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Strut Health offers online prescriptions for men's health, skincare, and sexual wellness. Known for compounded medications and topical treatments; compounded medications are not FDA-approved and have not been reviewed by the FDA for safety, effectiveness, or quality.
Men who want PE and ED treated together in one capsule.
You prefer an as-needed option with no daily pill schedule.
You want a private online consult and free discreet home delivery.
Not for
Not for men outside the US or those needing in-person clinical evaluation.
Mate
This is for
You want a drug-free supplement approach to PE, in a formula Mate describes as physician-formulated.
You prefer vegetarian capsules and would rather avoid a prescription medication.
You want discreet shipping and the bundle savings Mate advertises on its PE formula.
Not for
You need licensed therapy or couples counseling as the primary treatment path.
You're looking for a prescription medication or telehealth provider with diagnosis visits.
If your symptoms are new, changing, or came with pain, tell a licensed provider, because the cause is part of what they assess before prescribing.
A remote visit cannot include a physical exam or in-office testing. If that matters for your situation, raise it with a licensed provider before choosing a platform.
If this is an emergency, call 911 or go to the nearest emergency room. Telehealth is not for emergency care.
These notes are not a medical screening: a licensed provider decides after an intake review whether a treatment is appropriate for you.
Frequently Asked Questions
Is Strut or Mate better?+
The better choice depends on your specific needs and priorities. Strut carries a 9.4/10 rating in our provider database and is listed as a fit for those seeking compound medications. Mate carries a 9/10 rating in our provider database and is listed as a fit for men specifically seeking pe treatment. Those scores are our own editorial ratings, not third-party review averages. Strut was founded in 2018 in Phoenix, AZ, while Mate was founded in 2020 in Austin, TX. Both are US telehealth platforms that connect you with licensed providers, and which one suits you is a question for that provider.
Which is cheaper, Strut or Mate?+
Pricing varies by treatment category. Strut starts at $49/month. Mate starts at $48/month. These are the rates last recorded in our provider database, so confirm the current price at checkout before you enroll. Strut lists free consultations. Mate lists free consultations. Strut lists free shipping. Mate lists free shipping. Strut and Mate list HSA and FSA payment options, though whether a given charge is eligible depends on your plan and on IRS rules for that expense.
Do Strut and Mate accept insurance?+
Strut does not list health insurance as accepted, and operates on a cash-pay model with published pricing. Mate does not list insurance as accepted. Strut and Mate list HSA and FSA payment options; eligibility for any specific charge depends on your plan and IRS rules, so check with your plan administrator first. Coverage and pricing change, so confirm both with the platform and your insurer before you enroll.
Are Strut and Mate legitimate telehealth companies?+
Both are established US telehealth platforms. Strut was founded in 2018 and is headquartered in Phoenix, AZ. Mate was founded in 2020 in Austin, TX. Both state that they work with US-licensed providers and licensed pharmacies and that they operate under HIPAA. We do not independently audit provider credentials or pharmacy licensing, so if you want that confirmed, you can look up an individual prescriber through your state medical board and a pharmacy through your state board of pharmacy.
How do consultations work at Strut vs Mate?+
Strut offers asynchronous consultations (free). Mate provides asynchronous consultations (free). On both, you complete a health questionnaire online that a licensed provider reviews. Turnaround times vary by platform, by state, and by how busy the provider network is, and you can message your provider with follow-up questions through the platform.
How fast is shipping from Strut and Mate?+
Strut lists shipping within 5-7 business days with free standard shipping. Mate lists shipping within 3-5 business days with free standard shipping. Both describe discreet packaging, and medications ship from licensed pharmacies rather than from the platform itself. Actual delivery time depends on your state, the pharmacy, and whether your prescription needs follow-up.
Can I cancel Strut or Mate subscriptions anytime?+
Strut offers both subscription and one-time purchase options and lists cancellation at any time without a fee. Mate also uses a subscription model and lists no cancellation penalty. Cancellation terms are set by each platform and can change, so read the current terms before you enroll. As a general rule you need to cancel before your next billing date to avoid the following period's charge, and anything already shipped is still yours.
Which is better for premature ejaculation treatment, Strut or Mate?+
Strut lists Topical Delay Treatments, Compound PE Medications starting at $49/month. Mate lists Prescription PE Medication, Topical Treatments, Combination Therapy starting at $48/month. Common approaches are an SSRI such as sertraline, which is prescribed off-label for premature ejaculation and is not FDA-approved for that use, and topical numbing sprays or creams containing lidocaine or benzocaine. What you can compare here is price, format, and whether a prescription is involved. Which approach fits your situation, and whether an off-label prescription makes sense for you, is a decision for a licensed provider.
What are the side effects of treatments from Strut vs Mate?+
Side effects come from the medication, not from the platform, so this is mostly a question about the drug you end up on rather than about Strut versus Mate. Reported effects vary by treatment: ED medications may cause headache, flushing, or nasal congestion; finasteride carries labeled sexual side effects that some men report persisting after they stop; GLP-1 medications commonly cause nausea, vomiting, and other gastrointestinal effects, especially when the dose goes up; SSRIs may cause drowsiness, nausea, or changes in appetite and sexual function. This is not the full list for any of them. Both platforms have licensed providers review your medical history and screen for contraindications, and you should read the medication guide and raise anything you notice with your provider.
Should I choose Strut or Mate?+
Choose Strut if you prioritize: those seeking compound medications, patients wanting topical treatments. Choose Mate if you prioritize: men specifically seeking pe treatment, those wanting prescription options. Strut stands out for: Compound medication focus. Mate is known for: PE treatment specialist. Both are established telehealth platforms, so your choice mostly comes down to price, which treatments each one carries, and how you prefer to handle visits and refills.
How do I get started with Strut or Mate?+
The process is similar on both. For Strut: visit their website, select your treatment category, and complete a health questionnaire that a licensed provider reviews. For Mate: follow the same kind of flow on their platform. Both ask for your medical history, current medications, and answers to health screening questions, and being straight with those answers is what lets the provider catch an interaction. If you are approved, the prescription goes to a licensed pharmacy and ships to you (often with free shipping). How long the whole thing takes depends on the platform, your state, and the pharmacy.
How do Strut and Mate rate against each other?+
Strut carries a 9.4/10 rating in our provider database, and Mate carries a 9/10 rating in our provider database. Those are ManyTreatments editorial scores on a 10-point scale, not averages pulled from third-party review sites, and you can read how we build them on our how-we-rate page. What we weigh: Strut scores well on unique compound medications, with smaller company as the trade-off. For Mate it is pe specialist focus, against only treats pe. If you want customer sentiment as well, check current listings on the review platforms directly, since those move.
Owen Stroud is a writer and content researcher covering men's sexual health and telehealth services. He believes that the topics people find hardest to talk about are exactly the ones that deserve the most honest, straightforward coverage. Owen writes without the awkward euphemisms and without the hype. When he is not writing, he is trail running, building furniture he designed himself, and rewatching The Wire for the fourth time.
Medical Disclaimer: The information on this page is for educational purposes only and is not medical advice. Always consult with a licensed healthcare provider before starting any treatment. Read our full medical disclaimer.
How we scoreOur 1 to 10 brand scores are our own editorial judgment. They are not aggregated from third-party review platforms and they are not the output of a scoring formula.
What a starting price isA starting price is the lowest figure a company lists for a category, not a quote. What you pay follows a clinician's review of your intake, and where a required membership or care plan sits alongside the medication we publish the two charges combined.
Reading a warning letterA close-out letter is FDA's record that it has evaluated a company's corrective actions, so the absence of one means the file is not closed on the public record, and nothing more than that.
Regulatory noticeRegulatory note (verified October 8, 2026): The FDA reviewed struthealth.com in December 2025 and, on February 20, 2026, issued Strut Health, LLC a warning letter, MARCS-CMS 721448. It raises two separate problems. Pictured product labels carry the "Strut" name, which the agency said represents Strut as the compounder of the semaglutide and tirzepatide products when it is not. The letter also quotes three claims from the site, among them "Generic Zepbound, Mounjaro", along with site copy naming semaglutide and tirzepatide as the active ingredient in the brand medications. Because compounded drugs hold no FDA approval, the FDA said wording of that kind implies one, and it cited misbranding under sections 502(a) and 502(bb) of the FD&C Act. The letter adds that introducing or delivering the products it identifies into interstate commerce is a prohibited act under section 301(a), that receiving them in interstate commerce and delivering or offering to deliver them also violates section 301(c), and that a compounded drug product must meet the conditions of section 503A or 503B of the FD&C Act to be exempt from certain requirements, including the new drug approval requirements. When we checked FDA's warning letter index for Strut Health, LLC on October 8, 2026 it showed no response letter and no close-out letter, so we treat the matter as open. Read the FDA letter
Regulatory noticeRegulatory note (verified August 22, 2026): On September 9, 2025 the FDA sent Hims & Hers Health, Inc. a warning letter covering the Hims brand, MARCS-CMS 716567, drawn from a review of hims.com the previous month. Two lines about compounded semaglutide are quoted in it: "Same active ingredient as Ozempic and Wegovy" and "Clinically proven ingredients." Compounded drug products are not FDA-approved, and the agency said phrasing of this sort suggests otherwise, which is what makes the products misbranded under FD&C Act sections 502(a) and 502(bb). A companion letter went to the same company that day for its Hers brand. No close-out letter appears in FDA’s index; treat this as open. Read the FDA letter