Best Telehealth for Sexual Wellness (PT-141, ED) 2026
These are our independent picks for the best US telehealth clinics for sexual wellness in 2026 — including PT-141 (the FDA-approved peptide bremelanotide), tadalafil, sildenafil, and compounded combination formulas. Rankings emphasize medication selection, dosing flexibility, and discreet shipping.
Affiliate disclosure: some links below are affiliate links. Editorial rankings are independent of commercial relationships. Learn more.
Our top picks
- 18.0MadeMedBest for PT-141 / sexual wellness peptides
PT-141 combination formula
From $169/moasync visitLegitScript-certified telehealth platform offering compounded GLP-1s, peptide therapy, NAD+, and a compounded men's wellness formula (Tadalafil + PT-141 + Oxytocin).
Pros
- LegitScript certified
- PT-141 combination formula
- Both injectable and oral options
Cons
- Affiliate program details limited
- Annual club membership for best pricing
- 28.6He & She MDBest multi-category telehealth for peptides + GLP-1
Tadalafil + ED combinations
From $139/moasync visitModern telehealth clinic offering medical weight loss (GLP-1), longevity peptides (NAD+, sermorelin, glutathione), hormone therapy, and sexual wellness. Licensed US providers; medication shipped from FDA-registered partner pharmacies.
Pros
- Broad menu (GLP-1, peptides, HRT, sexual wellness)
- Free shipping; medication-only billing
- Ships to 49 states (excludes Louisiana for GLP-1)
Cons
- No insurance billing
- Sterile compounds unavailable in 10 states
- 37.9Invigor MedicalBest peptide menu for sexual wellness + longevity
PT-141 + trimix
From $75/movideo visitPeptide- and longevity-focused telehealth with a deep menu: PT-141, NAD+, sermorelin, glutathione, GHK-Cu, sexual wellness, and GLP-1 treatments across all 50 states.
Pros
- Deep peptide menu (PT-141, NAD+, sermorelin, GHK-Cu)
- Sexual-wellness and longevity specialist
- Serves all 50 states
Cons
- Compounded only
- Less brand recognition than larger players
- 47.5RugietCustom compounded sexual wellness + TRT
Custom ED formulations
async visitSexual-wellness telehealth offering customizable compounded ED formulations plus TRT and sleep support via discreet nationwide async care.
Pros
- Customizable sexual-wellness formulations
- Adds TRT and sleep support
- Discreet nationwide async model
Cons
- Pricing not shown upfront
- Narrow focus outside sexual wellness
- 57.4BlueChewChewable ED telehealth subscription
Chewable ED subscription
async visitSexual-wellness telehealth subscription for chewable compounded ED tablets (sildenafil, tadalafil, vardenafil) via async care and discreet nationwide delivery.
Pros
- Chewable compounded ED tablets
- Simple async subscription model
- Nationwide discreet delivery
Cons
- ED-only — no broader peptide menu
- Compounded sildenafil/tadalafil only
- 68.5Hims & HersBest-known brand for GLP-1 and men's/women's health
ED + broad menu
From $149/moasync + video visitBrand-name availablePublicly traded telehealth platform offering FDA-approved GLP-1s (Wegovy, Zepbound, oral options), sexual wellness, hair loss, and mental health treatments for men and women under the Hims and Hers brands.
Pros
- Publicly traded, established brand with a broad treatment menu
- Offers FDA-approved Wegovy & Zepbound plus oral options
- Bundled provider access and fast nationwide shipping
Cons
- Compounded GLP-1 access was reduced in 2025
- Not available in all 50 states for every treatment
- 77.9EdenBroad menu telehealth (GLP-1 + longevity peptides)From $73/moasync visitBrand-name available
Broad-menu telehealth offering GLP-1s (brand-name + compounded), longevity peptides (NAD+, sermorelin, glutathione, GHK-Cu), sexual wellness, and hair growth across all 50 states.
Pros
- Wide menu: GLP-1, NAD+, sermorelin, sexual wellness
- Both brand-name and compounded options
- Serves all 50 states with low intro pricing
Cons
- Add-on pricing can stack up quickly
- Async-first model with less live provider time
- 87.6WinonaWomen's bioidentical HRT
Women's arousal cream
async visitWomen's bioidentical HRT telehealth offering compounded estrogen, progesterone, testosterone, and sexual-wellness formulations via nationwide async care.
Pros
- Women's bioidentical HRT specialist
- Affordable compounded formulations
- Nationwide async model
Cons
- Compounded only
- Limited beyond hormone & sexual wellness
- 97.3Strut HealthCompounded multi-category telehealthasync visit
Compounded multi-category telehealth (hair, skin, sexual wellness, weight loss) adding sermorelin and compounded semaglutide via nationwide async prescriptions.
Pros
- Broad compounded menu (hair, skin, sexual, weight)
- Adds sermorelin and compounded semaglutide
- Nationwide async prescriptions
Cons
- Pricing not shown upfront
- Generalist rather than peptide specialist
- 108.0MaximusMen's testosterone + enclomiphene specialistFrom $150/moasync visit
Men's hormone-optimization telehealth (testosterone, enclomiphene) plus compounded GLP-1s and growth-hormone peptides in oral, cream, and injectable formats.
Pros
- Men's hormone optimization (testosterone, enclomiphene)
- Compounded GLP-1 and growth-hormone peptides
- Multiple delivery formats (oral, cream, injection)
Cons
- Compounded only — no brand-name GLP-1
- Marketing-forward, men-focused positioning
- 118.1Defy MedicalVeteran TRT & hormone optimization clinicvideo visit
Established hormone & TRT clinic offering bioidentical HRT, peptide therapy, sexual wellness, and GLP-1s via physician-supervised telemedicine.
Pros
- Established hormone & TRT clinic with a deep menu
- Bioidentical HRT, peptides, and sexual wellness
- Physician-supervised phone + telemedicine
Cons
- Pricing not transparent online
- Concierge model can be pricey
- 127.8BlokesMen's peptide + hormone optimizationasync + video visitBrand-name available
Data-driven men's health telehealth offering TRT, peptide therapy (sermorelin, NAD+, VIP), and FDA-approved GLP-1s, with sister brand Joi for women.
Pros
- Data-driven men's hormone & peptide therapy
- Peptides (sermorelin, NAD+, VIP) plus TRT
- Offers FDA-approved GLP-1 medications
Cons
- Lab and membership costs add up
- Async-leaning provider interaction
- 137.3Sprout HealthOnline GLP-1 + NAD+ telehealthFrom $149/movideo visitBrand-name available
Online GLP-1 telehealth platform connecting patients with state-licensed providers for compounded and brand-name (Wegovy, Zepbound) GLP-1s, plus NAD+ therapy and sexual health.
Pros
- Both compounded and brand-name GLP-1
- Adds NAD+ therapy and sexual health
- 100% online expert care
Cons
- State coverage not published
- Platform connects to providers (not the provider itself)
- 147.6REX MDMen's health: ED + GLP-1 + TRT
Men's ED + TRT
async + video visitMen's health telehealth offering ED treatments, GLP-1 weight loss (semaglutide), testosterone therapy, hair growth, and sleep support nationwide.
Pros
- Broad men's health menu
- GLP-1 weight loss + TRT + ED
- Nationwide async + video care
Cons
- Compounded GLP-1 focus
- Membership/visit fees apply
- 157.6Nu Image MedicalVeteran weight loss + TRT + peptide telehealthvideo visit
Established telehealth offering medical weight loss (semaglutide), TRT, sermorelin, enclomiphene, and sexual-health treatments shipped nationwide.
Pros
- Long-standing telehealth brand
- Weight loss, TRT, and sermorelin
- Nationwide shipping
Cons
- Compounded only
- Pricing not transparent upfront
- 167.6Valhalla VitalityMulti-category hormone + longevity telehealthasync + video visit
Multi-category telehealth offering weight loss, TRT/hormone health, NAD+ and longevity therapy, sexual health, and peptide-based wellness.
Pros
- Broad menu (weight loss, TRT, NAD+, sexual health)
- Longevity and peptide focus
- Message + video care
Cons
- Compounded only
- Pricing not transparent upfront
- 177.5AlphaMDBudget TRT + sermorelin telehealthFrom $98/movideo visit
Men's and women's TRT telehealth offering testosterone, HCG, enclomiphene, sermorelin, and male-enhancement treatments from $98/mo.
Pros
- Affordable $98/mo TRT
- Male and female hormone therapy
- Adds sermorelin and HCG
Cons
- Compounded only
- Smaller brand footprint
- 187.4WispWomen's sexual & reproductive health
Women's sexual health
async + video visitWomen's sexual and reproductive health telehealth (BV, UTI, birth control, herpes) expanding into menopause care, PCOS, and longevity, nationwide.
Pros
- Fast women's sexual-health prescriptions
- Menopause and PCOS care added
- Nationwide discreet delivery
Cons
- Reproductive-health focus
- Limited peptide offerings
- 197.6AlloyWomen's menopause HRT + GLP-1async visitBrand-name available
Women's midlife telehealth offering menopause HRT, weight care (brand-name + compounded GLP-1), sexual health, and skincare via async messaging.
Pros
- Menopause-expert clinicians
- Brand-name + compounded GLP-1 weight care
- Sexual-health and skincare add-ons
Cons
- Async-only provider model
- Pricing not transparent upfront
- 207.1Friday PlansLow-cost generic ED telehealth
Low-cost ED
async visitMen's ED telehealth offering generic Viagra and Cialis from under $1 per dose via online consultation.
Pros
- Very low per-dose ED pricing
- Simple online consultation
- Discreet delivery
Cons
- ED-only menu
- Generic medications only
- 217.6TRT NationAffordable TRT telehealth ($99/mo)From $99/movideo visit
Testosterone-therapy-focused telehealth also offering medical weight loss, anti-aging, and sexual health; serves most US states from $99/mo.
Pros
- Affordable $99/mo TRT
- Adds weight loss, anti-aging, sexual health
- Telehealth across most states
Cons
- Not available in AL, AK, AR, MO, HI
- Compounded only
- 227.5BodyLogicMDBioidentical HRT practitioner networkFrom $79/movideo visit
National network of bioidentical-hormone and functional-medicine practitioners offering HRT, weight loss, sexual health, and supplements via telehealth and in-person visits from $79.
Pros
- Established bioidentical-HRT network
- Functional-medicine approach
- Telehealth + in-person options
Cons
- Practitioner quality varies by location
- Concierge-style pricing
- 237.7Joi Women's WellnessWomen's peptide + hormone optimization
Women's sexual wellness
async + video visitBrand-name availableWomen's hormone-optimization telehealth (sister brand to Blokes) offering HRT, peptide therapy (sermorelin, NAD+), GLP-1 weight loss, and sexual wellness.
Pros
- Women-focused hormone and peptide therapy
- Sermorelin, NAD+, and GLP-1 options
- Data-driven lab-led protocols
Cons
- Lab and membership costs add up
- Async-leaning provider interaction
- 247.4Renew YouthComprehensive age-management telehealthvideo visit
Comprehensive age-management telehealth offering TRT, women's HRT, thyroid/adrenal therapy, sexual health, weight loss, and longevity treatments.
Pros
- Broad age-management menu
- Men's and women's hormone therapy
- Longevity and weight-loss options
Cons
- Pricing not transparent upfront
- Compounded only
- 257.4NurxBroad telehealth: GLP-1 + women's health
Birth control
async + video visitThirty Madison telehealth offering weight management (GLP-1), birth control, reproductive and sexual health, mental health, and dermatology.
Pros
- GLP-1 weight management (often $0 with insurance)
- Birth control and sexual health
- Broad telehealth menu
Cons
- Not offered in every state
- Compounded GLP-1 focus
- 267.2Pandia HealthWomen's birth control + menopause HRT
Birth control
video visitWomen-founded telehealth for birth control and menopausal hormone therapy with online doctor consults across 14 states.
Pros
- Women-founded birth control + menopause HRT
- Free delivery and auto-refills
- Doctor-led online consults
Cons
- Available in 14 states
- No peptide offerings
- 277.8PeRxBroadest dedicated peptide menu online
PT-141
video visitDedicated peptide-therapy telehealth pharmacy offering one of the broadest compounded peptide menus online (BPC-157, TB-500, CJC-1295/Ipamorelin, sermorelin, tesamorelin, thymosin alpha-1, PT-141, GHK-Cu, NAD+, MOTS-C, semax/selank, epithalon) shipped to all 50 states.
Pros
- Extensive specialty peptide catalog
- Nationwide (all 50 states)
- Peptide-therapy specialist focus
Cons
- Compounded only - no GLP-1 brand meds
- Pricing not shown upfront
Frequently asked questions
What is the best telehealth for PT-141?
MadeMed is the leading option — it offers a compounded sublingual men's wellness formula that combines tadalafil with PT-141 (bremelanotide) and oxytocin. He & She MD also offers tadalafil-based ED combinations and is the broader multi-category choice.
Is PT-141 (bremelanotide) FDA-approved?
Yes. PT-141 / bremelanotide is FDA-approved (brand name Vyleesi) for hypoactive sexual desire disorder in premenopausal women. Telehealth clinics may also prescribe it off-label in compounded formulations for men.
Prefer an in-person clinic?
Browse vetted in-person peptide-therapy clinics by state and city.
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