Premature Ejaculation and Erectile Dysfunction: Understanding the Connection

Dealing with premature ejaculation (PE) or erectile dysfunction (ED) can be challenging, but effective medical solutions are available. You can now get a prescription for appropriate medication online from an EU-licensed doctor, without an in-person clinic visit. Hi-Doctor offers a discreet, convenient, and affordable way to access treatment. For just €25, an EU-licensed doctor reviews your case, and if appropriate, you receive a valid REMPE electronic prescription in under 24 hours. This prescription is valid at any pharmacy across the EU, making it easy to get the medication you need quickly and privately.

How it works — get your PE or 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 determines the treatment is not appropriate for you, your €25 is refunded automatically — 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 the medication.

Who qualifies for PE or ED medication

EU-licensed doctors review each case individually to ensure your safety and treatment effectiveness. They look for specific criteria, including your overall health, medical history, and current medications. For PE, doctors assess the frequency and impact of early ejaculation. For ED, they evaluate the causes of difficulty achieving or maintaining an erection. Contraindications, such as certain heart conditions or interactions with other drugs (e.g., nitrates for ED), are carefully considered. Your doctor will determine if medication is appropriate and safe for your specific situation.

What PE and ED medication actually does (and doesn't do)

Medications for premature ejaculation work by delaying the ejaculatory reflex. Common options include selective serotonin reuptake inhibitors (SSRIs) like Dapoxetine, which increase serotonin levels in the brain, or topical anesthetics that reduce penile sensitivity. These help you gain more control and prolong sexual activity. For erectile dysfunction, medications like PDE5 inhibitors (e.g., sildenafil, tadalafil) increase blood flow to the penis, making it easier to achieve and maintain an erection when sexually stimulated. It's important to understand that these medications do not create spontaneous erections or arousal; they facilitate the natural process when you are already aroused. Results vary, and consistent use as prescribed is key for optimal effect.

Side effects and when to stop

Like all medications, those for PE and ED can have side effects. For PE medications, common side effects might include nausea, dizziness, headache, or fatigue. Topical anesthetics can cause temporary numbness or irritation. For ED medications, common side effects include headache, flushing, nasal congestion, or indigestion. More serious, but rare, side effects can occur, such as sudden vision or hearing loss, or an erection lasting more than four hours (priapism). It's crucial to read the patient leaflet provided with your medication. If you experience severe side effects, allergic reactions, or any red flags like prolonged erections, stop the medication immediately and seek urgent medical attention. Your Hi-Doctor will provide full guidance on potential side effects and when to discontinue treatment.

Why Hi-Doctor vs. walking into a clinic

Hi-Doctor offers a modern, efficient alternative to traditional clinic visits for your PE or ED medication. You save time: get your prescription in under 24 hours versus weeks for an appointment. You save money: a flat €25 consultation fee covers everything, with no hidden costs. You get privacy: all interactions happen securely within the app, avoiding awkward waiting rooms or reception desks. It's convenient: access expert medical care from your phone, anywhere in the EU, without travel. With over 50,000 patients served and a 4.8 Trustpilot rating, Hi-Doctor provides trusted, high-quality telemedicine that fits your life.

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. There is no risk; you pay nothing if the treatment isn't approved.

Is the REMPE prescription valid outside Spain?

Yes, absolutely. REMPE is Spain's official digital private prescription standard. Under EU Directive 2011/24/EU, any EU pharmacy (e.g., in France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland) must recognise and dispense from it. You receive a downloadable PDF that you can print and present at the counter.

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

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

Is it legal to get PE or ED medication online in my country?

Yes, it is legal to obtain medication via an EU-licensed doctor who issues a valid REMPE electronic prescription. This method complies with EU cross-border healthcare directives, making it legal for you to receive medication from any EU pharmacy.

How long does the prescription take?

After you complete your medical questionnaire, an EU-licensed doctor reviews your case, and if approved, your REMPE electronic prescription is issued within 24 hours.

Is my data private?

Yes, your privacy is paramount. Hi-Doctor operates with full RGPD compliance. All your medical information and chat communications are securely handled within your private account, ensuring complete confidentiality.

How much does it cost?

The online consultation fee is a flat €25. This fee covers the doctor's review of your case and the issuance of a prescription if appropriate. If treatment is not approved, your €25 is refunded.