Maintaining Sexual Health After 40: Natural Strategies & Treatments

Experiencing changes in sexual health after 40? You can get a prescription for medication like Viagra or Cialis online from an EU-licensed doctor. Hi-Doctor offers a fast, private, and affordable way to access treatment. Our online consultation costs just €25, and if the doctor determines the treatment isn't appropriate for you, your fee is refunded. You receive your prescription as a downloadable PDF within 24 hours, valid at any pharmacy across the EU.

How it works — get your Viagra or Cialis 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 Viagra or Cialis

Our EU-licensed doctors individually review each case to ensure safe and effective treatment. They look for specific criteria, including your medical history, current medications, and overall health status. Generally, men experiencing erectile dysfunction who do not have severe cardiovascular conditions, uncontrolled high blood pressure, or are taking nitrates for chest pain may qualify. The doctor will assess if these medications are appropriate for you during the online consultation.

What Viagra and Cialis actually do (and doesn't do)

Viagra (sildenafil) and Cialis (tadalafil) are PDE5 inhibitors. They work by increasing blood flow to the penis, which helps achieve and maintain an erection when sexually stimulated. They do not increase libido or cause an automatic erection; sexual arousal is still necessary. Viagra typically works within 30-60 minutes and lasts about 4-6 hours. Cialis has a longer duration, up to 36 hours, offering more spontaneity. Both medications have helped millions of men regain sexual confidence.

Side effects and when to stop

Common side effects for both Viagra and Cialis can include headache, flushing, nasal congestion, and indigestion. Less common but more serious side effects can involve changes in vision or hearing, or an erection lasting more than 4 hours (priapism). If you experience any severe side effects, stop taking the medication and seek immediate medical attention. Always discuss your full medical history with the doctor to ensure these treatments are safe for you.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your sexual health needs offers significant advantages over traditional clinic visits:

• Speed: Get your prescription in under 24 hours compared to weeks of waiting for an in-person appointment.
• Price: A flat €25 online consultation fee, with a money-back guarantee if treatment isn't approved, versus variable and often higher private clinic fees.
• Privacy: Everything happens securely within our app and your private account — no reception desks, no waiting rooms, no awkward conversations.
• Convenience: Access expert medical care from your phone or computer, without travel or time off work.
• Trust: Join over 50,000 satisfied patients. We hold a 4.8 Trustpilot rating, reflecting our commitment to patient care and privacy.