The telehealth company MISTR is best known for increasing free access to crucial STI prevention medications like DoxyPEP and PrEP. But now, it’s unveiling a new frontier. Enter MISTR Magic, an erectile dysfunction medication catering to queer people, aimed at maximizing your confidence and pleasure.
Erectile dysfunction has long been a taboo topic, and while some studies indicate 52 percent of people with penises report some level of ED, those who experience it often have to grapple with shame and societal pressure. MISTR founder and CEO Tristan Schukraft wants to change the conversation. The platform will now offer ED medications like sildenafil (the generic form of Viagra), tadalafil (the generic form of Cialis), and the compounded option MISTR Magic, all on a website catered to serving LGBTQ+ people.
“We believe sexual health care should be stigma-free, sex-positive, and easy to access,” Schukraft says. “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 health care there too.”
Ahead, Schukraft talks about the ins and outs of MISTR’s new ED medications and how the company is tackling the stiff topic of stigma.
Why did you want to begin offering ED medications?
MISTR has always been about removing barriers to sexual health. We started with HIV prevention because that’s where the need was greatest. Then we expanded into DoxyPEP to help prevent bacterial STIs. But sexual health doesn’t begin and end with preventing HIV or STIs.
Offering ED medication was a natural extension of the care we were already providing. We want MISTR to be the place people turn for their complete sexual health, not just one part of it.
In the gay community, why do you believe there’s stigma around talking and treating erectile dysfunction?
We’ve seen this happen with PrEP. Ten years ago, people whispered about it. They called people “Truvada whores,” and there was real stigma around taking PrEP. Today, friends recommend it to each other, because it’s become part of taking care of your health. I think ED medication is on the same path. For many people, it’s not about fixing something that’s broken. It’s about confidence. It’s about being ready when the moment is right. Maybe it’s about one more round. Maybe it’s about lasting a little longer. Maybe it’s about a little extra confidence after a long night. Whatever the reason, people shouldn’t feel embarrassed about taking care of their sexual wellness. It’s ironic because gay men will openly compare skincare routines, workouts, and injectables, but when it comes to ED, people suddenly get quiet. How do we change it? We stop treating sexual health like it’s something to whisper about.
Could you share your personal history with ED, and if you ever encountered any barriers to treatment?
I was on a family vacation in Mexico and stopped at a pharmacy with my father and uncle. While we were there, I asked about buying some Viagra. My father immediately looked at me and said, “Of all the people in the world who don’t need Viagra…”
I laughed because I do have a healthy sex drive and people don’t think I need it. But I explained that it’s not always about fixing a problem. Sometimes, you want one more round. Sometimes, you want to be a little harder to try a new position or two. Sometimes, you want a little extra confidence going into a group situation. And sometimes, you just want to know you’ll be at your best. About halfway through that explanation, I realized I was probably sharing a little more than I needed to with my father and uncle.
A few months later, at another family gathering, my uncle pulled me aside and asked, “So…did the Viagra work?”
I said, “Yeah.”
He smiled and said, “Good to know.”
That conversation reminded me how much unnecessary stigma still surrounds ED medication. A lot of people assume ED medication is only for people who can’t get an erection, but for many of us it’s simply about performing at [our] best or wanting to get a little more out of the experience.There shouldn’t be any shame in that.
Who is the MISTR Magic product for?
We wanted people to have options. That’s why MISTR offers the traditional tadalafil and sildenafil, along with MISTR Magic, our dissolvable lozenge that combines the best features of both medications into one option. Patients can choose the treatment that works best for them.
What makes MISTR different is that we don’t see ED medication as a standalone product. It’s part of a complete sexual health toolkit.
Learn more about MISTR’s offerings at heymistr.com.
*This interview has been condensed and edited.
Out's HEALTH cover from our Sept-Oct 2026 print issue
This article is part of OUT’s Sept-Oct 2026 print issue, on newsstands September 1. Support queer media and subscribe — or download the issue now through Apple News+, Zinio, Nook, or PressReader starting August 20.
