Erectile Or Sexual Difficulties? Treat The Cause, Not Just The Symptom.
For men who want hormone care that considers their sexual health.
Sexual difficulties are common, often treatable, and sometimes an early signal of a deeper health issue. The right evaluation can restore sexual function and protect your long-term health.
Informational reference only; not medical advice. Sexual health should be evaluated and treated by a clinician.

ALL-INCLUSIVE · POPULAR
Vitality All-Inclusive Program
One all-inclusive membership covering physician-led evaluation, treatment, and follow-up.
Sexual health treated as whole-body health.
This is not a quick fix. We look beyond the symptom to identify and address the underlying cause — because sexual health is closely tied to heart, metabolic, and hormonal health.
What The Sexual Health Program Addresses
Physician-led care that treats the cause, not just the symptom, across four areas.
01
Vascular / Cardiovascular
Reduced blood flow from early or established cardiovascular disease.
02
Metabolic Health
Diabetes, insulin resistance, and obesity — ~3.5× higher ED risk.
03
Hormonal / Low Testosterone
A common, treatable contributor to reduced libido and function.
04
Early Warning Sign
ED can appear 2–5 years before heart disease — a valuable signal.
05
Psychological Factors
Stress, anxiety and relationship factors can contribute.
06
Lifestyle Factors
Obesity, smoking and inactivity are modifiable risk factors.
WHAT’S INCLUDED
The Vitality All-Inclusive Program
$300
per month
Cardiovascular Health
Physician-led cardiovascular screening combining advanced biomarkers, family history, and modern imaging to understand and lower your risk.
Athletic Performance
Physician-guided optimization of strength, recovery, and endurance to help you perform and feel your best.
Cognitive Health
Evidence-based care to support focus, memory, and long-term brain health.
Hair Restoration
Targeted, medically-backed solutions to slow hair loss and support natural regrowth.
Male Fertility
We tailor hormone therapy with fertility in mind and offer fertility-preserving options, such as hCG or enclomiphene, when clinically appropriate.
Aesthetic & Anti-Aging
Treatments that support healthy skin, appearance, and graceful, evidence-based aging.
Sleep Optimization
Physician-led evaluation and treatment to improve sleep quality, recovery, and daytime energy.
Cardiovascular health, hair restoration, male fertility, athletic performance, cognitive health, sleep optimization, and aesthetic & anti-aging are part of your overall health and must be interpreted with your history, bloodwork, and cardiovascular risk. Results vary; decisions are made with a physician.

Membership
$300
/mo
One all-inclusive membership covering cardiovascular health, hair restoration, male fertility, athletic performance, cognitive health, sleep optimization, and aesthetic & anti-aging — physician-led and tracked over time.
BY THE NUMBERS
Sexual Health Is A Window Into Overall Health
Erectile dysfunction is common and treatable — and because penile arteries are small, it can be one of the earliest signs of vascular disease.
What Sexual Difficulties Can Signal
Contributing factors and their impact on ED risk. Identifying the underlying cause matters more than treating the symptom alone.
Important Context
≈ 52%
of men aged 40–70 experience some degree of erectile dysfunction — it is common and treatable.
Source: Massachusetts Male Aging Study, J Urol
Key Things To Understand
- ED is common, treatable, and often linked to broader health
- Penile arteries are small — ED can be an early vascular sign
- Identifying the cause matters more than treating the symptom
- Diabetes raises ED risk ~3.5×
- 60–70% respond to first-line oral therapy
- Best evaluated and treated by a clinician
ED can appear before heart disease — an early warning sign.
Source: Circulation, 2018higher risk of cardiovascular events in men with erectile dysfunction.
Source: Umbrella meta-analysis, 2021men with new ED and no heart symptoms already have significant coronary artery narrowing.
Source: JACC Advances, 2023more likely to have erectile dysfunction in men with diabetes.
Source: Diabetic Medicine meta-analysis, 2017of men respond to first-line oral therapy for erectile dysfunction.
Source: PDE5 review, 2013A clear pathway, from evaluation to results
Physician-led from your first assessment through ongoing follow-up.
01
Sexual-Health Assessment
A physician completes your assessment using validated questionnaires and a focused history.
02
Bloodwork & CV Risk Review
Diagnostic bloodwork and a cardiovascular risk review are completed.
03
Personalized Treatment Plan
You receive a personalized plan; treatment is initiated and underlying causes are addressed.
04
Treatment & Optimization
Lifestyle, hormonal and prescription therapy are applied where indicated.
05
Review & Adjust
Progress is reviewed and the plan is adjusted over time to your response.
PATIENT EXPERIENCES
What Our Patients Say
Posted on Google Alex MoTrustindex verifies that the original source of the review is Google. Dr.Jesse is an absolute legend. No better knowledge and care in greater VancouverPosted on Google kyle muscaTrustindex verifies that the original source of the review is Google. I’m so grateful I came across the men’s vitality clinic. I have worked with a few TRT clinics and they are by far the best. James was amazing with communication when I rung through the explain my situation and made sure I was able to speak to Dr Jesse on the same day as it was a time sensitive matter. Then Dr Jesse was very understanding and helpful. Great service and would highly recommendPosted on Google Josh KwiatkowskiTrustindex verifies that the original source of the review is Google. Mens vitality clinic was such a help with my body! There team is so Thorough throughout the whole process, always helping and answering my questions! I highly recommend this clinic for all your health needs! You won’t be disappointed!Posted on Google Pepe Peraza ContrerasTrustindex verifies that the original source of the review is Google. I've been lucky to have started my treatment with MVC from their early days! the quality of service and amount of care for their patients is outstanding! A big "thank you" to Dr Jesse for being so caring and invested in the well being of every single one of his patients!Posted on Google Bobby S.Trustindex verifies that the original source of the review is Google. I'm 55 years young, and was referred to Men's Vitality Clinic by some very good friends, as I was having some health challenges. I connected with Dr. Jesse who has been a great help to me, and a really good guy who is very easy to talk to, and very understanding. He totally understood my challenges, as I have gained way too much weight over the years, and developed a fatty liver. He did a very, very thorough bloodwork with me first, and went through it in great detail, and showed me which of the Packages would be best suitable for me to help me in my health journey. In the past 5 months I've dropped 25lbs and lost 2-3 inches off my waist, and feel so much better in all areas of my health. I have the motivation and drive for training and nutrition that I've been missing for years. I still want to lose another 25lbs, and their system is working so well for me for long term health and results. I recommended MVC to people already, and would suggest them to anyone who wants to live a healthier lifestyle. Thank you Dr. Jesse and MVC!Posted on Google landon brosnikoffTrustindex verifies that the original source of the review is Google. Men’s vitality clinic and dr. Jesse have been amazing to work with, their fast response time and frequent check ins have really streamlined this process. Dr Jesse has been very knowledgeable throughout answering any questions I had. I am seeing very positive results and haven’t felt this healthy in a long time. I recommend this team to anyone who is curious about it.Posted on Google Rami MattiTrustindex verifies that the original source of the review is Google. “Prioritizing my health and well-being has always been important to me, which is why I rely on Dr. Jesse Gill for expert guidance and hormone management. Thanks to the Men’s Vitality Clinic, I have experienced a remarkable improvement in my energy levels and overall quality of life.”Posted on Google Sunny GillTrustindex verifies that the original source of the review is Google. You don’t know, what you don’t know! I didn’t realize what my body was lacking until I had a consultation with Dr. Gill. I was ignoring all the signs my body was giving me. After having my first consultation with Dr Gill, I felt a pressure free, safe environment to discuss my current health concerns and future health goals. WE did some tests and established my baseline. Then WE created a fully customized approach that was tailored towards my health and lifestyle goals. As a 35 year old male, I have never felt & looked healthier in my life! I would highly recommend Men’s Vitality for anyone looking to improve or maintain their current and long-term health. Having these trusted physicians in my corner is the best decision I have ever made!!Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
Frequently Asked Questions
Sexual-health issues often have physical roots such as cardiovascular disease, diabetes, or low testosterone, as well as stress, sleep, medications, and lifestyle factors. Because ED can be an early warning sign of other conditions, a physician assessment is important.
Medically necessary labs may be covered by MSP when clinically indicated. Uninsured or expanded panels and elective treatments are quoted in advance, and program fees apply to non-insured services.
You meet your physician, complete any indicated bloodwork, and review your results and history together. If eligible, you begin a personalized plan that may address hormones, vascular health, and lifestyle, with ongoing monitoring.
Yes. Your care is private and physician-led, with confidential consultations and discreet handling of any prescriptions or treatments throughout the program.
Physician-guided sexual-health evaluation and treatment, comprehensive intake and ongoing consultations, lab testing as needed, plus care coordination, education, goal planning, and scheduling support.
Treat The Cause, Protect Your Health. Evaluation Is The First Step.
Book a free 15-minute consultation to review your symptoms, health goals, and whether the MVC Sexual Health Program is right for you.
Posted on Google Alex MoTrustindex verifies that the original source of the review is Google. Dr.Jesse is an absolute legend. No better knowledge and care in greater VancouverPosted on Google kyle muscaTrustindex verifies that the original source of the review is Google. I’m so grateful I came across the men’s vitality clinic. I have worked with a few TRT clinics and they are by far the best. James was amazing with communication when I rung through the explain my situation and made sure I was able to speak to Dr Jesse on the same day as it was a time sensitive matter. Then Dr Jesse was very understanding and helpful. Great service and would highly recommendPosted on Google Josh KwiatkowskiTrustindex verifies that the original source of the review is Google. Mens vitality clinic was such a help with my body! There team is so Thorough throughout the whole process, always helping and answering my questions! I highly recommend this clinic for all your health needs! You won’t be disappointed!Posted on Google Pepe Peraza ContrerasTrustindex verifies that the original source of the review is Google. I've been lucky to have started my treatment with MVC from their early days! the quality of service and amount of care for their patients is outstanding! A big "thank you" to Dr Jesse for being so caring and invested in the well being of every single one of his patients!Posted on Google Bobby S.Trustindex verifies that the original source of the review is Google. I'm 55 years young, and was referred to Men's Vitality Clinic by some very good friends, as I was having some health challenges. I connected with Dr. Jesse who has been a great help to me, and a really good guy who is very easy to talk to, and very understanding. He totally understood my challenges, as I have gained way too much weight over the years, and developed a fatty liver. He did a very, very thorough bloodwork with me first, and went through it in great detail, and showed me which of the Packages would be best suitable for me to help me in my health journey. In the past 5 months I've dropped 25lbs and lost 2-3 inches off my waist, and feel so much better in all areas of my health. I have the motivation and drive for training and nutrition that I've been missing for years. I still want to lose another 25lbs, and their system is working so well for me for long term health and results. I recommended MVC to people already, and would suggest them to anyone who wants to live a healthier lifestyle. Thank you Dr. Jesse and MVC!Posted on Google landon brosnikoffTrustindex verifies that the original source of the review is Google. Men’s vitality clinic and dr. Jesse have been amazing to work with, their fast response time and frequent check ins have really streamlined this process. Dr Jesse has been very knowledgeable throughout answering any questions I had. I am seeing very positive results and haven’t felt this healthy in a long time. I recommend this team to anyone who is curious about it.Posted on Google Rami MattiTrustindex verifies that the original source of the review is Google. “Prioritizing my health and well-being has always been important to me, which is why I rely on Dr. Jesse Gill for expert guidance and hormone management. Thanks to the Men’s Vitality Clinic, I have experienced a remarkable improvement in my energy levels and overall quality of life.”Posted on Google Sunny GillTrustindex verifies that the original source of the review is Google. You don’t know, what you don’t know! I didn’t realize what my body was lacking until I had a consultation with Dr. Gill. I was ignoring all the signs my body was giving me. After having my first consultation with Dr Gill, I felt a pressure free, safe environment to discuss my current health concerns and future health goals. WE did some tests and established my baseline. Then WE created a fully customized approach that was tailored towards my health and lifestyle goals. As a 35 year old male, I have never felt & looked healthier in my life! I would highly recommend Men’s Vitality for anyone looking to improve or maintain their current and long-term health. Having these trusted physicians in my corner is the best decision I have ever made!!Verified by TrustindexTrustindex verified badge is the Universal Symbol of Trust. Only the greatest companies can get the verified badge who has a review score above 4.5, based on customer reviews over the past 12 months. Read more
