Program · 2 treatments
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Men's Hormone Program
Testosterone + daily tadalafil
Testosterone therapy for confirmed low testosterone, plus a low daily dose of generic tadalafil for erection support. Both are FDA-approved. Lab-guided, with one provider managing both.
- Includes
- Testosterone cypionate + tadalafil 5 mg
- Form
- Weekly injection + daily tablet
- Before starting
- Labs ($88.25 TRT panel, paid to the lab) and a video visit
- Classification
- Testosterone is Schedule III
Choose your plan
Separately $148
· program saves $19/mo
No charge unless a provider approves · Start assessment
What's included
All 2 treatments, prescribed and managed together.
Testosterone
FDA-approved testosterone cypionate injection for confirmed low testosterone, with lab monitoring.
About Testosterone
Tadalafil
A low 5 mg daily dose that supports erections without planning around a pill.
About TadalafilWhy they work together
Low testosterone and erection problems often show up together, but they have different causes. Testosterone therapy restores hormone levels. Tadalafil works on blood flow.
On one plan, a single provider manages your labs, doses, and side effects for both.
Program vs. separately
Same medications, same provider care, on one plan.
| Men's Hormone Program | Buying separately | |
|---|---|---|
| Price per month (quarterly) | $129 | $148 |
| Medications | Testosterone + Tadalafil | Testosterone + Tadalafil |
| Provider care | One provider manages all of it | Included with each |
| Shipments | One plan, one refill schedule | Separate refills |
What to expect
Everyone responds differently. Your provider checks in and adjusts your plan along the way.
Before you start
Morning lab tests confirm low testosterone, followed by a video visit with your provider.
Weeks 1–6
Daily tadalafil reaches a steady level within about a week. Some men notice changes in energy and sex drive by week 3 to 6.
Months 3–6
Follow-up labs check your testosterone, red blood cells, and PSA, and doses are adjusted.
Is it right for you?
Your provider reviews each medication separately before prescribing.
Often a good fit
- Men with symptoms and confirmed low testosterone on labs
- Also want help getting or keeping erections
- Not planning to have children in the near future
Usually not a fit
- Take nitrates for chest pain or the medication riociguat
- Prostate or breast cancer
- Trying to conceive with a partner soon
- High red blood cell count or untreated severe sleep apnea
Not a complete list. Tell your provider about all health conditions and medications.
Possible side effects
Most side effects are mild. Your care team is a message away if something doesn't feel right.
Testosterone
Tadalafil
Get medical help right away for
- Chest pain or shortness of breath
- Pain, swelling, or warmth in one leg
- Trouble urinating
- Sudden weakness, numbness, or trouble speaking
- An erection that lasts more than 4 hours
- Sudden loss of vision in one or both eyes
- Sudden decrease or loss of hearing
- Chest pain, dizziness, or nausea during sex
For a medical emergency, call 911.
How to take it
Always follow the directions on your labels and from your provider.
Testosterone on schedule
Inject as your provider directs, usually on the same day each week.
Tadalafil every day
Take one 5 mg tablet at the same time each day, with or without food.
Keep up with labs
Follow-up bloodwork keeps your treatment safe and dialed in.
Program questions
What if my provider only prescribes one medication?
Then you'll pay that medication's single-treatment price instead of the program price.
Will testosterone affect my fertility?
It can lower sperm production. If you're planning to have children, ask your provider about enclomiphene instead.
Will I always need tadalafil?
Not necessarily. Your provider reassesses as your testosterone levels and symptoms change.
Can I cancel?
Yes. Cancel any time before your next billing date and you will not be charged again. Anything you have already paid for still ships.
Prefer a single treatment?
Start the Men's Hormone Program.
Answer a few questions and a licensed provider will review each medication for you.
Important safety information
Last updated
Testosterone: Testosterone can raise blood pressure and red blood cell counts, which may increase the risk of heart attack, stroke, and blood clots; your provider will monitor labs and blood pressure. Testosterone cream can pass to others through skin contact; women and children should avoid contact with application sites. It can reduce sperm production, worsen sleep apnea, and cause fluid retention. Testosterone is a controlled substance with potential for abuse and dependence. It is not for men with prostate or breast cancer. Safety and effectiveness for low testosterone due to aging alone have not been established.
Tadalafil: Do not take this medication if you take nitrates or riociguat, as the combination can cause a sudden, dangerous drop in blood pressure. Sexual activity can strain your heart; stop and get medical help if you have chest pain, dizziness, or nausea during sex. Get emergency care for an erection lasting more than 4 hours, or for sudden vision or hearing loss. Tell your provider about all medications you take, including alpha-blockers and HIV medications. Cialis® is a registered trademark of its owner. Surna Health is not affiliated with its owner.
This is not a complete list of risks. Talk with your provider and read the full prescribing information or medication guide for each medication.