Men's Sexual Health: A Comprehensive Guide to Common Issues

Struggling with men's sexual health issues like erectile dysfunction (ED) or premature ejaculation (PE)? You can get a prescription for effective treatments like sildenafil (Viagra), tadalafil (Cialis), or PE medications online from an EU-licensed doctor. Hi-Doctor provides a discreet, fast, and affordable way to address your concerns. For just €25, an EU-licensed doctor reviews your case, and if appropriate, issues a valid prescription in under 24 hours. This prescription is accepted at any pharmacy across the EU, ensuring you get the medication you need quickly and privately.

How it works — get your sexual health 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 determines 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 men's sexual health medication

Our EU-licensed doctors assess each case individually to ensure treatment safety and effectiveness. Generally, candidates for ED medications like sildenafil or tadalafil are adult men experiencing difficulty achieving or maintaining an erection. For premature ejaculation, behavioral techniques or specific medications may be considered. The doctor looks for your overall health, existing medical conditions (such as heart disease, high blood pressure, or diabetes), and any other medications you are currently taking. Certain conditions or medications, particularly nitrates, are contraindications for PDE5 inhibitors.

What the medication actually does (and doesn't do)

For Erectile Dysfunction, medications like sildenafil (Viagra) and tadalafil (Cialis) are Phosphodiesterase-5 (PDE5) inhibitors. They work by increasing blood flow to the penis when you are sexually aroused, helping you achieve and maintain an erection firm enough for sexual intercourse. They do not cause an erection automatically; sexual stimulation is still required. For Premature Ejaculation, treatments can include topical anesthetics to reduce sensitivity or oral medications that help delay ejaculation. These treatments aim to improve control over ejaculation, leading to more satisfactory sexual experiences. Results vary between individuals, and it's important to have realistic expectations.

Side effects and when to stop

Like all medications, treatments for ED and PE can have side effects. Common side effects for PDE5 inhibitors include headache, flushing, nasal congestion, indigestion, and visual disturbances. Less common but serious side effects include sudden vision loss, hearing loss, or an erection lasting more than four hours (priapism). For PE treatments, side effects depend on the specific medication but can include numbness (topical) or nausea, dizziness, and fatigue (oral). Always stop taking the medication and seek immediate medical attention if you experience any severe or concerning side effects. Your Hi-Doctor will provide detailed information on potential side effects and interactions.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your men's sexual health needs offers unparalleled convenience and privacy. Skip the traditional waiting rooms and awkward in-person conversations. With Hi-Doctor, everything happens discreetly within our secure app. You complete a medical questionnaire from home, and an EU-licensed doctor reviews your case in private. You get your prescription in under 24 hours, often much faster, compared to weeks for a clinic appointment. Our flat €25 consultation fee is transparent, and if the doctor finds treatment inappropriate, you get your money back — no risk. We've served over 50,000 patients with a 4.8 Trustpilot rating, proving our commitment to quality and patient satisfaction.

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 your medical profile, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved.

Is the REMPE prescription valid outside Spain?

Yes, absolutely. REMPE is Spain's official private electronic prescription standard. Under EU Directive 2011/24/EU on patients' rights in cross-border healthcare, any EU pharmacy (e.g., in France, Germany, Italy, Portugal, Netherlands, Belgium, Ireland) can legally dispense medication from it. You receive a downloadable PDF you can print and present.

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

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

Is it legal to get men's sexual health medication online in my country?

Yes, it is legal to obtain a prescription for men's sexual health medication online via an EU-licensed doctor who issues a valid REMPE electronic prescription, which is recognised across all EU member states.

How long does the prescription take?

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

Is my data private?

Yes, your privacy is paramount. Hi-Doctor is fully RGPD-compliant, and all your medical information and interactions are kept confidential within your secure, auditable patient account. No WhatsApp, no SMS, just private in-app chat.

How much does it cost?

The online consultation fee is a flat €25. There are no hidden costs. If the doctor determines the treatment is not appropriate, this fee is fully refunded.