Desire, returned.
Prescription treatments and doctor-formulated supplements for libido, arousal, and performance — for women and men. Reviewed by a board-certified physician. Shipped in plain packaging.
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Showing all 5 products across 3 sections.
For women
On-demand peptides, topical bioidenticals, and daily herbal support for desire, arousal, and comfort.
Spark
A fast-acting, doctor-formulated intimacy enhancer combining Oxytocin, PT-141, and Tadalafil. Works within 30 minutes.
Ember
Feel Like Yourself Again. Libido. Mood. Energy. A doctor-formulated blend of 14 traditional aphrodisiac herbs, amino acids, and essential nutrients.
For men
PDE5 support for on-demand performance and low-friction clinician review.
Sildenafil
FDA-approved PDE5 inhibitor for erectile dysfunction. Short onset, well-studied safety profile.
Sildenafil / Tadalafil 60/14mg Rapid Dissolve
Dual PDE5 inhibitor combination. Sildenafil for rapid onset, Tadalafil for an extended window up to 36 hours.
Daily support
Comfort and prevention support for recurring urinary or intimacy-adjacent friction.
No matching products in this collection.
Try a product name, symptom, or protocol detail.
Not sure where to start?
Three of the most common scenarios we hear from patients — and what usually works. A physician will confirm the right protocol after reviewing your intake.
Start with Ember (4–6 weeks)
Give the herbal blend time to work, then add Spark or bioidentical HRT if the underlying issue is hormonal. Start here because it's the most reversible option.
On-demand: Spark or sildenafil
Both are single-use protocols — take it when you need it. Spark for women (brain-based), sildenafil for men (blood flow). No daily regimen, no ongoing commitment.
Topical estriol cream
Low-dose bioidentical estrogen applied directly. Addresses tissue health and natural lubrication — not systemic HRT. Most patients notice change in 4–6 weeks.
Board-certified MDs
Licensed in your state
NABP + PCAB pharmacies
Every compounded Rx
Discreet packaging
No branding on the outside
Full refund if not approved
Automatic · no forms
Common questions.
The five we get most in this category. For the full list, see our complete FAQ.
How is the packaging actually discreet?
All shipments arrive in plain outer boxes with no Amie branding, no medication names, and no health-related identifiers on the outside. The return address shows our fulfillment partner rather than a medical facility. Inside, packaging is clearly labeled for your records only.
Spark vs. sildenafil — how do they differ?
Spark (PT-141) is a peptide that targets brain-based arousal pathways — it works on desire. Sildenafil and tadalafil are PDE5 inhibitors that increase blood flow — they work on physical response. Spark is typically used by women experiencing low desire; sildenafil and tadalafil are typically used by men for erectile function. They address different parts of the arousal cycle.
Can I combine Ember with a prescription?
Usually yes — many patients use Ember daily for baseline support alongside an on-demand Rx like Spark or sildenafil. Always list Ember in your medical intake so your physician can check for interactions with any other medications you take.
How fast does Spark work?
30–60 minutes after administration, with effect lasting several hours. Unlike daily protocols, Spark doesn't build up over time — each dose works independently. Used on-demand ahead of intimacy.
Is estriol cream the same as HRT?
Estriol cream is topical and local — addresses tissue health in the application area. Systemic HRT treats broader menopausal symptoms (hot flashes, mood, sleep). Some patients use both; some use only the topical. Your physician will recommend what fits your symptoms during review.
Real medicine. No waiting room. Plain packaging.
Pick your treatment and check out. Complete your medical intake. A physician reviews within 24 hours. If you're not a fit, full refund — automatically.