Sexual Heath

Causes and Symptom Management of E.D.

What causes erectile dysfunction?

ED is commonly linked to blood-flow issues (cardiovascular disease, diabetes), hormone imbalance (low testosterone), nerve problems, medications, stress, and sleep or lifestyle factors. A Mobile Care Health provider reviews your history, meds, labs, and risk factors to create a personalized ED treatment plan.

Some of the risks are listed below:

Smoking history and or Drug and alcohol use
History of diabetes or high blood pressure.
History of atherosclerosis.
History of prostate surgery or injury (pelvic or spine fracture).

Vascular diseases and or nerve disorders (numbness or tingling, or incontinence).
Low Testosterone and hormone disorders.
Depression and interpersonal relationship issues.

How is ED diagnosed via telehealth?

We take a detailed sexual and medical history, assess heart and metabolic risk, review medications, and may order labs (testosterone, lipids, A1c, thyroid). This allows us to target the cause and match you with the safest and most effective ED therapy.

Erectile Dysfunction Treatment

What are the first-line treatments for ED?

Medications like sildenafil, tadalafil, etc. are typically first-line and highly effective for many men. If pills aren’t enough or are contraindicated, we consider apomorphine, PT-141, and or Trimix injections. We also work with patients on managing blood pressure, diabetes, and cholesterol, which can significantly improve erectile function and overall health.

Pricing

From $179-$349.00, includes all supplies.

Hypoactive Sexual Desire Disorder (HSDD)

What is HSDD?

Hypoactive Sexual Desire Disorder — also called HSDD — is when you’re not interested in sex (have no sex drive or a low sex drive), and it bothers you. It’s one of the most common sexual problems that people have. This could be a lifelong concern, or it can happen over time. It may be a problem all of the time, or only happen in certain situations.

Treatments

Treatment varies based on the cause of HSDD, however common medications include: Hormone replacement, Oxytocin, and PT-141 (bremelanotide).

The root cause of HSDD may be related to a hormone imbalance

What causes low sexual desire in HSDD?

HSDD Causes

HSDD can stem from a mix of physical, emotional, hormonal, and relationship factors—things like fatigue, stress, low testosterone or estrogen, medications, or mood disorders play a big role. Relationship issues or ongoing stress can also dull desire, and it’s that distress—or the impact on your relationship—that often leads people to seek help

How is HSDD diagnosed?

Diagnosis starts with asking questions like: “Has your sexual desire dropped? Are you bothered by it? Do you want your desire back?” These answers, along with a full health history and labs, help your provider rule out other causes and confirm whether your low libido meets clinical criteria for HSDD.

How is HSDD treated?

Treatment usually pairs lifestyle changes and therapy, like stress reduction, sex therapy, and mindfulness, with medications when needed. For premenopausal women, approved options include bremelanotide PT-141 and other adjunctive peptides.

Sexual Health Peptides

Understanding Sexual Health

Ready to improve your sexual health? Mobile Care Health offers multiple peptides and creams to increase your satisfaction in the bedroom.

What is apomorphine for ED and how does it work?

Apomorphine works on the brain’s dopamine system to increase sexual response. It’s different from Viagra because it boosts arousal instead of blood flow. It is taken as a sublingual troche (dissolves under the tongue). It works in about 20 minutes for some men.

What is enclomiphene and how does it work?

Enclomiphene is a SERM (selective estrogen receptor modulator) that tricks your brain into boosting natural testosterone production rather than replacing it. It stimulates LH and FSH release, helping with hormone balance, energy, libido, and fertility—with fewer side effects compared to traditional testosterone replacement therapy (TRT). Unlike TRT, enclomiphene keeps your testes working (they don’t shrink) and can even improve sperm production.

What is PT-141?

PT-141 is a peptide therapy for sexual desire. Instead of boosting blood flow like Viagra, it works on the brain to increase sexual arousal. It is taken as a subcutaneous injection, nasal spray, or troche. Effects kick in within 1–4 hours and can last up to 12 hours. If you are taking an antidepressant, PT-141 may help treat sexual side effects.

What is Trimix?

Trimix is an injection used when ED pills don’t work. It combines 3 medications that directly increase blood flow for reliable erections. It works in 5–15 minutes, lasting 30–90 minutes. We teach you how to inject safely, avoid complications, and watch for erections that last too long. Yes, injecting trimix causes some pain; we send you very small needles. We’ll train you until you’re comfortable.

What is Scream Cream and how does it work?

Scream Cream is a prescription arousal cream for women that combines vasodilators like sildenafil, arginine, pentoxifylline, plus sometimes testosterone. It works by boosting blood flow to the vulva—enhancing sensitivity, natural lubrication, and orgasm intensity. It’s mainly designed for women experiencing low libido, vaginal dryness, or reduced sensitivity and, yes, it’s dermatologically tested for sensitive skin.

What is oxytocin used for?

Oxytocin is often referred to as the “love hormone” because it plays a significant role in social connection, intimacy, and trust. In women, topical or vaginal oxytocin gel is used to relieve vaginal atrophy in postmenopausal women—helping restore moisture, thickness, and reduce discomfort—without changing your estrogen levels. In men, oxytocin helps regulate sexual arousal, orgasm, and emotional bonding. It’s also linked to stress reduction, improved mood, and even better sleep.