Obesity and ED: How Weight Loss Improves Sexual Function

Obesity significantly impacts sexual health, with many men experiencing erectile dysfunction (ED). The good news? Losing weight can dramatically improve sexual function. At Hi-Doctor.ai, we connect you with EU-licensed doctors who can assess your case and, if appropriate, issue a prescription for ED medication or GLP-1s for weight loss. The online consultation is just €25, and you receive a valid REMPE electronic prescription in under 24 hours, accepted at any pharmacy in the EU.

How it works — get your medication prescription in 4 steps

1. Fill the online medical questionnaire (2–3 minutes) and pay the €25 consultation fee securely.
2. An EU-licensed doctor reviews your case privately. If the doctor determines the treatment is not appropriate for you, your €25 is refunded automatically — no risk, you pay nothing.
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 your medication.

Who qualifies for the medication

Our EU-licensed doctors review your medical history and current health to ensure the medication is safe and appropriate for you. For weight-loss medications like GLP-1s (e.g., semaglutide or tirzepatide), doctors typically look for:

• A Body Mass Index (BMI) of 30 or higher (obese).
• A BMI of 27 or higher (overweight) with at least one weight-related comorbidity such as high blood pressure, type 2 diabetes, or high cholesterol.
• No history of certain medical conditions like medullary thyroid carcinoma or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2).
• No severe kidney or liver disease.
• Not pregnant or breastfeeding.

For ED medications, the doctor assesses your overall cardiovascular health and any potential drug interactions to ensure safety.

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

For GLP-1s (e.g., semaglutide, tirzepatide): These medications work by mimicking natural hormones (GLP-1 and GIP) that regulate appetite and blood sugar. They help you feel fuller for longer, reduce cravings, and slow gastric emptying, leading to reduced calorie intake and significant weight loss over time. They are not a 'magic bullet' and work best when combined with dietary changes and increased physical activity. Realistic timelines show gradual weight loss over several months, not instant results.

For ED medications (e.g., sildenafil, tadalafil): These drugs are phosphodiesterase-5 (PDE5) inhibitors. They relax the blood vessels in the penis, increasing blood flow when you are sexually stimulated, thus helping you achieve and maintain an erection. They do not cause an erection automatically without sexual arousal, nor do they increase libido. They address the physical mechanism of ED, but psychological factors may also need to be addressed.

Side effects and when to stop

For GLP-1s: Common side effects include nausea, vomiting, diarrhoea, constipation, and abdominal pain, especially when starting treatment or increasing the dose. These usually subside over time. Serious but rare side effects include pancreatitis, gallbladder problems, and kidney issues. You should stop the medication and seek immediate medical attention if you experience severe abdominal pain, persistent vomiting, or signs of an allergic reaction.

For ED medications: Common side effects include headache, flushing, nasal congestion, indigestion, and temporary visual disturbances. Do not take these medications if you use nitrate drugs for chest pain, as this can cause a dangerous drop in blood pressure. Stop the medication and seek urgent medical help if you experience sudden vision loss, hearing loss, or an erection lasting longer than four hours (priapism).

Why Hi-Doctor vs. walking into a clinic

• Speed: Get your prescription in under 24 hours with Hi-Doctor, compared to waiting weeks for an in-person appointment.
• Price: A flat €25 online consultation fee covers everything. No hidden costs, no variable private-clinic fees. If the doctor says no, you get your money back.
• Privacy: Everything happens within your secure, RGPD-compliant Hi-Doctor account. No awkward reception desk conversations or waiting rooms.
• Convenience: Consult an EU-licensed doctor from your phone or computer, without the hassle of city-centre travel or taking time off work.
• Trust: Join over 50,000 satisfied patients. We proudly hold a 4.8 Trustpilot rating.
• EU-wide validity: Your REMPE prescription is valid at any pharmacy across the EU, making medication collection simple wherever you are.

Frequently asked questions

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

If the doctor determines that the treatment is not appropriate for your specific health situation, your €25 consultation fee is refunded automatically. You pay nothing if the treatment isn't approved, making it a no-risk consultation.

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 (in France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, etc.) is legally obliged to recognise and dispense from it. You receive a downloadable PDF file that you can print or show on your phone.

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

Once you receive your REMPE prescription as a PDF, simply print it out or show the PDF file on your phone at the counter of any pharmacy in the EU. The pharmacist will scan the QR code or verify the digital signature and dispense your medication.

Is it legal to get the medication online in my country?

Yes, it is legal to obtain medication via an EU-licensed doctor who issues a valid REMPE prescription. This process complies with EU cross-border healthcare directives, ensuring your prescription is recognised and valid across all EU member states.

How long does the prescription take?

After you complete your medical questionnaire, an EU-licensed doctor reviews your case. If approved, your REMPE electronic prescription is issued and sent to your Hi-Doctor account and email within 24 hours.

Is my data private?

Yes, your privacy is paramount. Hi-Doctor.ai operates under strict RGPD compliance standards. All your medical information and communication with the doctor are kept private and secure within your auditable Hi-Doctor account.

How much does it cost?

The online consultation with an EU-licensed doctor costs a flat €25. This fee includes the doctor's review and, if appropriate, the issuance of your REMPE electronic prescription. Remember, if the doctor finds the treatment unsuitable, your €25 is fully refunded.