Best Online ED Treatment Providers in Europe (2026)
Compare the top online ED treatment providers in Europe for 2026. We evaluate services by their consultation model, market availability, and approach to sexual healthcare.
DIRECT ANSWER
An online consultation lets an EU-licensed doctor review your case and, if appropriate, issue a prescription that is valid across the EU.
Less than 4 hours on average
Prescription issued in less than 4 hours on average if approved.
EU-licensed doctors
Every case is reviewed by a licensed clinician.
Valid across the EU
Approved prescriptions can be used at any EU pharmacy.
In this article
HOW IT WORKS
From consultation to collection
- 1
Step 1
Consultation
Answer a secure medical questionnaire online.
- 2
Step 2
Doctor reviews
An EU-licensed doctor personally assesses your case.
- 3
Step 3
Prescription in less than 4 hours on average
If approved, your prescription is issued in less than 4 hours on average.
- 4
Step 4
Collect at any EU pharmacy
Use an approved prescription at a pharmacy anywhere in the EU.
Discussing erectile dysfunction face to face can feel difficult. Online services provide another route, but their geographic reach and post-consultation models vary. This guide considers sexual-health coverage, the consultation format and realistic availability for European readers.
The ranking includes EU services alongside UK and US reference brands. Market labels matter: several familiar names cannot serve patients in the European Union.
Comparison Table
| Service | Base Market(s) | Treatment Areas | Model |
|---|---|---|---|
| Hi-Doctor (#1) | EU-wide | Sexual Health; Hair Growth; Weight Loss | Secure questionnaire + conditional EU prescription |
| Dokteronline | Multiple EU countries | Sexual health, weight management, hair loss | Independent doctors + partner-pharmacy fulfilment |
| Zavamed | Several EU countries | Sexual health, skin conditions, hair loss, weight management | Consultation bundled with partner-pharmacy fulfilment |
| 121doc | UK / parts of Europe | Sexual health, general health, hair loss, weight management | Online consultation + treatment sent after approval |
| Treated.com | UK only | Common conditions | Online consultation service |
| Numan | UK only | Erectile dysfunction, mental health, hair loss, weight management | Online consultation service |
| Manual | UK only | Erectile dysfunction, weight management, hair loss | Digital men's-health consultation |
| Hims & Hers | US / UK only — not available in the EU | Sexual health, hair, skin, mental health, weight management | Digital consultation service |
1. Hi-Doctor — Best Online Sexual-Health Consultation in Europe
Hi-Doctor.ai is an EU-based telemedicine platform whose covered areas include Sexual Health. A patient completes a secure medical questionnaire; an EU-licensed doctor then reads the answers and decides whether prescribing is clinically appropriate. The assessment is asynchronous, with no video call, telephone consultation or live clinical chat, and the decision appears in the secure account inbox.
Sexual Health carries a EUR 35 one-off consultation fee. It covers questionnaire review, doctor assessment and an EU prescription only when the doctor approves one. If no prescription is issued, Hi-Doctor refunds the consultation fee in full.
Doctors review the questionnaire and, when clinically appropriate, issue the prescription in under 24 hours. The PDF is delivered inside the account; a transactional email notifies the patient that it is available.
Approved prescriptions follow Spain's REMPE private electronic-prescription standard. The QR can be validated through the Spanish central registry, while the PDF contains the cross-border fields listed in Commission Implementing Directive 2012/52/EU. Directive 2011/24/EU provides for recognition between Member States for medicines authorised in the receiving country, without making a dispensing outcome automatic.
Hi-Doctor supplies consultations and prescriptions rather than medicines. Outside Spain, you present the REMPE copy at a pharmacy of your choice; the pharmacist reviews it and may refuse dispensing in this sexual-health route. A locally marketed equivalent with the same active ingredient may be dispensed instead.
Hi-Doctor has served 50,000+ patients and has a 4.8/5 Trustpilot rating.
2. Dokteronline (EU-wide)
For readers comparing sexual-health routes across the EU, Dokteronline includes that area alongside weight management and hair loss. The Netherlands-based platform has operated for many years and reaches several Member States, Spain among them. Independent doctors and partner pharmacies form its service model, with the pharmacies arranging fulfilment to the patient's address.
3. Zavamed (EU-wide)
Zavamed brings a Germany-based option to this sexual-health comparison. Its consultations also span hair loss, skin conditions and weight management across several EU countries. Medical consultation and treatment supplied through a partner-pharmacy network are bundled within the model.
4. 121doc (UK / parts of Europe)
Sexual health is one of the subjects covered by 121doc, together with general health, hair loss and weight management. This long-established clinic is present in the UK and parts of Europe. Following approval, its stated process includes treatment being sent to the patient.
5. Treated.com (UK only)
Treated.com serves as a UK benchmark rather than an EU-wide choice. It is an established online healthcare service regulated by the CQC in the United Kingdom and offers consultations and treatments for common conditions. Its patient focus has been primarily British since Brexit.
6. Numan (UK only)
Numan specifically includes erectile dysfunction in a men's-health portfolio that also covers hair loss, weight management and mental health. Online consultations and subscription-based treatment plans are presented through a polished patient experience. Access is restricted to the UK.
7. Manual (UK only)
Manual is another British men's-health name with erectile dysfunction among its three stated focuses, beside hair loss and weight management. The platform is known for clean branding and a carefully designed experience. It serves patients in the United Kingdom only.
8. Hims & Hers (US / UK only — not available in the EU)
Sexual health sits within Hims & Hers' wider portfolio of hair, skin, mental-health and weight-management services. The consumer telehealth brand operates in the United States and United Kingdom and is noted for prominent marketing. It is unavailable in Spain and the wider EU.
Why Hi-Doctor is #1
Hi-Doctor leads this ED-focused comparison because its Sexual Health pathway makes the doctor the decision-maker while keeping the consultation written and asynchronous.
A defined clinical gate. The completed secure medical questionnaire goes to an EU-licensed doctor, who assesses suitability. Prescribing is conditional on that professional judgment, and a no-prescription decision triggers a full consultation-fee refund.
One-off Sexual Health pricing. The EUR 35 charge is for a single consultation, including the review and an EU prescription if approved. Sexual Health does not use Hi-Doctor's ongoing-treatment subscription model.
Conditional prescription timing. Under Hi-Doctor's operational claim, doctors review submitted answers and, when clinically appropriate, issue the prescription in under 24 hours. EU law is not the source of that timeframe.
A prescription-first route. Hi-Doctor does not sell or dispense medicines. After approval, you present the REMPE copy at a pharmacy of your choice; the pharmacist reviews it and may refuse dispensing in this model.
Cross-border fields and recognition. Implementing Directive 2012/52/EU identifies the information the PDF must carry, while Directive 2011/24/EU addresses Member-State recognition. The pharmacist still makes the dispensing decision.
Established patient signals. The platform reports 50,000+ patients served together with a 4.8/5 Trustpilot rating.
Frequently Asked Questions
1. What happens during Hi-Doctor's online sexual-health consultation?
You submit a secure medical questionnaire. An EU-licensed doctor evaluates the answers, decides whether treatment is clinically appropriate and sends the outcome to the secure account inbox. No video, phone or live-chat appointment forms part of this process.
2. Which privacy features does Hi-Doctor state?
Hi-Doctor uses a secure medical questionnaire and a secure account inbox. Those are the two account features used for submitting information and receiving the doctor's response.
3. Does Hi-Doctor provide the medicine?
No. The platform provides a consultation and, if the doctor approves, a REMPE prescription. You present the REMPE copy at a pharmacy of your choice; the pharmacist reviews it and may refuse dispensing in this consultation pathway.
4. When can a patient expect the prescription decision?
Doctors review Hi-Doctor questionnaires and, when clinically appropriate, issue the prescription in under 24 hours. The wording is conditional because the doctor may decide not to prescribe.
5. Which listed brands are unavailable in the EU?
Numan, Manual and Treated.com are UK-only services. Hims & Hers operates in the US and UK but does not serve Spain or the wider EU.
6. What happens when Hi-Doctor issues no prescription?
The consultation fee is refunded in full. The clinical decision remains with the EU-licensed doctor who reviewed the questionnaire.
