Ages 21+ — multi-active performance programs designed by clinicians, not pulled off a shelf. Explore programs →
Ascenva Labs
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Sexual Health · Ages 21+

Performance, designed for the moment.

Multi-active single-dose vials and dissolving troches, plus daily tadalafil — compounded by U.S. licensed pharmacies and prescribed by your clinician, not a checkout flow.

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HSA / FSA eligible From $10/dose Discreet shipping 12-week refills HIPAA private
A confident couple
Discreet by defaultUnbranded packaging — no product name visible
On-demandSingle-dose vials & troches Daily routineDaily tadalafil 2.5/5mg Endurance focusGo Long — Silodosin + Tadalafil Not sure?Take the private quiz
Eligibility: sexual health treatments require age 21+. Patients 75+ are eligible for single-ingredient medications only. Final eligibility is determined by your clinician.
On-demand performance

Single-dose vials, made for the moment.

Multi-active formulations — one vial, one dose. 10-packs ship discreetly every 12 weeks.

Flagship
4 active ingredients

Quadruple Powered

Sildenafil 40mgTadalafil 11mgVardenafil 7.5mgApomorphine 2mg
  • Our most complete combination — 4 actives in one vial
  • Ships as a discreet 10-pack
From$12/dose
10-pack $119
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3 active ingredients

Triple Powered

Sildenafil 40mgTadalafil 5mgVardenafil 10/20mg
  • 3 actives, two dosage tiers
  • Triple Powered Up version available
From$11/dose
10-pack $109
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Best to start
2 active ingredients

Double Powered

Sildenafil 40mgTadalafil 11/22mg
  • A two-active starting point
  • Two dosage strengths
From$10/dose
10-pack $99
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New to this? Many members start with Double Powered or daily tadalafil. The private quiz matches you. Match me
Alternative delivery

Dissolving troches & daily routines.

Sublingual troches for needle-free, fast-acting performance — or daily tadalafil to remove the timing question entirely.

Sublingual troche

Triple Powered Troche

SildenafilTadalafilApomorphine110+22+2 / 55+11+2mg
  • Sublingual — no swallow needed
  • 6-pack ($102) or 12-pack ($156)
From$13/pill
6 or 12-pack
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Popular
Daily · 28-pack

Daily Boost

Tadalafil 2.5mgTadalafil 5mg
  • One pill every day — no timing
  • Ideal for routine confidence
From$4/pill
28-pack $112
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Endurance

Go Long

SilodosinTadalafil7+4mg vial / 8+10mg troche
  • Designed for endurance & control
  • Vial 10-pack ($99) or 6/12-pack troche
From$10/dose
vial or troche
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4 simple steps

From quiz to delivery, privately.

1

Confidential assessment

Tell us what you want to address. HIPAA-private, takes about 60 seconds.

2

Clinician review

A licensed U.S. provider reviews your history and matches your program within 24 hours.

3

Discreet shipping

Unbranded packaging ships from a U.S. licensed pharmacy in 1–4 days. If you're not approved, you won't be charged.

4

Ongoing support

Async refill review at 12 weeks — your care team is available anytime, at no extra cost.

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"This was something I had put off addressing for a long time. The process was private, comfortable, and much easier than I expected."

Nicole S.
Nicole S.Chicago, IL · Verified member

"I appreciate that Ascenva takes a modern approach to men's health. Everything felt discreet, professional, and focused on what I was actually trying to accomplish."

Robert K.
Robert K.Scottsdale, AZ · Verified member

Confidence, delivered.

Discreet packaging. Licensed clinicians. Personalized programs — start the private assessment.

Start the assessment Ages 21+. Discreet shipping. Individual results vary.
Sexual health FAQ

Common questions.

How much does it cost, and how discreet is shipping?+
Programs start from $10/dose (Double Powered 10-pack $99) and $4/pill for daily tadalafil. Packaging is unbranded — no Ascenva markings, no medication name visible. The return address shows a generic fulfillment center, and charges on your statement appear as "Ascenva Labs" without product detail.
Why combine multiple active ingredients in one dose?+
Different actives work on different pathways. Sildenafil and tadalafil are PDE5 inhibitors; vardenafil acts faster; apomorphine works centrally on dopamine. Combining them can give a broader and more reliable response than any single ingredient alone — though it's not for everyone, which is why a clinician decides.
Is this safe?+
Combined compounded formulations require clinician oversight — we screen for nitrate use, heart conditions, recent stroke or heart attack, severe liver/kidney disease, and certain blood pressure medications. Side effects, contraindications, and dosage are discussed before any prescription is issued. Compounded formulations are not FDA-approved.
What if I'm 75 or older?+
Patients 75 and older are eligible for single-ingredient sexual health medications (such as daily tadalafil) based on clinician evaluation. Multi-active vials and troches are not recommended in that age range due to safety considerations.
Do I need to time the dose for vials and troches?+
On-demand vials and troches are taken 30–60 minutes before activity, depending on formulation. Your clinician will give specific timing guidance. Daily Tadalafil eliminates the timing question — it's taken every day at the same time.

Important safety information

Ascenva Labs personalized care medications for sexual health are compounded by U.S. state-licensed 503A and 503B pharmacies. Compounded medications are not FDA-approved. They are not the same as, nor generic versions of, any FDA-approved drug, and their safety and efficacy have not been evaluated or approved by the FDA. All compounding pharmacies we work with follow USP standards and applicable state regulations.

Do not take with nitrates or guanylate cyclase stimulators. Tell your clinician about all medications you are taking. Seek immediate medical attention for an erection lasting more than 4 hours or for any sudden vision or hearing changes.

Read the full safety information here.

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