Apomorphine / Sildenafil / Tadalafil / Vardenafil Troches
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
Troche
from $79/mo
Applied to the skin · Once a day
Women's healthVaginal drynessTopical
A daily vulvar moisturizer with hyaluronic acid and vitamins A and E, for dryness and discomfort, especially around menopause. Hormone-free.
Disclaimer: Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Products are compounded by a licensed pharmacy. The FDA has not reviewed or approved compounded products for any use for safety, efficacy, or quality. Compounded medications are not FDA-approved brand-name products.
(hyaluronic acid moisturizer)
Hyaluronic acid holds water in the tissue; vitamins A and E support the skin barrier. It eases dryness without estrogen.
Hormone-free
an option when estrogen is not wanted or not advised
For moderate to severe atrophy, low-dose vaginal estrogen is more effective; your physician can discuss it.
Women with dryness who want a hormone-free option.
No hormones: hyaluronic acid with vitamins A and E.
It is a moisturizer for regular use, not a lubricant for the moment.
support where it starts
better local response
less dryness and discomfort
a plan built around you
Day 1
A physician reviews your symptoms, cycle or menopause stage, medications and goals, and chooses the product.
1First uses
Use as directed; notice how your body responds and any local sensation.
2Weeks 2-4
Response becomes clearer. Daily moisturizers need a few weeks for full effect.
3Month 1
Check-in: adjust the product, add or change hormones if needed.
4Beyond
Regular reviews as your needs change.
5Individual results vary. Benefits reflect what Zepym Health members commonly report to their physician at check-ins; they are not the results of a clinical trial.
This is the starting dose the pharmacy prints on the label. Your physician sets yours and adjusts it with you.
A sample week
Once a day
Studies of hyaluronic acid vaginal products show relief of dryness comparable to low-dose estrogen for some women.
Mild stinging can occur at first; stop if irritation persists.
Learn moreThese products are used externally or dissolved in the mouth. Common effects are local warmth, tingling or irritation; with the desire troche, nausea, flushing and headache. Creams containing sildenafil must never be used with nitrates. Do not use during pregnancy or breastfeeding without your physician's approval. Stop and contact us if you have burning, a rash, or unusual discharge.

1.Connect with a physician
Answer a few questions online and a US-licensed physician reviews your health, history and goals to make sure treatment is right for you. 100% online. No in-person visit required.

2.Get your discreet shipment
If approved, your treatment is compounded by a US-licensed, LegitScript-certified pharmacy, inspected for quality, and shipped discreetly to your door.

3.Receive continuous support
Start with one goal, then keep building over time. Unlimited physician messaging, easy refills and dose adjustments, all from the Zepym Health app.

Intimate moisturizer educational content reviewed by our physician
Scott Nass, MDDoctor of Medicine, board-certified in Family Medicine
Charles R. Drew University and David Geffen School of Medicine at UCLA. Family Medicine residency at Ventura County Medical Center.
Applied to the skin, once a day. The starting prescription is 1 mL each time. Your physician sets your own dose and it is printed on your label.
Vulvar area.
Hyaluronic Acid, Vitamin A, Vitamin E.
1 bottle at the starting strength, shipped to your door from a licensed US pharmacy.
Yes, they can be used together; apply them at different times of day.
Hormones, stress, sleep, medications (especially antidepressants), relationship factors and menopause all play a part. A physician looks at the whole picture.
Sometimes. If hormones may be involved, your physician may order tests before choosing a treatment.
Yes. None of these products affect contraception.
Quad-mix troche combining three PDE5 inhibitors with apomorphine dopamine agonist for maximum potency and comprehensive mechanism.
Troche
from $79/mo
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The above statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease. Prescription products require an online evaluation with a licensed medical professional who will determine if a prescription is appropriate. Individual results vary.
Bremelanotide for hypoactive sexual desire disorder: two randomized phase 3 trials.
Obstet Gynecol, 2019Hyaluronic acid vaginal gel versus estriol cream for vaginal dryness in postmenopausal women.
PubMedIntimate Moisturizerfrom $179/mo