Frequently Asked Questions

Online Orders

Q: WHEN WILL MY ONLINE ORDER SHIP?

A: All online orders placed before 4 PM EST will ship same day with the following exceptions:

• Orders placed on holidays and weekends will ship next business day
• Orders for on-ice medications placed on holidays, weekends, and Fridays will ship next business day
• Orders placed for backordered medications and OTC pharmacy products will ship when the medication or OTC product is back in stock

menMD will send a receipt with shipping information immediately after we process payment for an order.

Q: HOW DO I RECEIVE DISCOUNT OFFERS AND INFORMATION RELATED TO MY TREATMENT PLAN?

A: We need your authorization to send you marketing emails with discount offers and information related to your treatment plan.

Go to the Cart page inside the menMD Community portal to opt into receiving discount offers and information about your treatment plan. Click on the checkbox labeled ‘I’d like to receive discount offers’ below the Coupon Code field. Or go to your menMD Community portal profile preferences section and do the same.

Q: HOW DO I GET FREE SHIPPING ON ALL MEDICATION AND OTC PHARMACY PRODUCT ORDERS?

A: Join the menMD AutoFill Plan program. Call your menMD Personal Health Assistant for details at 857-233-5837

Q: WHY DO SOME MEDICATIONS REQUIRE PRIORITY 1-2 DAY SHIPPING?

A: Some medications require refrigeration and travel ‘on-ice’ in waterproof packaging.

Q: IF I REFILL MORE THAN ONE PRESCRIPTION ON THE SAME DAY TO THE SAME ADDRESS WILL I BE CHARGED TWICE FOR SHIPPING?

A: No. If you place two orders before 4 PM EST on the same day to the same address you will only pay freight on one of the two orders, unless the first order is standard ground and the second order is priority air. In this case, you will pay a standard ground fee on the first order and the difference between standard ground and priority air on the second.

Q: HOW DO I FILL PRESCRIPTIONS ONLINE?

A: You must have a verified prescription on file with menMD.

If you are a patient member with a prescription on file with menMD and menMD has created a Community portal account for you, login to the portal and go to the Refill Rx page. The buttons on the left side of the page indicate prescription status:

• Refill Rx: Click the ‘Refill Rx’ button to refill open prescriptions
• Request New: Click the ‘Request New’ button to request a new prescription from your healthcare provider. Our Practice Liaisons will request a new prescription and the button status will change to ‘Request Pending.’
• To Soon to Fill: This prescription is not yet available for refill. If you have a question please call your Patient Service Coordinator at 857-233-5837.

If you would like to become a patient member and begin filling prescriptions through menMD, create a menMD Community portal account, login to the portal and click the ‘Get Started’ button on the Home page. Then click the ‘For Patients’ button and fill out the appropriate Rx submission form. You can also chat online with menMD or call us at 857-233-5837.

If you would like to become a Physician partner and begin writing patient prescriptions through menMD:

1. Download the forms on the bottom of the ‘For Physicians’ page on menmd.com and follow the instructions, or
2. Create a menMD Community portal account, login to the portal and click the ‘Get Started’ button on the Home page. Then click the ‘For Physicians’ button and fill out the submission form, or
3. Call menMD at 857-233-5837 and ask for a Personal Health Assistant.

Medication, Clinical Support

Q: HOW LONG DOES IT TAKE FOR MEDICINE TO WORK?

A: The clinical case managers at menMD are here to help. A good starting point would be to call 857-233-5837 and ask for the clinical department to confidentially discuss your situation in depth. The answer to how long it takes for the medicine to work depends on the medicine in question, your particular medical scenario, and the expected result from the medicine.

• Injection therapy intended to produce and erection sufficient for intercourse, when injected correctly and at the right dose, will produce an erection in 5 minutes.
• Sildenafil tablets (active ingredient in Viagra®) should be taken on an empty stomach and will reach peak concentrations in your body around 1 hour after ingestion. It is important to remember that sildenafil will not produce an erection automatically—it requires mental and/or physical stimulation. You should attempt to achieve an erection 1 hour after ingestion of sildenafil.
• Tadalafil (active ingredient in Cialis®) from menMD is dispensed as a lozenge to be dissolved in the mouth. It will reach peak concentrations in your body around 2-3 hours after ingestion. It is important to remember that tadalafil will not produce an erection automatically—it requires mental and/or physical stimulation. You should attempt to achieve an erection 2-3 hour after ingestion of tadalafil.

If your medicine does not work as expected, or your medicine is not listed here, contact a clinical case manager at menMD by calling 857-233-5837.

Q: MY INJECTION THERAPY MEDICINE ISN’T WORKING, WHAT DO I DO?

A: The clinical case managers at menMD are here to help. A good starting point would be to call 857-233-5837 and ask for the clinical department to confidentially discuss your situation in depth.

In the case of injection therapy for erectile dysfunction, if your medicine isn’t producing an erection sufficient for intercourse it may be that you are not injecting correctly, your volume of injection (dose) is incorrect, or you have not yet found the proper concentration (strength) of medicine you need. menMD’s pharmacy partner supplies multiple formulations of injection therapy and your case manager will work closely with your doctor to get the right strength and dose that works for you. It is common to have to do up to 6 injections before finding the perfect dose through some trial and error. The good news is once you find your dose you can expect it to work regularly with only fine adjustments needed over time.

Q: WHY DID INJECTION THERAPY WORK AT MY DOCTOR’S OFFICE TO PRODUCE AN ERECTION, BUT NOT AT HOME WITH THE VIAL YOU SENT ME?

A: If you were injected in the doctor’s office with the same medicine that was ordered for you and sent to your home, the most likely explanation is injection technique. If you had a very strong reaction in the office though, your doctor may have sent you home with a weaker medicine. You should expect to have to do about 6 injections at home to perfect your dose and your technique before your medicine will work regularly. Learning any new task, certainly something novel like an injection into the penis, will take a few tries to perfect. The good news is once you find your dose you can expect it to work regularly with only fine adjustments needed over time.

The injection technique used to deliver the medicine into your penis will vary depending on the length of the needle you are using. You may have been trained in the doctor’s office with a different needle than the one that was ordered and delivered to you. It is common when patients are beginning to not inject deep enough. The difference between being in the correct tissue layer versus the incorrect location can be hard to determine at first. Your menMD clinical case manager can offer tips and tricks to help you inject correctly and discern between correct and incorrect needle placement.

Anxiety, nervousness, and stress can also affect your response to the medication. You may have been calm in the trusted presence of your doctor for the first injection but now at home you are nervous, or your expectations to have an erection at home are so great that this performance anxiety is causing excess adrenaline release, which will make it harder to achieve an erection.

Q: WHY DOES MY PENIS ACHE AFTER USING TRIMIX MEDICATION?

A: One of the ingredients in Trimix is a chemical called alprostadil. Alprostadil belongs to a family of chemicals called prostaglandins. Alprostadil is sometimes abbreviated as PGE1. Alprostadil, when injected into the penis, causes a dose dependent aching sensation in about 20% of men. 1 out of 5 men experience this aching. The aching is often described as the feeling of a sore muscle. The pain is not harmful. It does not mean that you have done something wrong or damaged your penis. The aching will subside typically in 2-3 hours, but may take 24 hours to resolve completely.

For some men the aching is minor and once they learn that it is a possible normal and expected side effect they continue to use the medicine as it is not overly bothersome to them. For others, the aching is so severe that it prevents intercourse, or even walking around can be bothersome for 2-3 hours. If the aching is bothersome or will prevent you from using the medicine or enjoying your erection changes can be made. The alprostadil component can be reduced or removed completely. When switching to an injection treatment with less or no alprostadil you should expect to have to experiment with your dose up to 6 times before finding the perfect dose.

Q: HOW MUCH MEDICATION SHOULD I USE?

A: Instructions from your doctor on how much medicine to use can be found on your prescription label. This is the label that has your name and the name of the medicine on it. This label may be on the amber colored vial, a plastic bag, or other packaging containing your medication. If you cannot find this information or do not understand the meaning of the instructions please call menMD at 857-233-5837.

For injection therapy, your dose may be expressed in milliliters (mL) or in units. Your syringe is most likely showing measurements in units. For help converting milliliters to units please call 857-233-5837.

• 1mL = 100 units
• 0.5mL = 50 units
• 0.1mL = 10 units

Q: HOW OFTEN CAN I USE MY MEDICATION?

A: Instructions from your doctor on how frequently to use your medication can be found on your prescription label. This is the label that has your name and the name of the medicine on it. This label may be on the amber colored vial, a plastic bag, or other packaging containing your medication. If you cannot find this information or do not understand the meaning of the instructions please call 857-233-5837.

How frequently you can use your medication depends on the medicine in question, your particular medical scenario, and the reason the medication is being used.

You should not deviate from the instructions given by your doctor. Generally, injection therapy can be used not more than once every 24 hours and no more than 3-4 times weekly. Medications like sildenafil and tadalafil can be used once daily.

Q: WHERE DO I INJECT?

A: You should follow the instructions given by your doctor when you were trained on how to inject. Injection technique can vary based on penile anatomy, other medical conditions, injection history, and needle length.

Generally the injection should be done from 1/3 to 1/2 of the length of the penis away from the body. This means you are in the middle of the length of the penis or closer to the body. You should not inject in or near the head or the tip of the penis.

Regarding the circumference of the penis, around the penis, think of around the penis like the face of a clock. The underside of the penis (ventral surface), which some people think of as the belly or the bottom of the penis, would be 6 o’clock. The upper side of the penis (dorsal surface), which some people think of as the top of the penis, would be 12 o’clock. The needle should enter the penis between 1 o’clock and 3 o’clock, or between 9 o’clock and 11 o’clock.

When you depress the plunger to push the medicine into your penis the plunger should depress smoothly as if you were injecting into butter. If you feel resistance it means you are not deep enough, or in some cases, too deep. The specifics will depend on the length of the needle you are using and can best be sorted out through a conversation with your clinical case manager at 857-233-5837. There should not be a visible lump or bump after the injection. If you see a lump or bump it means that improvement in your injection technique is needed to get optimal results. Call 857-233-5837 and ask to speak to a clinical case manager.

Q: HOW COME THE VIAL I RECEIVED MOST RECENTLY DOES NOT WORK BUT IF I RETURN TO USING MY PREVIOUS VIAL IT WORKS?

A: The most likely explanation is injection technique. The fact that returning to the old vial worked again is just a coincidence based on a different injection. Even if it seems you are doing everything exactly the same, sometimes the difference between a correct or incorrect injection can be a minute change in injection depth or technique.

If you were taking different medications, even over-the-counter cold medicines, this can alter your response to the injection.

Over time small patches of scar tissue can develop in the penis making it more difficult to get a correct injection in a given location. For this reason, you should rotate injection sites.

Rotating injection sites also requires some practice, however. If you are used to injecting in the right side of your penis and suddenly you go to the left side or switch hands holding the needle, these changes can affect your ability to properly deliver the medication to the target site inside the penis.

Q: SHOULD I TRY HERBAL REMEDIES OR ADD THEM TO MY CURRENT THERAPY?

A: Herbal remedies do not contain drugs approved by the Food and Drug Administration (FDA). Herbal remedies do not have strict standards for the content of the product. One bottle may contain something entirely different from the next bottle labeled exactly the same way. Countless examples exist of people being harmed by herbal products. There are plenty of well-studied drugs your doctor can prescribe to treat your condition that is more likely to work and less likely to be harmful.

Q: I DON’T WANT TO INJECT, WHAT ARE MY ALTERNATIVES?

A: Alternatives vary depending on your personal medical history and your goals of treatment. If you are seeking an erection sufficient for intercourse and your doctor has prescribed injection therapy it is likely because other non-injectable medicines will not work for you. In treating patients we start with the easiest drugs to use that are expected to have an effect, therefore, injections wouldn’t be offered if oral medication was expected to work. For example, after prostatectomy, the only way to get an erection sufficient for intercourse for 6-12 months after surgery is using injection therapy.

No one likes the idea of injection therapy initially, but even patients who believe they are going to hate it routinely call back and tell us that they were surprised how easy it was. The satisfaction of having a firm erection, having sex with your partner, and achieving an orgasm by far outweighs the slight and momentary discomfort associated with performing the injection.