MISTR has become one of the most recognizable names in LGBTQ+ sexual healthcare by making HIV prevention easier to access online. Now, the telemedicine platform is broadening its reach with the launch of erectile dysfunction treatments, marking its biggest expansion beyond HIV prevention to date.
The company announced Tuesday the debut of MISTR Magic, a new dissolvable erectile dysfunction medication that combines sildenafil and tadalafil into a single lozenge. The launch also includes standalone sildenafil and tadalafil prescriptions, giving patients multiple options for treating ED through the same online platform that already offers free PrEP, DoxyPEP, STI testing, hepatitis C services, and long-term HIV care.
For MISTR, the move reflects a broader vision of sexual wellness—one that extends beyond disease prevention and into confidence, intimacy, and convenience.
A New Chapter In Sexual Healthcare
Founded to remove barriers to HIV prevention, MISTR has built its reputation around offering free online PrEP to eligible patients, including those without insurance. Over the past several years, the platform has expanded to include DoxyPEP, STI testing, and comprehensive HIV care, all delivered through telemedicine.
With the addition of erectile dysfunction treatment, MISTR is positioning itself as a one-stop destination for sexual healthcare.
“Sexual health and sexual confidence go hand in hand. You want to know you’ve taken the right steps to protect yourself, and you want to be ready when opportunity knocks,” MISTR founder and CEO Tristan Schukraft said in a statement.
“MISTR Magic and our other options aren’t a fix, they’re an upgrade.”
The company says it now serves more than 800,000 patients across all 50 states, Washington, D.C., and Puerto Rico.
What Is MISTR Magic?
Unlike traditional ED medications that rely on a single active ingredient, MISTR Magic combines sildenafil and tadalafil into one fast-acting dissolvable lozenge.
Sildenafil, best known as the generic version of Viagra®, is commonly used for its relatively quick onset. Tadalafil, the generic equivalent of Cialis®, is known for its longer duration. By combining both medications into one formulation, MISTR says patients can experience the benefits of each in a single treatment option.
Patients who prefer a more traditional prescription can still choose standalone sildenafil or tadalafil through the platform.
According to the company, pricing starts at $2.49 per pill, with medications delivered discreetly to patients’ homes. MISTR says its prices average about 49% less than other major online erectile dysfunction providers.
Expanding The Conversation Around Sexual Wellness
The launch also reflects a shift in how telehealth companies are approaching sexual healthcare.
Historically, conversations around HIV prevention, sexually transmitted infections, and erectile dysfunction have often existed in separate spaces. MISTR’s latest expansion brings those services together under one platform, recognizing that sexual wellness includes both prevention and quality of life.
Schukraft believes reducing stigma remains central to that mission.
“We believe sexual healthcare should be stigma-free, sex-positive, and easy to access. Whether it’s PrEP, HIV care, or a little extra confidence, MISTR lets you access it all discreetly online. If you can find a hookup on your phone, you should be able to find sexual healthcare there too.”
The approach reflects broader trends in telemedicine, where patients increasingly expect healthcare to be available with the same convenience as other online services. Digital platforms have helped reduce many of the traditional barriers associated with sexual health, including scheduling appointments, visiting clinics, and concerns about privacy.
Building On A Growing Platform
MISTR’s expansion arrives as awareness of HIV prevention tools continues to grow in the United States. The platform has become especially well known within LGBTQ+ communities for offering free access to PrEP for eligible patients, including uninsured individuals—a model that has helped increase uptake of preventive care among populations disproportionately affected by HIV.
Adding erectile dysfunction treatment builds on that foundation rather than replacing it.
The company says patients can now access free online PrEP, DoxyPEP, STI testing, hepatitis C testing and treatment, long-term HIV care, and erectile dysfunction medications from one digital platform.
As telehealth continues to reshape healthcare delivery, MISTR is betting that convenience alone isn’t enough. The company is framing sexual wellness as something that encompasses prevention, treatment, and confidence—meeting patients wherever they are while reducing the stigma that has long surrounded conversations about sexual health.
Those interested in learning more about MISTR’s services or trying MISTR Magic can click here.
