This article applies specifically to the Blood Flow treatment plan.
Requirements may differ for other Maximus programs.
The Maximus Blood Flow Protocol provides personalized prescription treatment designed to support healthy blood flow and sexual function.
This protocol uses clinically established medications such as tadalafil, sildenafil, or vardenafil, selected and dosed by your clinician based on your health history, symptoms, and treatment goals.
Your clinician determines whether the protocol is appropriate and which medication option best fits your individual situation.
What the Protocol Is
Erections depend on healthy blood flow and proper signaling between the nervous system, vascular system, and hormones. Many individuals experience changes in sexual performance due to factors such as:
stress
circulation changes
lifestyle factors
normal aging
The Blood Flow Protocol uses medications known as PDE-5 inhibitors. These medications help relax blood vessels and support circulation, making it easier to achieve or maintain an erection when sexually stimulated.
Treatments That May Be Used in This Protocol
Your clinician may prescribe one of the following medications depending on your health profile:
Tadalafil — a longer-acting option that supports circulation over an extended period
Sildenafil — a shorter-acting option that works within a more time-limited window
Vardenafil — a rapid-onset option that may begin working more quickly for some individuals
Customized formulations, when clinically appropriate
Your clinician determines the most appropriate option based on your symptoms, medical history, and overall health.
How It Works (High Level)
PDE-5 inhibitors support blood flow by:
relaxing smooth muscle around blood vessels
improving circulation to the penis
supporting natural erectile function when paired with sexual stimulation
The protocol focuses on consistent, predictable support rather than strictly on-demand use.
Over time, some individuals report improved ease of arousal, better performance, and increased confidence. Experiences vary between individuals.
Who It’s For
The Blood Flow Protocol may be appropriate for individuals who:
want support for erectile performance
experience situational or repeated difficulty achieving or maintaining erections
prefer a reliable and steady therapeutic effect
want a medically supervised approach to treatment
Eligibility is determined by your clinician based on your medical history, symptoms, and medications.
Who It May Not Be For
Some individuals may not be candidates for PDE-5 inhibitor treatment depending on factors such as:
cardiovascular conditions
blood pressure concerns
use of certain medications (such as nitrates)
specific health risks identified during evaluation
Your clinician reviews your health history to determine whether this protocol is appropriate for you.
Expected Benefits
Many individuals report improvements such as:
improved firmness
easier arousal with stimulation
enhanced confidence and performance
more satisfying sexual experiences
improved consistency over time
Responses vary, and your clinician monitors progress to ensure the treatment remains safe and effective.
Treatment Options
Your clinician may recommend:
a daily protocol for steady support
an as-needed protocol, depending on your goals
combination options, when appropriate
Your treatment plan is personalized and may evolve over time as your clinician evaluates your response.
Monitoring and Clinical Oversight
Your clinician monitors your progress through:
symptom check-ins
medication reviews
evaluation of safety and effectiveness
You can message your clinician through your patient portal for non-urgent questions or concerns about your treatment.