Understanding Sexual Health: Education and Treatment Options

Experiencing erectile dysfunction (ED) can be challenging, but getting treatment is straightforward. You can get an online prescription for medications like sildenafil (Viagra) or tadalafil (Cialis) from an EU-licensed doctor, without an in-person clinic visit. Hi-Doctor provides a fast, private, and affordable way to access treatment. Your online consultation costs just €25 flat, and if approved, you receive a valid REMPE electronic prescription in under 24 hours. This prescription is accepted at any pharmacy in the EU.

How it works — get your ED medication prescription in 4 steps

1. Fill out a secure online medical questionnaire (2–3 minutes) and pay the €25 consultation fee.
2. An EU-licensed doctor reviews your case privately. If the doctor determines the treatment is NOT appropriate for you, your €25 fee is **refunded automatically** — you pay nothing. No risk.
3. If approved, you receive a REMPE electronic prescription (a downloadable 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** (Spain, Portugal, Italy, France, Germany, Netherlands, Belgium, Austria, Ireland, etc.) to collect your medication.

Who qualifies for ED medication

Our EU-licensed doctors review your medical history, symptoms, and overall health to determine if medications like sildenafil or tadalafil are safe and appropriate for you. They assess factors such as your cardiovascular health, current medications, and any pre-existing conditions. These medications are not suitable for everyone, especially those with certain heart conditions, low blood pressure, or who take nitrate-based drugs. The doctor prioritises your safety and will only issue a prescription if it is medically sound for your specific case.

What ED medication actually does (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 you achieve and maintain an erection when you are sexually stimulated. They do not increase libido or provide an erection without sexual arousal. Sildenafil typically works within 30-60 minutes and lasts for about 4-5 hours, while tadalafil can work within 30 minutes and last for up to 36 hours. These medications are effective for many men, but they are not a cure for underlying causes of ED. They are a treatment to help manage the symptoms.

Side effects and when to stop

Like all medications, sildenafil and tadalafil can cause side effects. Common side effects include headaches, flushing, nasal congestion, indigestion, and visual disturbances (for sildenafil). More serious, but rare, side effects can include sudden vision loss, hearing loss, or an erection lasting longer than 4 hours (priapism). If you experience any severe side effects or an erection lasting too long, seek immediate medical attention. Always follow your doctor's instructions and stop taking the medication if you experience concerning symptoms. Discuss any side effects with your Hi-Doctor physician through your private in-app chat.

Why Hi-Doctor vs. walking into a clinic

Choosing Hi-Doctor for your ED medication prescription offers significant advantages over traditional clinic visits:

• Speed: Get your prescription in under 24 hours with Hi-Doctor, compared to waiting weeks for an in-person appointment at a clinic.
• Price: A flat €25 online consultation fee covers everything. Private clinic fees can be variable and much higher. Remember, if the doctor says no, you get your money back.
• Privacy: Your consultation happens entirely within your secure Hi-Doctor account, away from reception desks and waiting rooms. Everything is RGPD-compliant and auditable.
• Convenience: Complete your medical questionnaire and receive your prescription from your phone or computer, without travel or time off work. This is telemedicine at its best.
• Reliability: Join over 50,000 satisfied patients who trust Hi-Doctor, reflected in our 4.8 Trustpilot rating. Our EU-licensed doctors review every case individually.

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 you, 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, any pharmacy across the European Union (including France, Germany, Italy, Portugal, Netherlands, Belgium, Austria, Ireland, etc.) can dispense medication 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?

Once you receive your electronic prescription as a PDF, you can either print it out or show it directly on your phone at any EU pharmacy. The pharmacist will scan the QR code or verify the digital signature, then dispense your medication.

Is it legal to get ED medication online in my country through Hi-Doctor?

Yes, it is legal. Hi-Doctor operates with EU-licensed doctors who issue REMPE prescriptions under the Spanish system, which are recognised and valid throughout the entire European Union under cross-border prescription directive 2011/24/EU.

How long does the prescription take?

Our EU-licensed doctors review your case and, if appropriate, issue your REMPE electronic prescription within 24 hours of your consultation fee payment and questionnaire submission.

Is my data private?

Yes, your privacy is our top priority. All communications and medical data are handled within your secure Hi-Doctor account, are fully RGPD-compliant, encrypted, and auditable. There are no WhatsApp or SMS messages.

How much does the online consultation cost?

The online consultation fee is a flat €25. This fee covers the doctor's review of your case. If the doctor determines the treatment is not appropriate, your €25 is fully refunded.