What is alprostadil and when is it used?

It is a prostaglandin E1 that directly dilates the penile vessels. It is considered when oral PDE5s are ineffective or contraindicated.

How is alprostadil administered?

As a urethral cream (applied into the urethra) or an intracavernous injection, under medical instruction. Each route has its own efficacy and tolerability profile.

What precautions apply?

Correct administration technique, risk of local pain, priapism (prolonged erection) and, rarely, fibrosis. The doctor explains the protocol and warning signs.

Can it be combined with other ED treatments?

Combination with PDE5 is considered only under medical supervision. It is never paired without explicit indication due to priapism risk.

Can I get a consultation for MUSE from Almere?

Yes. Hi-Doctor runs 100 % online across the EU, so if you live in Almere you can fill in the questionnaire and receive the medical review without travelling. The electronic prescription issued by the licensed doctor is valid in any EU pharmacy under Directive 2011/24/EU; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

Is my sexual health consultation fully confidential?

Yes. All communication happens in the private chat of your account, GDPR-compliant. The doctor treats discretion as a core of the service and there is no history visible outside your consultation.

What is a electronic prescription and why is it valid across the EU?

prescription is the Spanish electronic private medical prescription issued by a licensed doctor in Spain. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose), which makes it legally recognised across all 27 EU member states. In Spanish pharmacies it is dispensed from the QR; outside Spain, the pharmacist dispenses the locally marketed equivalent of the same active ingredient.

How does Hi-Doctor work step by step?

1) Fill in an online medical questionnaire in about 4 minutes. 2) An EU-licensed doctor reviews your case and replies in under 24 h through the private chat in your account. 3) If eligible, the doctor issues an electronic electronic prescription. 4) You collect it at any EU pharmacy. The consultation costs €25 and, if the doctor decides it is not safe to prescribe, the full amount is refunded.

MUSE · ALMERE

Online medical consultation for MUSE in Almere.

An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription valid in any pharmacy in Netherlands. Consultation €25, refunded if the doctor decides it is not safe to prescribe.

electronic prescription valid at pharmacies across all 27 EU countries under Directive 2011/24/EU.
€25 consultation · full refund if the doctor decides it is not safe to prescribe.

Start consultation · €25 See Sexual health

4.4 · Trustpilot

Licensed EU doctors

Prescription in <24 h

50,000+ patients served

Trustpilot · 4.4 ★

TREATMENTS

Three categories, one process.

Choose what fits. The journey is identical.

Weight-management consultation — illustrative format

Weight loss

A medical consultation on your weight goal. Treatment if appropriate.

Start

Sexual health

An absolutely discreet consultation for intimate concerns.

Start

Hair growth

Medical assessment and tailored treatment for hair loss.

Start

HOW IT WORKS

Your consultation, in four steps.

Simple, private, entirely online.

~4 min
Step 01
Questionnaire
4 minutes. Clear questions about your health and goal.
< 24 h
Step 02
Medical review
A licensed doctor reviews your case in under 24 hours.
prescription
Step 03
Prescription
If appropriate, you receive an EU-valid prescription.
EU
Step 04
EU pharmacy
Fill it at any pharmacy in the European Union.