Men's Sexual Health in San Antonio — Complete. Confidential. Comprehensive.

Online pill mills give everyone the same prescription after a 3-minute questionnaire. We perform comprehensive lab work, evaluate your hormones, vascular health, and metabolic markers, then build a personalized multi-modal protocol. You see a triple board-certified physician — not an algorithm.

Many of our services — consultations, medication prescribing, follow-ups, and lab review — can be done entirely via telehealth. Procedures like the P-Shot, Shockwave, ScroTox, and Girth Enhancement require an in-person visit at our San Antonio clinic.

PT-141 (Bremelanotide) works on the central nervous system — it enhances desire and arousal at the brain level. Viagra and Cialis work on blood flow only. PT-141 is ideal for men who can get erections but have lost their drive, or it can be combined with PDE5 inhibitors for a complete solution.

Tri-Mix is very safe when properly prescribed and dosed by a physician. The injection uses an extremely fine needle and most men report minimal discomfort — far less than they expected. Dr. Goel personally trains every patient on proper technique before self-administration at home.

Most men notice improved energy and mood within 2-3 weeks. Sexual function improvements typically begin within 3-6 weeks. Full optimization — including body composition changes — usually takes 3-6 months with consistent protocol adherence and regular lab monitoring.

The P-Shot (Priapus Shot) uses platelet-rich plasma from your own blood to stimulate tissue regeneration in the penis. Clinical evidence supports improvements in erection quality, sensitivity, and potential size enhancement. Results develop over 4-8 weeks as new tissue growth occurs. It's particularly effective when combined with other treatments.

Yes. All aesthetic procedures at Prime Vitality are performed by Dr. Goel personally — a triple board-certified physician. ScroTox uses the same FDA-approved botulinum toxin used in millions of cosmetic procedures. Girth Enhancement uses medical-grade hyaluronic acid fillers. Both have strong safety profiles when performed by an experienced physician.

Our sexual health and optimization services operate outside of traditional insurance. This allows Dr. Goel to spend the time needed with each patient without insurance-dictated limitations. Our membership pricing is designed to be affordable and all-inclusive. We can provide superbills for patients who wish to submit to their insurance for potential reimbursement.

That's exactly why we exist. Most men who come to us have already tried generic pills from online clinics. Our comprehensive approach identifies what was missed — often hormonal imbalances, elevated prolactin, or vascular insufficiency. With 6+ medication options, regenerative treatments, and hormone optimization, we have tools most clinics simply don't offer.

Complete confidentiality is foundational to our practice. Since we operate outside insurance networks, nothing is submitted to insurance companies. Your medical records are protected by HIPAA. Billing descriptors are discreet. Many patients choose telehealth specifically for the additional privacy it provides.