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A man in his forties rolling up a sleeve in the hallway of his home in the evening.

Sexual health

A privateconversation,and a real answer.


Erectile dysfunction and low libido are common, treatable, and often the first sign of something else worth looking at. The assessment is confidential and takes a few minutes.

Takes 3 minutes. See which treatment fits and what to expect.

  • Licensed Canadian
    prescribers
  • Secure and private
    virtual care
  • Pharmacy
    fulfilment
  • Ongoing monitoring
    and support
  • Virtual men's health
    and hormone clinic

What men describe

Reasons men start this assessment.

  • Reduced sex drive
  • Low energy
  • Frustration or low mood
  • Difficulty with erections
  • Performance anxiety
  • Poor sleep
  • Metabolic health concerns
  • A change over time

Erectile dysfunction can be an early sign of cardiovascular or metabolic conditions, and it can also be caused by medications, stress or sleep. That is why the assessment covers your general health rather than the symptom alone.

How it works

Simple. Private. Convenient.

Quality care from the comfort of your home, from the first assessment through to your medication arriving.

  1. 01

    Free discovery call

    Speak with our team about your symptoms and goals. Fifteen minutes, no obligation.

  2. 02

    Doctor consult

    Meet virtually with a licensed physician, from home.

  3. 03

    Get tested

    Appropriate labs ordered to uncover the root cause, not just the symptom.

  4. 04

    Receive your Rx

    If appropriate, you get your prescription and a treatment plan.

  5. 05

    Delivered to you

    Medication shipped to your door with ongoing pharmacist support.

A man training with dumbbells in a home gym, seen from behind in raking window light.

Treatment is only the beginning

We are with you every step of the way.

Ongoing care and monitoring are what turn a prescription into a result. We track your progress, review your labs, adjust treatment when it is appropriate, and back it with nutrition and supplement support.

  • Regular check-ins

    Consistent follow-ups so someone is tracking your progress with you.

  • Lab monitoring

    Repeat bloodwork where it is clinically indicated, for safety and for results.

  • Plan adjustments

    Your prescriber changes the plan as your body responds, rather than leaving it.

  • Long-term support

    Pharmacist counselling and coaching for as long as you are with us.

Why men choose LivBTR

One team, from assessment through treatment.

  • A confidential assessment you complete at home
  • Reviewed by a licensed Canadian prescriber
  • General health considered, not just the symptom
  • Discreet packaging on anything dispensed
  • Pharmacist available for questions afterwards

Three licensed bodies, one pathway

You deal with one team instead of coordinating several clinics yourself. Here is who does what.

  • Medical

    Border Medical

    Virtual MD and NP consults · Lab testing · Prescribing decisions

  • Pharmacy

    Border Pharmacy

    Prescription fulfilment · Medication counselling · Home delivery

  • Wellness

    LivBTR

    Lifestyle coaching · Nutrition and training · Ongoing support

Frequently asked questions

Sexual health questions

How private is this?

Your responses are stored under Canadian privacy law and are seen only by the clinicians and pharmacists involved in your care. Anything dispensed ships in discreet packaging.

Do I have to speak to someone?

The assessment is written and you complete it on your own. A licensed provider reviews it and may follow up with a virtual appointment if they need more detail.

Will I be prescribed something?

Only if a licensed provider determines it is appropriate and safe given your health history and current medications. Some men are advised to address another cause first.

Can this be a sign of something else?

It can. Erectile dysfunction is associated with cardiovascular and metabolic conditions, and it can be a side effect of medication. That is part of what the assessment is looking for.

Does this connect to hormone health?

Sometimes. Low libido in particular can relate to testosterone, sleep or stress. If your responses point that way, your provider may suggest a hormone assessment as the more useful next step.

How long does it take?

The questionnaire takes a few minutes. Review times depend on provider availability and you will be told what to expect once it is submitted.

Start your confidential assessment

It takes a few minutes, it costs nothing, and it is the step that tells you whether this is the right pathway for you.

  • 100% confidential
  • Takes a few minutes
  • No obligation
  • Canadian licensed providers

    Assessment and prescribing by licensed practitioners.

  • Secure and private

    Your health information is encrypted and kept confidential.

  • Evidence-informed approach

    Guidance grounded in clinical evidence, not trends.

  • Medications delivered across Canada

    Filled by Border Pharmacy, or any pharmacy you choose.

The Men's Health Discovery Call is educational in nature and does not provide medical advice or establish a healthcare provider-patient relationship. Medical assessment, diagnosis, laboratory testing, and prescribing decisions are made independently by licensed physicians or nurse practitioners. Pharmacists provide medication counselling within their scope of practice.