Male sexual health, evaluated
Most of this industry sells you a lie.
Rise and Size is the store that starts by subtracting. No size promises. No proprietary blends. No unapproved injectables sold as a shortcut. What is left is a short list of things that measurably help, dosed the way the trials dosed them, and scored the way you would score them.
01 / The problem
A category that monetises shame.
Sexual health is one of the few markets where the buyer is embarrassed enough to skip the questions. That is the entire business model, and it has been for thirty years.
The promise
Pills that claim permanent size change have been fined, settled and shut down for two decades. The companies go. The claims stay, recycled by the next label.
The blend
Proprietary formulas hide underdosed ingredients behind a trademark and a story. You are paying for the story, at a markup, with a subscription attached.
The shortcut
Unapproved injectables arrive with no batch data, no sterility chain and a consent form that protects the seller. This is the part of the market where people actually get hurt.
02 / What works
What actually changes the outcome.
Erection quality is a vascular and neurological event. It responds to blood pressure, endothelial health, sleep, training load, anxiety and medication. It does not respond to wishes.
Prescription
PDE5 inhibitors work. They are the only intervention in this category with decades of trial data behind them, and a licensed clinician can prescribe one today.
Flow
Nitric oxide precursors at three to six grams of citrulline move the substrate your body actually uses. Everything else in a bottle is adjunct to that.
The boring variables
Seven hours of sleep, zone two cardio three times a week, and treating performance anxiety. No bottle competes with those three.
The most effective thing in this category is a clinician's hour, not a bottle.
03 / The stack
Three products. That is the whole catalogue.
We do not sell ten SKUs to fill a shelf. Each of these covers one variable that measurably moves the outcome, at the dose used in the literature, with nothing added to look impressive on a label.
Pre-launch. Checkout opens when our payment rail is live. Read what is in each one before then.

01 / Daily
Flow
Nitric oxide base. L-citrulline 3 g, beetroot nitrate 400 mg, vitamin C 500 mg.

02 / Nightly
Night
Sleep depth and cortisol. Magnesium glycinate 400 mg, glycine 3 g, KSM-66 600 mg.

03 / Foundation
Base
The inputs hormone synthesis needs. Zinc 30 mg, vitamin D3 5000 IU, magnesium, B6.
04 / Evaluated
We score the clinics, not just the bottles.
The honest answer to most sexual health problems is a prescription, and the fastest way to one is a telehealth clinic. We review them on eight criteria and publish the score. Nobody pays for placement.
Read the reviews →05 / Our standard
Four rules we will not break for a margin.
Every product page, review and article on this site is written under the same four rules. They cost us money. They are the reason the rest of it is worth reading.
Dose or nothing
If an ingredient is not present at the dose used in the research, it does not go on the label. Underdosing to cut cost is the standard practice we are built against.
Claim only what is legal
Structure and function claims only, with the required disclaimer, and never a disease claim. Anything stronger is a regulatory problem dressed as marketing.
No injection, no exception
We will not sell, drop-ship or affiliate unapproved injectables for sexual use. No exosome vial, no peptide kit, no "research" loophole.
Disclose the money
Every affiliate link is labelled. Every score is published with its criteria. If a clinic pays us, you will see it on the same screen as the recommendation.