Men’s Health
Simplified.
Provider-reviewed treatment options delivered directly to your door
MEN’S HEALTH PLANS
Your care. Simplified.
Choose your treatment to view plans and pricing. Your provider will review your intake and some treatments require a video appointment prior to issuing a prescription.
KNOW YOUR TREATMENT
Your Treatment. Explained.
Explore your options, what to expect, and the safety information to discuss with your provider.
Prescription ED treatment
Sildenafil
A tablet used for erectile dysfunction (ED). It helps blood reach the penis during sexual arousal; it does not create an automatic erection. [1]
- PDE5 inhibitor
- Taken as needed, as prescribed
- Sexual stimulation is required
Your prescriber confirms the diagnosis, medicine and instructions. Read the safety notices below before starting treatment.
Before your first dose
Ask your provider to review your heart health and every medicine you use, including occasional chest-pain medicine and recreational “poppers.” [3]
How it works & why it is prescribed
Sildenafil supports the blood-flow response to stimulation by blocking PDE5. It can help with erections but does not increase sexual desire, cure ED, or protect against pregnancy or sexually transmitted infections. [3]
What to expect & practical use
It is often used about an hour before sex; a high-fat meal can delay its effect. Follow your own prescription’s timing and dose rather than taking extra tablets when it seems slow to work. [3]
Tell your care team when treatment is ineffective or poorly tolerated. Do not add tadalafil or other ED medicines on your own. [2]
Common side effects
- Headache or flushing
- Indigestion or nausea
- Stuffy nose
- Dizziness
- Temporary blue-tinted vision
- Back or muscle discomfort
Examples, not a complete list. Report persistent or worsening symptoms; see the urgent-care guidance below. [2]
Safety & medicine interactions
Do not use with nitrates, riociguat, or a known allergy to sildenafil or its ingredients. ED medicines are unsuitable when your cardiac condition makes sexual activity unsafe. [2]
Alpha-blockers, blood-pressure drugs and medicines such as ritonavir or certain antifungals may require changes to treatment. Discuss kidney/liver disease, previous serious vision loss, or a history of prolonged erections. [2]
Prescription ED treatment
Tadalafil
An ED tablet that helps the blood-flow response to sexual stimulation. Effects may last up to 36 hours; that is an opportunity for a response, not a 36-hour erection. [1]
- PDE5 inhibitor
- Daily or as-needed prescribing
- Sexual stimulation is required
Your prescriber confirms the diagnosis, medicine and instructions. Read the safety notices below before starting treatment.
Daily and as-needed are different plans
Your prescriber chooses the schedule. Do not add an extra as-needed tablet to a daily regimen or combine it with another ED product. [4]
How it works & why it is prescribed
Tadalafil inhibits PDE5 to support erections during arousal. It does not increase desire or prevent pregnancy or sexually transmitted infections. Some approved tadalafil products also treat enlarged-prostate symptoms; that requires a separate clinical assessment. [5]
What to expect & practical use
Follow the schedule on your prescription. As-needed use is timed before sex; daily use is taken consistently without timing each dose to sex. Food does not meaningfully change how you take it. [5]
A longer action window does not remove interaction risks. Do not repeat a dose early or combine daily and as-needed regimens. [4]
Common side effects
- Headache or flushing
- Indigestion
- Stuffy nose
- Back pain
- Muscle aches
- Arm or leg discomfort
Examples, not a complete list. Report persistent or worsening symptoms; see the urgent-care guidance below. [4]
Safety & medicine interactions
Do not use with nitrates, riociguat, or a serious tadalafil/ingredient allergy. Do not use when sexual activity is medically unsafe. [4]
Review alpha-blockers, blood-pressure medicines, certain antifungals and ritonavir with your prescriber. Kidney or liver problems may change suitability or dosing. Heavy drinking increases the risk of low blood pressure and dizziness. [4] [5]
Prescription hormone therapy
Testosterone Cypionate
An injectable form of testosterone used to replace deficient hormone in appropriately diagnosed patients. It is not an ED tablet or a general treatment for ordinary aging. [6] [8]
- Testosterone replacement therapy
- Symptoms + lab evaluation
- Ongoing monitoring is required
Your prescriber confirms the diagnosis, medicine and instructions. Read the safety notices below before starting treatment.
Planning to have children?
Testosterone can reduce sperm production. Discuss fertility before starting. The Endocrine Society recommends against starting testosterone when fertility is planned in the near term. [9] [7]
Somira availability: California uses a separate quarterly plan. Other-state plans are location-dependent. Confirm eligibility in the pricing selector. [1]
How it works & who may benefit
Replacement therapy may address symptoms caused by confirmed testosterone deficiency. Diagnosis needs compatible symptoms and consistently low levels, usually confirmed with repeat morning testing. The cause of low testosterone also matters. [7]
It is not approved as an athletic-performance enhancer, and results are not guaranteed. [6]
What to expect & monitoring
Your clinician sets the injection schedule and follow-up. Monitoring includes response, testosterone levels, blood counts/hematocrit and blood pressure; prostate assessment is individualized. Do not adjust injections solely by how you feel. [6] [7] [8]
Potential side effects
- Acne or oily skin
- Injection-site discomfort
- Breast enlargement or tenderness
- Fluid retention or swelling
- Mood or libido changes
- Hair thinning
Examples, not a complete list. Report persistent or worsening symptoms; see the urgent-care guidance below. [6]
Safety & medicine interactions
Do not use with known/suspected prostate cancer, male breast cancer, a product allergy, or serious heart, liver or kidney disease. Review clotting history, high hematocrit, untreated severe sleep apnea, urinary symptoms and recent cardiovascular events. [6] [7]
Blood thinners and diabetes treatment may need closer monitoring. Avoid self-directed hormone combinations or doses above the prescription. [6]
Know when to get help
Call 911 for chest pain, sudden shortness of breath, stroke symptoms or a severe allergic reaction.
Get urgent evaluation for a painful, swollen, warm leg or a prolonged erection. Do not wait for a portal reply in an emergency. [9]
Human chorionic gonadotropin
HCG (10,000 IU)
HCG acts like luteinizing hormone, signaling the testes to make testosterone. Approved HCG labeling includes selected cases of hypogonadotropic hypogonadism—low hormone production from insufficient pituitary signaling. [10]
- Hormonal signaling medicine
- Provider-selected treatment
- 10,000 IU is vial content, not a dose
Your prescriber confirms the diagnosis, medicine and instructions. Read the safety notices below before starting treatment.
Fertility needs its own discussion
HCG is not interchangeable with testosterone. Do not assume adding it guarantees fertility or offsets testosterone’s sperm-suppressing effects. Discuss family-building plans with a clinician experienced in male reproductive health. [7] [9]
Somira availability: HCG is not currently available in California. Use the pricing selector to confirm location eligibility; this guide does not authorize treatment. [1]
How it works & why it may be prescribed
HCG stimulates testosterone production rather than supplying testosterone directly. Your diagnosis determines whether that approach is appropriate; it is not a treatment for every cause of low testosterone. [10]
HCG is not FDA-approved for weight loss. It has not been shown to add weight-loss benefit to calorie restriction. [11]
What to expect & preparation
Ask your prescriber and pharmacist to confirm the product, injection route, mixing instructions, storage and discard date. These vary by product; do not borrow instructions from another vial. [10]
The 10,000-IU vial listing is not a recommended injection amount. This guide intentionally supplies no mixing volumes or injection-unit conversions.
Reported side effects
- Injection-site pain or redness
- Headache or fatigue
- Irritability or restlessness
- Low mood
- Fluid retention
- Breast enlargement
Examples, not a complete list. Report persistent or worsening symptoms; see the urgent-care guidance below. [10]
Safety & conditions to discuss
Do not use with an HCG/ingredient allergy, certain hormone-sensitive tumors, or uncontrolled thyroid, adrenal or pituitary disorders. Discuss heart/kidney disease, hypertension, migraines, asthma and seizures before treatment. [10]
Bring a complete medication list to the visit. A plan offering does not establish that treatment is clinically appropriate.
A hormone treatment, not a weight-loss aid
Do not use HCG for an “HCG diet.”
FDA has not approved it to treat obesity. Very-low-calorie diets promoted with HCG can be dangerous. [11]
Know when to get help
Call 911 for trouble breathing, throat swelling or collapse.
Stop using the product and seek care for a suspected serious allergy. Contact your prescriber about significant swelling or new breast changes. [10]
Boosts Natural Testosterone
Enclomiphene
Enclomiphene is a non-invasive way to enance the body’s production of making more testosterone naturally. [13]
- Boots Natural Testosterone
- Preserves Fertility
- Supports Muscle Growth & Strength
- Enhances Libido, Mood & Cognitive Function
Testosterone Restoration
The primary enclomiphene benefit is its ability to raise endogenous testosterone in men with secondary hypogonadism — a condition where the pituitary gland underproduces LH and FSH, leading to insufficient testosterone output from the testes. Clinical trials have demonstrated meaningful testosterone increases within 4-8 weeks of treatment.
Fertility Preservation
Unlike TRT, which suppresses spermatogenesis and can cause infertility during treatment, enclomiphene maintains and often improves sperm parameters. The FSH stimulation from enclomiphene supports Sertoli cell function and sperm maturation, making it an appropriate choice for men who want both testosterone optimization and preserved fertility.
Strength and Muscle Growth
Enclomiphene testosterone increases support improved body composition through the same mechanisms as naturally elevated testosterone: enhanced protein synthesis, improved nitrogen retention, and increased lipolysis. For bodybuilding and athletic applications, the compound supports lean muscle development and workout recovery without introducing synthetic hormones.
Mood and Cognitive Function
Testosterone deficiency is associated with depression, cognitive decline, irritability, and reduced motivation. By restoring physiological testosterone levels, enclomiphene for men can improve mood stability, mental clarity, and overall sense of well-being. These benefits are mediated through testosterone’s effects on neurotransmitter function and brain-derived neurotrophic factor (BDNF) production
Enclomiphene is a pharmaceutical compound that should be used under medical supervision. It is not FDA approved as a standalone drug, though it has been studied in clinical trials. This information is for educational purposes only. Consult your healthcare provider before using
How it works & why it may be prescribed
Enclomiphene citrate is a selective estrogen receptor modulator (SERM), specifically the trans-isomer of clomiphene citrate, that blocks estrogen receptors in the hypothalamus to stimulate the body’s own testosterone synthesis through HPG axis.
Enclomiphene preserves and may even enhance sperm production wile raising testosterone levels. This dual benefit has positioned the compound as a preferred option for men with secondary hypogonadism who what hormonal optimization without sacrificing reproductive function.
- Blocks estrogen receptors
- Stimulating gonadotropin release
- Boosting testosterone production
What to expect & preparation
The standard dosage for men with secondary hypogonadism ranges from 12.5 to 25 mg daily, with treatment cycles typically lasting 6-8 weeks followed by a break period to assess hormonal response.
Enclomiphene is cycled rather than used continuously to prevent receptor desensitization and allow assessment of the body’s independent hormonal function. A standard protocol involves 6-8 weeks of treatment followed by 4-6 weeks off, during which blood work evaluates whether testosterone levels are self-sustaining or require additional treatment cycles.
Reported side effects
Enclomiphene for men is generally well-tolerated, with most side effects classified as mild and transient. The side effect profile is generally more favorable than both clomiphene (Clomid) and traditional TRT.
- Nausea
- Headache
- Hot flashes
- Muscle spasms
- Dizziness
- Vision problems
- Blood clots
- Cardiovascular problems
- Stroke-related events
Examples, not a complete list. Report persistent or worsening symptoms; see the urgent-care guidance below. [10]
Safety & conditions to discuss
If you have secondary hypogonadism, a condition where the pituitary gland underproduces LH and FSH, leading to insufficient testosterone output from the testes, bring your most recent evaluation to your telehealth visit to discuss with your provider.
Bring a complete medication list to the visit. A plan offering does not establish that treatment is clinically appropriate.
Side Effects
As with all medication, if you are feeling unwell or concerned about your side effects, discontinue medication immediately and contact your primary care provider.
Visual disturbances are very rare, but if you are experiencing visual disturbance this requires immediate discontinuation of the medication and medical evaluation.
Know when to get help
Call 911 for trouble breathing, throat swelling or collapse.
Stop using the product and seek care for a suspected serious allergy. Contact your prescriber about significant swelling or new breast changes. [10]
Know which product you receive. These references describe FDA-approved products and clinical guidance; they do not identify the exact brand or formulation dispensed to you. If a medication is compounded, it is not FDA-approved and FDA does not review its safety, effectiveness or quality before marketing. Approved labeling does not establish equivalence of a compounded preparation. [12]
Read Somira’s compounding notice. Confirm ingredients, instructions and storage with your dispensing pharmacist.
Your prescription, storage & follow-up
Use only your prescribed product and instructions. Ask the pharmacist to clarify any confusing label before using it; do not copy another person’s schedule. For injections, obtain hands-on or provider-approved training and the correct supplies. Storage and discard instructions must match the product you receive.
Keep the care team informed about medicines, supplements, allergies and treatment problems. This guide is not a dosing calculator or permission to combine treatments.
Sources & full medication information
Sources checked September 17, 2026. Full labeling includes risks and instructions not reproduced here. Branded references do not mean those brands are supplied; the testosterone patient resource also discusses other testosterone formulations. Follow the instructions for your actual prescription.
- Somira: current Men’s Health treatments and plan availability (new tab)
- Viagra (sildenafil): official prescribing information (new tab)
- MedlinePlus: sildenafil patient information (new tab)
- Cialis (tadalafil): official prescribing information (PDF) (new tab)
- MedlinePlus: tadalafil patient information (new tab)
- Depo-Testosterone (testosterone cypionate): official labeling (new tab)
- Endocrine Society: testosterone therapy guideline (new tab)
- FDA: testosterone labeling and blood-pressure warnings (new tab)
- MedlinePlus: testosterone injection patient information (new tab)
- Pregnyl (HCG): official prescribing information (PDF) (new tab)
- FDA: HCG is not approved for weight loss (new tab)
- FDA: understanding compounded-drug risks (new tab)
- Pubmed: Treatment that maintains fertility in men with secondary hypogonadism (new tab)
Educational information for adults, not a diagnosis or personalized treatment advice. Prescription and provider approval required. This summary is not exhaustive and does not replace your medication labeling or clinician/pharmacist counseling.
Men’s Healthcare Should Feel Different
Your Health.
Your Privacy.
Your Choice.
Seeking treatment for men’s health concerns is personal, and getting care shouldn’t feel uncomfortable.
At Somira Health, we’ve created a straightforward telehealth experience designed around privacy, convenience, and transparency. From your online medical evaluation to prescription fulfillment through a licensed pharmacy, every step is handled with discretion and professional oversight.
We believe patients deserve clear information, honest pricing, and the freedom to make informed decisions about their health without unnecessary barriers or hidden costs.
Because great healthcare starts with trust.
Real Patients. Real Reviews.
“Me and my boyfriend started with Somira a few months ago. I was always leary of online health businesses as so many out there are crooks. However this company is who they claim they are. Quality service and products! We feel we made the best choice for our needs and continue to work with the doctors for our health goals.”
I placed my order and received my medications the next day! Had some questions that first week, contacted them and they always got to me fairly quickly whether it was the owner or provider! Which i appreciated bc they last company i used took a couple of days to respond. Highly recommend them!”