BPH and Erectile Dysfunction: Understanding the Link

If you're dealing with both Benign Prostatic Hyperplasia (BPH) and Erectile Dysfunction (ED), you're not alone. Many men experience these conditions together. The good news is that you can get an Erectile Dysfunction medication prescription online from an EU-licensed doctor, quickly and affordably. Hi-Doctor connects you with experienced medical professionals who review your case. If appropriate, you receive an electronic prescription in under 24 hours for just €25. This prescription is valid at any pharmacy across the EU, making treatment accessible and convenient.

How it works — get your ED medication prescription in 4 steps

1. Fill the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
2. A licensed EU doctor reviews your case in private. If the doctor decides the treatment is not appropriate, your €25 is refunded automatically — no risk.
3. If approved, you receive a REMPE electronic prescription (PDF file) in your Hi-Doctor account and by email within 24 hours.
4. Print the PDF or show it on your phone — present it at any pharmacy in the EU to collect the medication.

Who qualifies for Erectile Dysfunction medication

Our EU-licensed doctors assess each case individually to ensure your safety and the appropriateness of treatment. They look for specific criteria, including your medical history, current health status, and any existing conditions. Generally, you may qualify if you are an adult male experiencing ED symptoms and do not have contraindications such as severe cardiovascular disease, uncontrolled high blood pressure, or are taking nitrates. The doctor checks for interactions with other medications you might be taking, especially those for BPH. Your online consultation allows the doctor to determine if medications like sildenafil, tadalafil, vardenafil, or avanafil are suitable for you.

What Erectile Dysfunction medication actually does (and doesn't do)

Erectile Dysfunction medications, often called PDE5 inhibitors, work by increasing blood flow to the penis when you are sexually stimulated. They help you achieve and maintain an erection firm enough for sexual intercourse. These medications do not cause an erection automatically; sexual stimulation is still required. They are effective for most men but do not cure the underlying cause of ED. It's important to have realistic expectations: while they significantly improve erectile function, they do not increase libido or prevent sexually transmitted infections. For men with BPH, certain PDE5 inhibitors like tadalafil can also help alleviate urinary symptoms.

Side effects and when to stop

Like all medications, ED treatments can have side effects. Common ones include headaches, facial flushing, indigestion, nasal congestion, and dizziness. More serious but rare side effects can include sudden vision or hearing loss, or an erection lasting longer than four hours (priapism). You should stop taking the medication and seek immediate medical attention if you experience any severe side effects. Always inform your doctor of all medications you are taking, especially nitrates, as combining them with ED medication can cause a dangerous drop in blood pressure. Your Hi-Doctor physician will discuss these risks and help you understand when to stop or adjust your treatment.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your ED medication prescription offers unparalleled convenience and privacy:

• Speed: Get your prescription in under 24 hours with Hi-Doctor, compared to weeks of waiting for an in-person clinic appointment.
• Price: A flat €25 online consultation fee at Hi-Doctor vs. variable and often higher private clinic fees. Remember, if the doctor says no, you get your money back.
• Privacy: Everything happens in your private, RGPD-compliant in-app chat. No crowded waiting rooms or awkward conversations at a reception desk.
• Convenience: Complete your consultation from anywhere using your phone or computer. No need for city-centre travel or taking time off work.

We've served over 50,000 patients and maintain a 4.8-star rating on Trustpilot, proving our commitment to discreet, efficient, and patient-focused care.

Frequently asked questions

What happens if the doctor decides I'm not a candidate for the medication?

If the EU-licensed doctor determines that the treatment is not appropriate for you, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.

Is the REMPE prescription valid outside Spain?

Yes, REMPE is Spain's official private electronic prescription standard. Under EU Directive 2011/24/EU, this prescription is legally recognised, and any EU pharmacy (e.g., in France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland) can dispense medication from it. You receive a downloadable PDF to present.

How do I actually collect the medication once I have the prescription?

Simply print the PDF prescription or show it on your phone at any EU pharmacy. The pharmacist will read the QR code or digital signature and dispense your medication.

Is it legal to get Erectile Dysfunction medication online in Portugal?

Yes, it is legal to obtain an Erectile Dysfunction medication prescription online in Portugal and any other EU country via an EU-licensed doctor using a REMPE prescription, as it complies with EU cross-border healthcare directives.

How long does the prescription take?

Once you complete your medical questionnaire and payment, an EU-licensed doctor reviews your case. If approved, you receive your REMPE electronic prescription (PDF) within 24 hours.

Is my data private?

Absolutely. Hi-Doctor is RGPD-compliant, ensuring all your personal and medical information is handled with the utmost privacy and security. Your communication with the doctor occurs in a private, auditable chat within your secure account.

How much does it cost?

The online consultation fee is a flat €25. This fee covers the doctor's review of your case. If the doctor determines the treatment is not appropriate, this fee is fully refunded.