Skin Over SteelSupport

The standard

How we review

Most information in men's sexual health is a funnel dressed up as advice. Here, the trust is the product — so this is the standard every article is held to, stated plainly enough that you can hold us to it.

How we grade evidence

Every claim carries a visible evidence grade, so you always know how much weight it holds before you act on it.

Established

Guideline-level evidence — major clinical guidelines (e.g., the AUA) or strong, consistent peer-reviewed research. Safe to lean on.

Emerging

Early or mixed research — biologically plausible and promising, but not yet settled. Weigh it as provisional, and expect it to move.

Anecdote

Lived experience, fenced off as exactly that — a member's n=1, never generalized into a recommendation for anyone else.

High risk

Practices where the evidence points to injury. Flagged so you can see the danger and the warning signs — never written as a how-to.

How we source

Claims trace back to named sources — clinical practice guidelines, peer-reviewed literature, and official prescriber or pharmacy documentation — cited on the page so you can check the original yourself. When the evidence is thin or contested, we say so and grade it down rather than rounding up to certainty.

Who reviews it

Every article is written and edited against this standard by the Skin Over Steel editorial desk, and carries the date it was last reviewed. That is what an Editorial review byline means: held to the standard on this page, not signed off by a named physician.

Named clinician review is the next layer of trust we're building. When a credentialed reviewer signs off on a piece, their name and credentials will appear on it — and we will never do the reverse: invent a reviewer, borrow a credential, or imply a doctor vetted something they didn't. An honest "not yet" beats a fabricated byline every time.

The lines we won't cross

  • No dosing or self-treatment protocols for prescription or gray-market compounds — that call belongs to your prescriber, every time.
  • No how-to for physically risky procedures. We cover the risk landscape, the warning signs, and when to seek care — never the technique.
  • We bridge toward medicine, not around it. The goal is to get you to a clinician better informed, not to route you past one.
  • Crisis and emergency resources stay one tap away. The permanent Support link, including the prolonged-erection emergency, is never buried behind a paywall.

Where the money is — and isn't

Skin Over Steel is not a pharmacy and not a seller. Where the directory lists a licensed provider we have a paid relationship with, we may earn a referral fee, disclosed at the link. The guardrail is absolute:

A paid relationship never moves an evidence grade or a ranking — it only adds a disclosure. Rankings follow published trust criteria alone. And a product with no legitimate, licensed channel gets education only — never a buy or referral flow.

When we're wrong

Evidence moves, and so will these pages. When the research shifts, a grade can be downgradedand the review date updated; material corrections are made in the open rather than quietly. This site's content and code are public, which is the point — a standard you can audit is the only kind worth publishing.

Skin Over Steel is general education, not medical advice, and not a pharmacy or seller. Nothing here replaces evaluation by a licensed clinician who knows your history.