Sexual Health + Vascular Longevity

Boost sexual health and performance

Understand what's causing your ED, get treatment that works now, and keep things working for years to come.

Free testosteroneOptimal

182 pmol/L

The usable fraction of testosterone in your system

Men's sexual health at Circle

Erectile changes can be one of the earliest indicators of cardiovascular and metabolic risk. Addressing them early supports your sexual health, and long-term energy, confidence, and healthspan.

The markers we monitor

We look at all the markers that influence sexual function. You review your results with a Circle physician so you know exactly what they mean, what you need to work on, and why.

ApoB

Artery-clogging particle count

Why we test it

Measures your vascular health. Medication treats immediately, while lowering ApoB helps you for decades.

Total testosterone

AM draw, borderline-low

Why we test it

Low-normal T dampens libido and the response to ED medication. We confirm your levels before treating.

Free testosterone

The usable fraction

Why we test it

Tells us whether borderline totals actually matter for you.

HbA1c

Blood sugar control

Why we test it

Diabetes is a major ED driver. We always screen, even if diabetes is unlikely.

Estradiol

Hormone balance

Why we test it

The balance between hormones matters as much as any single number.

PSA

Prostate baseline

Why we test it

Sexual health and prostate health are checked together. A baseline now makes every future result more meaningful.

Markers shown are just some of what we test. This program includes 18+ total biomarkers*, and more may be added based on your clinical picture — chosen to provide the best care for your specific concern and clinical picture. Program testing is targeted only to your specific treatment program.

* Subject to physician confirmation of clinical eligibility and clinical assessment. Your Circle physician reviews your health intake and confirms which tests are appropriate for you; tests may be added or removed at their discretion.

You've noticed changes in your sexual health or performance

Take a 60-second quiz to find out—it's completely private.

A plan, not a prescription

Treatments are tailored to your real life and come with the support you need to follow through.

What's included:

1:1 consult · physician or NP
Fast-acting medication
Performance supplement stack
Fitness + sleep plan
Progress check-in
Take the quiz

The Circle treatment loop

We understand, measure, treat, and retest until your numbers move towards optimal.

Start with your story

Before we test, treat, or prescribe, a discreet, judgement-free intake helps us determine if this treatment is right for you.

Built on the pillars of longevity

Sleep

Prioritize the hours you need for optimal health

Nutrition

Tied to your labs, not food trends

Supplements

Matched to your biomarker data

Medication

Only when the evidence says so

Exercise

Actionable next steps, not advice

Great on its own.
Better with membership.

Your monthly treatment fee includes quarterly prescription renewals and clinical check-ins—no fresh consult fee at each refill. Or get this whole treatment for free when you become a Circle member.

Men's sexual health

Not a member? $89 to start + $19/month.*

*The $89 is waived when you pay for the year ($228).

Focused testing, treatment, and coaching for this concern


  • Targeted testing + 1:1 consult
  • Personalized 360° treatment plan
  • Tailored prescriptions + supplements
  • Quarterly coaching + renewals

Circle membership

From $149/month

Everything in this treatment, plus care for your whole health


  • Free focused treatments
  • Unlimited primary care: visits, prescriptions, referrals
  • Foundations Visit + 6-month review: 68+ biomarkers*, physical, body composition, biological age
  • Personalized care plan with ongoing physician coaching
  • The Circle app, Clara AI assistant, credits for wellness therapies + more

Discreet delivery

Your medications and supplements ship to your home in plain packaging, with next-day delivery in Toronto.

Take control of your sexual health

Get started with a 60-second quiz.

Men's sexual health FAQ