Your Complete Guide to Sexual Health: Treatments and Options

Searching for a sexual health medication prescription online in the EU? You've landed in the right place. Hi-Doctor connects you with EU-licensed doctors who can review your case and, if appropriate, issue a prescription for medications like Sildenafil (Viagra), Tadalafil (Cialis), or treatments for premature ejaculation. All within 24 hours, for a flat fee of €25. Your digital prescription is valid at any pharmacy across the EU.

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 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 sexual health medication

Our EU-licensed doctors assess each patient individually to determine suitability for sexual health treatments such as those for erectile dysfunction (ED) or premature ejaculation (PE). Generally, doctors look for patients who:

• Are over 18 years of age.
• Do not have severe cardiovascular conditions, uncontrolled high blood pressure, or liver/kidney impairment.
• Are not taking nitrates (often prescribed for chest pain) or alpha-blockers for prostate issues, as these can interact dangerously with ED medications like Sildenafil or Tadalafil.
• For PE treatments, contraindications may include certain psychiatric conditions or interactions with other medications.

The online questionnaire helps the doctor understand your medical history and current health status to ensure the treatment is safe and effective for you.

What sexual health medications actually do (and doesn't do)

Medications for erectile dysfunction, such as Sildenafil (Viagra) and Tadalafil (Cialis), belong to a class called PDE5 inhibitors. They work by increasing blood flow to the penis, which helps achieve and maintain an erection when sexually stimulated. They do not cause an erection spontaneously; sexual arousal is still necessary. Sildenafil typically works within 30-60 minutes and lasts for about 4-5 hours, while Tadalafil can last up to 36 hours. These medications address the physical aspect of ED but do not cure underlying causes or increase libido.

For premature ejaculation, common treatments include topical anesthetics (e.g., lidocaine/prilocaine creams) that reduce sensitivity, and certain SSRIs (e.g., Dapoxetine, or off-label use of others like Sertraline) that delay ejaculation by affecting serotonin levels in the brain. These treatments help extend the time until ejaculation but do not permanently alter natural ejaculatory reflexes or address psychological factors without additional therapy.

Side effects and when to stop

Like all medications, sexual health treatments can have side effects. For PDE5 inhibitors (Sildenafil, Tadalafil), common side effects include headaches, flushing, indigestion, nasal congestion, and dizziness. More serious but rare side effects include sudden vision loss, hearing loss, or an erection lasting more than 4 hours (priapism), which requires immediate medical attention. You should stop taking the medication and seek urgent medical advice if you experience any severe or unusual symptoms.

For PE treatments, topical anesthetics can cause temporary numbness or irritation. SSRIs can lead to nausea, dizziness, insomnia, or sweating. It's crucial to follow your doctor's instructions and inform them of any persistent or concerning side effects. If you feel unwell or experience any red flags, discontinue use and consult a healthcare professional.

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 a 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 appropriate, versus variable and often higher private clinic fees.
• Privacy: All interactions happen within your secure, RGPD-compliant Hi-Doctor account. No waiting rooms, no reception desks, just discreet, auditable chat with your doctor.
• Convenience: Consult from anywhere using your phone or computer. No travel, no time off work, no logistics.
• Trust: Join over 50,000 patients who trust Hi-Doctor, reflected in our 4.8 Trustpilot rating.