⌖   DISCREET SHIPPING   ·   FIRST MONTH FREE ON DAILY PROTOCOLS   ·   PHYSICIAN-WRITTEN, NEVER OFF-SHELF
Dominant / Protocols / Sexual Health
⌖   SH-SERIES · SEXUAL PERFORMANCE

GET HARD. STAY HARD.
ON YOUR TIMING.

Two physician-supervised protocols for erectile performance. The Standby 3-in-1 — apomorphine 2mg to boost arousal, sildenafil 65mg to get harder, tadalafil 22mg to last longer — to the Trigger quad PRN troche, to a Dual switch pack. Written by a board-certified physician who reviews your cardiovascular history before a single pill ships. No quiz-mill. No off-shelf algorithm. Real medicine, sized to you.

Protocols
2+ 1 lab kit
Avg. Onset
22min · trigger
Member Satisfaction
94%n=2,140
Compare Protocols → Begin Assessment Discreet shipping · No insurance
⌖ RESPONSE PROFILE · SH-01 STANDBY 3-IN-1 · PRN
PATIENT D-2218 · MEMBER SINCE JAN 2026

SEXUAL EVENTS
1.4 → 4.6 / WEEK

Onset
~0
always on
Window
36h
continuous
IIEF-5
24
+9 pts
BP Sys
122
in range
Heart
62
resting
Anxiety
3
↓ 7 pts
NEXT CHECK-IN · WK 12 ● PROTOCOL OPTIMAL · ZERO DROPPED EVENTS
MOST POPULAR
⌖ PROTOCOL · SH-02
PRN · ON-DEMANDQUAD-ACTIONSUBLINGUAL TROCHE

TRIGGER

Sildenafil 60mg + Tadalafil 11mg + PT-141 2.5mg + Oxytocin 50IU · PRN Compounded Troche
SH-02 · QUAD TROCHE

Four molecules, one PRN compounded troche — dissolves under the tongue 30 minutes before sex. Sildenafil 60mg drives fast vascular onset. Tadalafil 11mg extends the active window past sildenafil's 4-hour fade. PT-141 2.5mg (bremelanotide) hits melanocortin MC4 receptors centrally — desire, not just plumbing. Oxytocin 50IU tunes the connection layer: present, dialed in, intensifying climax.

SILDENAFIL 60MGVASCULAR · FAST
+
TADALAFIL 11MGEXTENDED WINDOW
+
PT-141 2.5MGCENTRAL · DESIRE
+
OXYTOCIN 50IUBOND · AROUSAL

Take 30 minutes before sex. Up to once per 24 hours. Most members keep a few in the bedside drawer and dose intentionally — no daily routine, no commitment.

M
T
W
T
F
S
S
FREQ · PRN · ≤1 / DAYFORMAT · SUBLINGUAL TROCHE

A higher ceiling than sildenafil alone, with a longer tail and a desire layer underneath. Sildenafil sets the peak around 45–60 minutes. Tadalafil extends the active window. PT-141 and oxytocin lift the central drive curve so wanting matches the response.

0:00 1:00 3:00 6:00
ONSET · 22 MINWINDOW · 6–8 HOURS

Men who want a flagship PRN — maximum response, full-stack pathways — without the daily commitment. Men with infrequent or planned encounters. Men whose drive flags as much as their erection. The full quad, situationally.

⌖ PROFILE · INTENTIONAL DOSING · QUAD-ACTION
PLANNING · 30–60 MIN AHEADDIFFICULTY · EASY
Starting at
$159/mo
PHYSICIAN PICK
⌖ PROTOCOL · SH-03
COMBO PACKSILDENAFIL + TADALAFILPRN

DUAL

Sildenafil + Tadalafil · Switch Pack
SH-03 · COMBO PACK

Two PDE5 inhibitors, one box. Use sildenafil when you want sharp onset and a defined window. Use tadalafil (10–20mg PRN) when you want a 36-hour cushion — the so-called "weekender." Same physician oversight, same shipping, two tools.

PRN SILDENAFILSHORT WINDOW
/
OR PRN TADALAFIL36-HR CUSHION
CHOOSE BY OCCASIONOR ROTATE

Whichever fits the situation. Sildenafil for the planned date night; tadalafil for the unhurried weekend. No daily commitment.

M
T
W
T
F
S
S
FREQ · PRN · MIXSUPPLY · 10 + 6 / MO

Two curves available, your choice per encounter. Sharp peak (sildenafil, short window) or low-and-long plateau (tadalafil PRN, 36-hour window). Most members settle into a 70/30 split within two months.

0:00 2:00 12:00 36:00
SHARP · SILDENAFILLONG · TADALAFIL 36H

Men who haven't decided yet, men whose week varies dramatically, men with mixed planned/spontaneous encounters. The pragmatic kit — try both, find your default, keep the other for the right occasion.

⌖ PROFILE · OPTIONS-OPEN
PLANNING · FLEXIBLEDIFFICULTY · EASY
Starting at
$59/mo
THE PROCESS

FOUR STEPS. DISCREET START TO FINISH.

02 / WORKFLOWFrom intake to medication at your door — typically 4 days for pills, 7 for compounded injectables.
01

Confidential Intake

Symptom profile, frequency goals, relationship context, medical history. 6 minutes. Plain questions, plain answers.

⌖ STEP 01 · ~6 MIN
02

Physician Match

A named, board-certified physician reviews your case and writes the protocol — Standby or Trigger. You get their name, license number, and direct in-app messaging.

⌖ STEP 02 · 24–48 HRS
03

Discreet Shipping

Medication ships in unmarked packaging. Refills auto-renew. Adjust your protocol any time, message your physician any time.

⌖ STEP 04 · ONGOING
INSTRUMENTS

RUN THE NUMBERS BEFORE YOU PLAN THE EVENING.

03 / TOOLSFree, no-signup tools to find your protocol fit, time your dose, and read the cause behind the symptom. Inputs stay local — nothing leaves your browser unless you start an assessment.
⌖ CALC-01

Protocol Match

LIVE

Your sex life pattern + onset preferences → matched ED protocol. Same logic our physicians use on intake.

Recommended protocol
SH-01 STANDBY
PRNDAILYINJECT
The Standby 3-in-1 — apomorphine 2mg (boost arousal) + sildenafil 65mg (get harder) + tadalafil 22mg (last longer), daily.
VIEW PROTOCOL · SH-01
⌖ CALC-02

PRN Dose Timing

LIVE

For PRN sildenafil or tadalafil. Plan your dose around the encounter, the meal, and the alcohol.

Take dose at
21:00 · 60 min ahead
20 MIN1 HR2 HR
Sildenafil + light meal: peak ~60 min, active ~4 hours. Skip alcohol >1 drink — blunts response.
⌖ CALC-03

Vascular Cause Index

LIVE

ED is often the first warning sign of vascular disease — appearing 3–5 years before a cardiac event. Run the index.

Vascular cause likelihood
42%
LOWMODHIGH
Moderate vascular contribution. PDE5 monotherapy a reasonable starting point, with physician review.
RESOURCES

READ BEFORE YOU RX.

04 / LIBRARYPlain-English explainers, written by physicians, reviewed quarterly. No fluff, no upsell embedded in the copy.
CAUSES

What actually causes ED — and the four root buckets

Vascular, hormonal, neurogenic, psychogenic. Most men have a mix. The treatment depends on which dominates.

5 MIN READ
PROTOCOLS

Daily vs PRN — which approach fits your life

The trade-offs no one talks about. Spontaneity, cost, side effects, what your partner actually notices.

6 MIN READ
SCIENCE

Sildenafil vs tadalafil — head-to-head, plain English

Onset, duration, side-effect profiles, food interactions. The short version: there is no single winner.

7 MIN READ
CARDIOVASCULAR

ED as an early warning sign — what your doctor isn't saying

Endothelial dysfunction shows up in penile arteries first. Why this matters for your heart, even if you feel fine.

8 MIN READ
PERFORMANCE

Anxiety vs physiology — telling them apart

If your erections are intermittent based on context, the cause may not be the one you think. Diagnostics first.

5 MIN READ
RELATIONSHIPS

How to bring it up with your partner

The conversation most men dread. Three frames that make it easier — written by a sex therapist.

4 MIN READ
SAFETY

PDE5 inhibitors and your heart medications

What's a hard contraindication, what's a watch-and-titrate, and why you should never combine with nitrates.

6 MIN READ
FAQ

QUESTIONS, ANSWERED.

05 / FAQ
How does Dominant's sexual-health offering actually work?+
A 6-minute online intake, a board-certified physician writes your protocol — Standby (daily 3-in-1 troche), Trigger (PRN quad troche), or Dual (combo pack). Medication ships in unmarked packaging within 4 business days. You message your physician anytime in-app.
Which protocol should I pick?+
Use the Protocol Match calculator above, or let your physician decide on intake. Daily-active sex life with a steady partner: usually Standby. Planned encounters that need maximum impact: Trigger. Mixed approach: Dual.
What if pills don't work for me?+
About 30% of men don't respond fully to PDE5 inhibitors alone — usually because of vascular disease, low T, or psychogenic factors. The Trigger quad and Standby 3-in-1 reach pathways PDE5 monotherapy doesn't (PT-141, oxytocin, apomorphine). If those still don't get you there, your physician will refer you to a specialist. We don't keep prescribing into a wall.
Is it really discreet?+
Yes. Plain unmarked packaging, no return-address branding, billed as "DMNT Health" on your card statement. Your physician's name doesn't appear on the box. Refills auto-renew unless you pause. The dashboard requires a passcode.
Is sildenafil/tadalafil safe with my heart medication?+
Hard contraindication: nitrates (nitroglycerin, isosorbide). Combining causes life-threatening hypotension. Most blood pressure meds are fine but require dose review. Your physician checks every interaction on intake — don't start without disclosing your full med list.
How fast will I get my first dose?+
Both protocols (Standby and Trigger): 4 business days from prescription to delivery. After your first round, refills typically arrive in 3 days.
What does it cost?+
Standby from $179/mo. Trigger from $159/mo. Every protocol includes physician oversight and in-app messaging at no additional charge.
⌖   READY WHEN YOU ARE

STOP HOPING. START FIXING.

Six minutes of intake. Discreet shipping in unmarked packaging. A named physician on the other end of the protocol.

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