 minutes after the first dose, with a duration of 4-6 hrs (or up to a maximum of 12 hrs). Tadalafil has to be taken 30 minutes prior to intercourse, and has a longer duration with a maximum of 72 hrs.² Get a Prescriber Referral >>

Video Resources: Men’s Sexual Health

Please explore the various topics covered related to Men’s Sexual Health. Please contact Town & Country with any questions.

Men’s Sexual Heath Overview:

At Town & Country Compounding Pharmacy, we care for many male patients who have experienced erectile dysfunction or sexual dysfunction.

While some men find success using oral medications or sublingual medications, others may find success using a vacuum erection device like a vacuum pump. However, some men do not have success with those methods either and opt to use penile injections, sometimes with the help of an auto-injector device.

Please watch all 4 of our videos to become familiar with options for ED.

Vacuum Pump:

Step-by-step instructions on how to use Town & Country Compounding’s Deluxe Mechanical Vacuum Pump for erectile dysfunction (ED).

Injection Technique:

Injection information and proper techniques: Erectile Dysfunction (ED) medications may come in the form of penile injections, such as tri-mix, bi-mix, etc.

Watch this step-by-step tutorial which includes important tips to consider when administering injections.

Auto Injector:

An auto-injector is used to help make the injection process easier for patients who use penile injections such as prostaglandin, tri-mix, quad mix, etc.