📋 About This Product Line
Bliv's sexual health and hormone management treatments are compounded medications prescribed by licensed Bliv providers following a medical consultation. These are prescription treatments — a provider review is required before any medication is dispensed. All consultations and communications are private and handled with full discretion. If you have questions about a specific treatment or your eligibility, contact your Bliv provider through the patient portal.

Bliv offers compounded oral medications for erectile dysfunction. Both treatments work by inhibiting the PDE5 enzyme, which relaxes smooth muscle tissue in blood vessel walls and increases blood flow to the penis in response to sexual stimulation. Neither medication creates an erection independently — sexual arousal is required for them to be effective.

Sildenafil is the active ingredient in Viagra® and is one of the most widely studied and prescribed ED treatments in the world. Compounded sildenafil allows for personalized dosing and formulation options not available in the standard commercial tablet. It is typically taken on an as-needed basis 30–60 minutes before sexual activity.

Tadalafil is the active ingredient in Cialis® and is distinguished by its significantly longer duration of action — up to 36 hours in some cases. This makes it suitable both for on-demand use and for daily low-dose regimens that allow for spontaneity without timing around a dose. Compounded tadalafil offers dosing flexibility beyond what is available in commercial formulations.

Both medications are effective. The primary differences are in timing and duration. Sildenafil is faster-acting but shorter-lived; tadalafil has a longer window of action and is available as a daily low-dose option. Your Bliv provider will assess your health history and recommend the appropriate option and dose based on your individual profile. Both are prescription medications and require a provider consultation.

Compounded testosterone is prescribed for men with clinically low testosterone levels (hypogonadism) confirmed through lab work. Testosterone therapy can support energy, libido, mood, lean muscle mass, and overall vitality. Bliv offers compounded testosterone in formulations personalized to your needs. Ongoing monitoring is part of responsible testosterone management.

Enclomiphene is a selective estrogen receptor modulator (SERM) used to stimulate the body's natural testosterone production rather than replacing it with exogenous testosterone. It works by blocking estrogen receptors in the hypothalamus and pituitary, prompting increased production of LH and FSH which signal the testes to produce more testosterone. It is often preferred by men who want to restore testosterone levels while maintaining natural testicular function and fertility.

Compounded estradiol is a bioidentical estrogen hormone used to manage symptoms of menopause including hot flashes, vaginal dryness, sleep disruption, and mood changes. Compounding allows for precise dosing and delivery method customization — including topical, transdermal, or vaginal formulations — that may better match an individual patient's needs than standard commercial products.

Compounded bioidentical progesterone is used alongside estradiol in hormone replacement therapy to provide uterine protection and support hormonal balance. It is available in oral and topical compounded forms. Your Bliv provider will determine the appropriate combination, dose, and delivery method for your specific hormonal profile and symptoms.

All Bliv sexual health and hormone management consultations, prescriptions, and shipments are handled with complete privacy. Packaging is discreet and does not indicate the nature of the contents.

Log into your patient portal at app.joinbliv.com/login to initiate a consultation for sexual health or hormone management. For questions, contact us at [email protected].