Private care · Thoughtful conversation · Individualized options

Pulse After Dark

Sexual wellness is part of whole-person health. Pulse offers a private, professional place to discuss desire, arousal and erectile function without judgment.

Request a confidential consultation Return to Pulse

Before treatment

A conversation comes first.

Sexual concerns can be influenced by cardiovascular health, hormones, medications, stress, sleep, relationships and other medical factors. Treatment begins with understanding the individual—not choosing a product from a list.

When clinically appropriate, Pulse can prescribe individualized treatment through a licensed compounding pharmacy.

Every option requires a formal medical consultation.
Treatment is not guaranteed. Medical history, current medications, contraindications, appropriate testing and the prescribing clinician’s judgment determine whether a prescription can be issued.

Available options

Personalized sexual wellness care.

These are potential treatment options—not an online store. Selection, formulation and dosing are individualized after clinical evaluation.

Daily support

Tadalafil 7 mg capsules

Individualized compounded daily dosing for erectile-function support. Cardiovascular status and medication interactions must be reviewed.

$120 · 30 capsules

As-needed support

Sildenafil 100 mg troches

A compounded dosage form that may be considered when a patient-specific clinical need supports its use.

$120 · 10 troches

Topical option

Dream Cream

A compounded topical formulation that may be considered for female sexual-arousal concerns after individualized evaluation.

$105 · 15 g

Hormone-containing topical

Dream Cream with testosterone

A compounded topical option requiring appropriate hormone assessment, contraindication review and ongoing clinical oversight.

$115 · 15 g

Desire and arousal

PT-141 injection

A compounded option that may be considered for sexual-desire concerns. Use is individualized and may be off-label depending on the patient and indication.

$185 · 2 mL

Important medication information

Listed prices include standard shipping; consultation fees are separate. Medication availability and pricing may change. A listed option does not mean it is appropriate for every patient.

Compounded medications are prepared for an identified individual patient and are not FDA-approved. The FDA does not verify the safety, effectiveness or quality of compounded medications before they are marketed. Compounded therapy is considered only when the prescriber identifies and documents a patient-specific clinical need that cannot be appropriately met by a commercially available product.

PDE-5 inhibitors such as sildenafil and tadalafil can interact dangerously with nitrates and may be inappropriate with certain cardiovascular conditions or medications. Seek emergency care for chest pain, severe symptoms, sudden vision or hearing changes, or an erection lasting four hours or longer.

Private. Professional. Personal.

Start with an honest conversation.

Request a confidential consultation