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Sexual health

Discreet, intimate care

An online consultation with an EU-licensed doctor, with the discretion you expect.

€35one-off consultation
  • No video call, no waiting room
  • Full refund if not approved
  • Private in-app chat
Choose your concern
Pricing

One clear price.

One-off

Sexual health

One-offNo subscription€35once
  • Consultation reviewed by an EU-licensed doctor
  • Electronic prescription if approved
  • Private follow-up chat
Start consultation

Full refund if a review is not approved

Sexual health services

Choose the care that fits your symptoms

Each service has its own focused medical assessment and treatment pathway.

Erectile dysfunction

Difficulty getting or keeping an erection.

From€35 / consultation
Learn more

Premature ejaculation

Dapoxetine assessment for persistent early ejaculation.

From€35 / consultation
Learn more

Emergency contraception

Time-sensitive advice after unprotected sex.

From€35 / consultation
Learn more

Urinary tract infection

Symptoms, antibiotic suitability and warning signs.

From€35 / consultation
Learn more

Chlamydia

Treatment and partner guidance.

From€35 / consultation
Learn more

HIV PrEP

Preventive care with baseline checks and follow-up tests.

From€35 / consultation
Learn more

Licensed EU doctors

Every case read by a registered doctor.

Reply in under 2 hours

On average, in writing, no video call.

Pay only if approved

Not approved? Refunded in full, automatically.

Rated excellent on Trustpilot

4.8 from 540+ independent reviews.

Valid across the EU

E-prescription accepted at EU pharmacies.

The science

Why sexual-health problems happen

Common, treatable and nothing to be embarrassed about.

Blood flow and the body

Erection problems often start with circulation, blood pressure or diabetes, which is why a doctor reviews your history.

Stress and relationships

Anxiety, tiredness and relationship pressure play a big role, especially in premature ejaculation.

Infections

Many STIs have no symptoms at all. Testing and early treatment protect you and your partners.

Discretion

Private by design

Encrypted

One private channel

No WhatsApp, no SMS, an encrypted chat with your doctor.

Your choice

Your pharmacy

Collect wherever suits you in the EU.

Honest

A doctor, not a salesperson

Doctors are paid to review cases, not to approve them.

Nothing stored publicly, ever
Clinical guide

What to know before your consultation

Six focused sexual-health services

Hi Doctor offers six separate sexual-health consultations: erectile dysfunction, premature ejaculation, emergency contraception, urinary tract infection, chlamydia and HIV PrEP. Each one has its own questionnaire written for that condition. Depending on your answers, a doctor may consider erection tablets or cream, an on-demand tablet for premature ejaculation, an emergency contraceptive pill, a short antibiotic course for confirmed cystitis or chlamydia, or PrEP tablets to lower the chance of HIV. Practical advice is part of every pathway, and the doctor only prescribes when it is clinically appropriate.

Who these consultations suit

The sexual-health consultations are for people with a common, clearly described concern that a doctor can assess safely from written answers and, where needed, a recent test result. Some pathways have their own conditions: chlamydia treatment needs a positive test, and cystitis treatment is for women with a positive urine dipstick. Pregnancy, severe pain, fever, a possible HIV exposure in the last few days or sexual assault need in-person care, and the questionnaire tells you before you pay. If online care is not safe for you, the doctor refers you instead.

Safety checks in every pathway

Every prescription medicine can cause side effects, and some combinations are dangerous, such as erection tablets taken with nitrate heart medicines or poppers. That is why each questionnaire asks about your heart, kidneys, liver, pregnancy, allergies and current medicines. Warning signs that need urgent in-person care include chest pain during sex, an erection that will not go down, fever with pelvic, back or testicular pain, and severe one-sided abdominal pain after unprotected sex. In an emergency, call 112 rather than waiting for a reply in the chat.

Other routes to care

Online care is one option, not the only one. Your family doctor, a sexual-health clinic, a urologist or a gynaecologist can examine you in person, run tests and offer treatments that cannot be started online, such as a copper IUD after unprotected sex. Condoms, regular testing, lifestyle changes and talking therapy help with several of these concerns. If the doctor decides treatment is not appropriate, they explain why, suggest the next step, and your consultation fee is refunded in full.

What guidelines and regulators say

The treatments considered here follow European and international guidance. The European Association of Urology recommends lifestyle advice and PDE5 inhibitor tablets as first-line treatment for erectile dysfunction, and dapoxetine or a local anaesthetic spray for lifelong premature ejaculation. The World Health Organization notes that chlamydia is generally curable with antibiotics and that most sexually transmitted infections cause no symptoms. The European Medicines Agency has authorised ulipristal acetate for emergency contraception within five days, and emtricitabine with tenofovir disoproxil for HIV PrEP alongside safer sex.

How your consultation works

You choose the pathway that matches your concern and answer a short questionnaire about your symptoms, health and medicines. Some pathways ask you to upload a recent result, such as a negative HIV test or a positive chlamydia test. An EU-licensed doctor reads your answers and replies in the private chat in your account, where they may ask follow-up questions. If treatment is appropriate, they issue an e-prescription that you collect and pay for at a pharmacy of your choice in the EU. There is no video call, WhatsApp or phone line.

Follow-up after your consultation

Questions after your prescription are answered in the same private chat. Some treatments are one-off, such as emergency contraception or an antibiotic course, while others, such as erection tablets or PrEP, are reviewed over time and renewed through a new consultation. PrEP needs regular HIV, STI and kidney tests to continue safely. Get back in touch if side effects appear, symptoms do not improve or come back, or your health or medicines change, and seek urgent care for any warning sign.

Sources

  1. European Association of Urology. EAU Guidelines on Sexual and Reproductive Health (2025)
  2. European Association of Urology. EAU Guidelines on Sexual and Reproductive Health: management of erectile dysfunction (2025)
  3. European Association of Urology. EAU Guidelines on Sexual and Reproductive Health: disorders of ejaculation (2025)
  4. World Health Organization. Sexually transmitted infections (STIs): fact sheet (2024)
  5. European Medicines Agency. ellaOne (ulipristal acetate): EPAR (2025)
  6. European Medicines Agency. Truvada (emtricitabine/tenofovir disoproxil): EPAR (2025)
  7. European Medicines Agency. Viagra: EPAR product information (SmPC and package leaflet) (2025)
  8. European Centre for Disease Prevention and Control. Chlamydia infection (2025)
  9. Faculty of Sexual and Reproductive Healthcare (now College of Sexual and Reproductive Healthcare). FSRH Guideline: Emergency Contraception (March 2017, amended July 2023) (2023)
  10. European Commission. 112: the single European emergency number (2025)

Sources checked on September 29, 2026

Before you start

What you need to know

Is it confidential?
Yes. Your answers are encrypted and only seen by your doctor. Nothing appears on your pharmacy receipt beyond the medicine.
Your doctor tells you which tests to take and where. If treatment is needed, the e-prescription is valid across the EU.
Some symptoms need a physical exam. Your doctor will tell you, and you won't be charged if they can't treat you online.
FAQs

Your questions answered

Sexual health7 questions
Which sexual-health treatments does Hi Doctor cover?
Erectile dysfunction, premature ejaculation, emergency contraception, urinary tract infections, chlamydia and HIV PrEP, each with its own focused assessment.
€35 for one consultation, paid once. A doctor replies in under 2 hours on average.
Everything happens in your private account. Nothing is stored publicly, and you choose the pharmacy where you collect your medicine.
Sometimes, for example heart disease or diabetes. The doctor looks at your whole history and tells you if an in-person check makes sense.
Adult men who regularly have trouble getting or keeping an erection firm enough for sex. The questionnaire asks about your heart, blood pressure, diabetes and medicines. If your answers point to an underlying cause that needs examining, or treatment would not be safe, the doctor tells you and recommends in-person care, and you are not charged.
The tablets need sexual arousal to work, and it can take a few attempts before they do. If they still don't help, the doctor can consider another tablet or alprostadil cream. Lifestyle changes such as more activity, less alcohol and stopping smoking can help too, and a urologist or a sex therapist in person can look at other causes and options.
Each sexual-health consultation is one-off, with no subscription and nothing that renews automatically. Questions after your prescription are answered in your private chat. If you need a new prescription later, you start a new consultation and the doctor reviews your answers again, because your health and medicines can change.
Safety and medical judgement4 questions
Every case is reviewed by an EU-licensed doctor who can ask follow-up questions, suggest another option or decline.
The doctor explains why and what to do next, and we refund the €35 fee in full.
Not always. ED tablets must never be combined with nitrates, such as some angina sprays and tablets, or with recreational poppers, because blood pressure can drop dangerously. Some blood-pressure and prostate medicines need extra care or a lower dose. List everything you take in the questionnaire, and if you get chest pain during sex, stop and call 112.
The most common are headache, flushing, a blocked nose and indigestion, and some tablets can cause back or muscle aches. They are usually mild and pass within hours. Rarely, an erection lasts more than four hours, or you suddenly lose vision or hearing: both need urgent care, so call 112. Tell your doctor in the chat about anything that bothers you.
Real people, real care

What patients say

Trustpilot
Excellent service, I even requested an extension and they kindly agreed and sent a new prescription with no charge at all. That was definitely a highlight, great customer service! Totally recommended.
R. V.
Trustpilot
The care was fast, the doctor answered all my questions and the prescription was practical and quick for collecting the product; the treatment follow-up is also being very effective and attentive.
Vanessa
Trustpilot
So far, everything has gone really smoothly. The process was easy, responses were quick and I had no problems getting my prescription. Happy with the service!
Tom
Trustpilot
I was skeptical at first too and did not believe it was possible to have a real consultation with a doctor, but above all I did not think medical prescriptions would be valid here in Italy. I have to change my mind: not only do they ask questions to build the full clinical picture, they are also extremely helpful and answer questions. Thanks to the chat you can talk to a doctor at any time. I am very happy with it.
Ely

References

  1. World Health Organization. Sexually transmitted infections (STIs): fact sheet, 2024.
  2. Faculty of Sexual & Reproductive Healthcare. FSRH Guideline: Emergency Contraception, 2017 (amended 2023).
  3. Montorsi P et al. Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol 2003;44:360–365.

Refund terms

Read the refund terms
Full refund if not approved
Your €35 consultation fee is refunded in full within 48 hours if the doctor can't approve treatment.
€35 covers one consultation and the doctor's decision. Medicine is paid at your pharmacy.
Questions after your prescription are answered in your private chat.
If the doctor does not approve your consultation or review, the refund is issued within 48 hours and you do not need to ask for it. It goes back to your original payment method; how soon it shows on your statement depends on your bank.
It covers the Hi Doctor fee for the consultation or review that was not approved. The medicine is never paid to Hi Doctor: you pay your pharmacy for it, so it is not part of a refund from us. Once the medical review has started, the legal right of withdrawal no longer applies, so any other request is reviewed individually.
Refunds for consultations the doctor does not approve are automatic. For anything else, write to hello@hi-doctor.ai and tell us what happened. We review every request individually and pay approved refunds to the original payment method.
Every condition, including cancellation and the right of withdrawal, is set out in the refund policy and the terms of service. Both are always available in the Legal section of the website.

Saying it is the first step

Answer the questionnaire. A licensed doctor reads it. You pay only if treatment is approved.

Get startedNo charge unless a doctor approves your treatment.
All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work