Reignite Desire — From the Inside Out
PT-141 (bremelanotide) works directly on your brain's desire pathways — not your blood vessels. Restore genuine sexual desire with physician-prescribed therapy, available in San Antonio or via telehealth with home delivery nationwide.
PT-141 is FDA-approved as Vyleesi® for HSDD in premenopausal women. Use in men is off-label. All treatments require physician evaluation and prescription. Individual results vary.
What Is PT-141 (Bremelanotide)?
PT-141, known by its brand name Vyleesi®, is a melanocortin receptor agonist that works directly in the brain to enhance sexual desire. Unlike Viagra or Cialis — which improve blood flow — PT-141 targets the neural pathways responsible for arousal and libido.
Originally FDA-approved for hypoactive sexual desire disorder (HSDD) in premenopausal women, PT-141 is now used off-label by physicians to treat low libido in both men and women. It is administered as a subcutaneous injection approximately 45 minutes before anticipated activity.
- Activates melanocortin-4 receptors (MC4R) in the brain
- Enhances genuine desire — not just mechanical function
- Works through a completely different mechanism than PDE5 inhibitors
- Can be combined with ED medications for comprehensive treatment
⚕️ Physician-Prescribed Only
PT-141 requires medical evaluation and prescription. Available in-office at our San Antonio clinic and via telehealth with medication shipped directly to your door.
Who Benefits from PT-141 Therapy?
PT-141 addresses the root of low desire — not just the symptoms. If any of these describe you, bremelanotide therapy may help.
The Low-Libido Patient
You've noticed a significant decline in sexual desire that isn't explained by relationship issues or stress alone. You want to feel that spark again.
The Medication Non-Responder
Viagra and Cialis improve erection quality but haven't restored your desire or arousal. PT-141 works through a completely different mechanism.
The Comprehensive Patient
You're already on TRT or ED medications but want to address the desire component. PT-141 complements existing sexual health protocols.
The Out-of-State Patient
You live in Texas, California, or Florida and want access to physician-prescribed PT-141 via telehealth — with medication shipped to your door.
Two Paths to Getting Started
Whether you visit our San Antonio clinic or connect via telehealth, the process is straightforward and physician-guided.
In-Office · San Antonio
Visit Our Clinic
Come to our San Antonio office for a comprehensive sexual health evaluation with Dr. Goel.
Medical Consultation
Review your medical history, symptoms, labs, and current medications. Discuss treatment goals.
Same-Day Start
If appropriate, receive your first injection training and take home your PT-141 prescription.
Follow-Up Care
Scheduled check-ins to optimize dosing and monitor your response to therapy.
Telehealth · Nationwide
Schedule Video Visit
Book a secure telehealth consultation from the comfort of your home — available in TX, CA, and FL.
Lab Work Ordered Locally
We order bloodwork at a lab near you. Results are reviewed by Dr. Goel before prescribing.
Medication Shipped to You
PT-141 is shipped directly to your door with injection supplies and detailed instructions.
Virtual Follow-Ups
Ongoing video check-ins to adjust your protocol and ensure optimal results.
Why Patients Choose Prime Vitality
Not all PT-141 providers are the same. Here's what separates physician-guided therapy from online pharmacy mills.
Physician-Prescribed
Every prescription is written by a board-certified physician after medical evaluation — not auto-generated by a questionnaire.
Triple Board-Certified
Dr. Shiv Goel holds certifications in Internal Medicine, Functional Medicine, and Aesthetic Medicine — America's Best Doctor 2025.
Comprehensive Protocols
PT-141 is part of a complete sexual health program — we integrate it with TRT, PDE5 inhibitors, peptides, and regenerative therapies as needed.
In-Office + Telehealth
Visit our San Antonio clinic or get treated from anywhere in TX, CA, or FL. Medication delivered to your door with full physician support.
What to Expect with PT-141
PT-141 works differently than ED medications — here's a realistic timeline of what most patients experience.
First Dose (30–45 Minutes)
PT-141 is injected subcutaneously approximately 45 minutes before anticipated activity. Effects begin within 30–45 minutes as the peptide activates melanocortin receptors in the brain. Some patients notice mild nausea initially.
First Few Uses (Weeks 1–2)
Most patients report increased awareness of desire and arousal cues. The brain's desire pathways begin responding more readily. Dr. Goel may adjust dosing based on your response.
Optimized Protocol (Weeks 3–6)
With physician-guided dosing, patients typically experience consistent improvement in spontaneous desire, arousal response, and overall sexual satisfaction.
Ongoing Therapy
PT-141 is used on an as-needed basis. Many patients use it 1–2 times per week. Combined with hormone optimization, results continue to improve over time.
Results may vary. Individual outcomes depend on health status, dosing, and adherence to physician recommendations.
"I thought the spark was just gone forever. Viagra helped with the mechanics, but the desire wasn't there. PT-141 changed everything — I actually want intimacy again. It's like someone turned the lights back on."
Marcus T., Age 47
PT-141 Therapy · Telehealth Patient (Houston, TX)
*Patient name changed for privacy. Individual results vary.
PT-141 Pricing & Membership
Transparent pricing with flexible options. All programs include physician oversight, dosing guidance, and ongoing support.
PT-141 Therapy
Pricing depends on dosing frequency and supply duration. Discussed during consultation.
- Physician consultation & evaluation
- PT-141 prescription & supply
- Injection training & supplies
- Follow-up dosing adjustments
ED Membership
Comprehensive sexual health program including PT-141 and additional therapies.
- Monthly physician check-ins
- PT-141 + PDE5 inhibitors included
- Lab monitoring & optimization
- Telehealth or in-office flexibility
- Priority scheduling & support
PT-141 FAQ: Telehealth Access & Shipping
Answers to the most common questions about bremelanotide therapy.
Yes. PT-141 is available via telehealth for patients in Texas, California, and Florida. After a video consultation with Dr. Goel and lab review, your medication is shipped directly to your home with injection supplies and detailed instructions.
We currently prescribe and ship PT-141 to patients in Texas, California, and Florida. Dr. Goel is licensed in these states for telehealth prescribing. Additional states may be added — contact us for the latest availability.
Viagra and Cialis are PDE5 inhibitors that improve blood flow to achieve and maintain erections. PT-141 works through a completely different mechanism — it activates melanocortin receptors in the brain to enhance sexual desire and arousal. PT-141 addresses wanting, while PDE5 inhibitors address functioning. They can be used together for comprehensive treatment.
The most common side effect is mild nausea, which typically resolves after the first few uses. Some patients experience flushing, headache, or injection site reactions. Serious side effects are rare but can include elevated blood pressure. Dr. Goel reviews your full medical history to ensure PT-141 is safe for you.
No. While we welcome patients at our San Antonio clinic (10007 Huebner Rd, Bldg 3, Suite 302), PT-141 therapy is fully available via telehealth. You can complete your consultation by video, have labs drawn at a facility near you, and receive your medication by mail.
PT-141 is shipped in temperature-controlled packaging directly to your home. Each shipment includes the medication vial, injection syringes, alcohol swabs, and detailed self-injection instructions. Discreet packaging is standard.
Yes. PT-141 (Vyleesi®) is actually FDA-approved for hypoactive sexual desire disorder (HSDD) in premenopausal women. It is one of the few FDA-approved treatments specifically for female sexual desire. Dr. Goel prescribes PT-141 for both men and women after appropriate medical evaluation.
PT-141 is not recommended for patients with uncontrolled hypertension, significant cardiovascular disease, or those taking certain medications. It should not be used more than once in 24 hours or more than 8 times per month. Dr. Goel evaluates every patient individually to determine if PT-141 is appropriate for your situation.
