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SEXUAL HEALTH

Treat ED properly

€35one-off consultation
  • Clinically proven treatments, prescribed discreetly
  • Reviewed for heart health and medicine interactions
  • Access to EU-licensed doctors
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OUR ED TREATMENTS

Treatments a doctor may prescribe

Find the clinically proven ED treatment that suits you best.

sildenafil

Sildenafil

Promotes strong erections

From€35 / consultation
Learn more
tadalafil

Tadalafil

Lasting for up to 36 hours

From€35 / consultation
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vardenafil

Vardenafil

Often well tolerated

From€35 / consultation
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avanafil

Avanafil

Fast onset, from ~15 minutes

From€35 / consultation
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alprostadil

Alprostadil cream

When tablets don't suit

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.

DETECT POTENTIAL HEALTH RISKS

ED can be an early warning sign

~3 yrsBefore heart symptomsIn one study of men with coronary disease, ED appeared on average about three years before chest pain.¹
SharedRisk factorsBlood pressure, cholesterol, diabetes and smoking affect the blood vessels behind erections and the heart alike.
1 checkIn your consultationYour doctor screens your answers for heart and medication risks before any prescription.
SCREENING

Your doctor looks at the whole picture

Heart health first

We ask about blood pressure, chest pain and heart conditions, and tell you when it's safer to see a doctor in person.

Medicine interactions

Nitrates and some blood-pressure medicines can't be combined with ED tablets. We check every one.

When to see your GP

If your answers suggest an underlying cause, your doctor recommends the right tests near you.

THE SCIENCE

How do ED treatments work?

Here's what happens in your body to get the blood flowing again.

Stimulation increases blood flow

Arousal triggers a molecule (cGMP) that relaxes blood vessels and lets blood flow in.

Limited blood flow stops an erection

With ED, an enzyme called PDE5 breaks cGMP down too quickly.

Medication supports a firmer erection

PDE5 inhibitors block that enzyme, so the effect lasts longer, with arousal.

GET TO THE ROOT

What causes erectile dysfunction?

Your doctor looks at the whole picture, and tells you if an in-person check makes sense.

Heart and circulation

  • The same vessel changes can affect the heart
  • Worth checking blood pressure and cholesterol

Blood sugar

  • Diabetes can affect nerves and vessels
  • Your doctor asks about it in the questionnaire

Stress, sleep and alcohol

  • Common, and very treatable
  • Tablets can help while you address the cause
WHY CHOOSE HI DOCTOR

What we offer

MEDICAL TREATMENT

Stronger erections, better sex

Clinically proven tablets or cream, prescribed if suitable.

DOCTOR REVIEW

Checked for safety

Heart health and interactions reviewed by a doctor.

ONGOING SUPPORT

Here when you need us

Private chat with your doctor for follow-up questions.

One consultation, no subscription

What you need to know about erectile dysfunction

It's not just about being ready in the bedroom, ED can show up in several ways.

What is erectile dysfunction?
Difficulty getting or keeping an erection firm enough for sex, on a regular basis.
Trouble getting an erection, keeping it, or reduced desire.
Circulation, hormones, medicines, stress or a mix. Your doctor helps work it out.
Clinical guide

What to know before your consultation

Erection problems and treatment

Erectile dysfunction means regularly finding it hard to get or keep an erection firm enough for sex. It is common and often linked to blood flow, blood pressure, diabetes, medicines, stress or a mix of these. A doctor may consider one of four tablets (sildenafil, tadalafil, vardenafil or avanafil), which help an erection happen when you are sexually aroused. For men who cannot take tablets or do not respond to them, alprostadil cream applied to the penis is another option. The doctor chooses based on your health, your medicines and how you prefer to plan sex.

Who can be treated online

The online assessment is for adult men with ongoing erection problems who are otherwise well enough to be sexually active. It is not suitable if you take nitrate medicines or use poppers, have had a recent heart attack or stroke, get chest pain on exertion or during sex, or have very low blood pressure. Erection problems that start suddenly after an injury, pain or a new bend in the penis, or signs of low testosterone need an in-person examination. The questionnaire checks these points, and the doctor tells you before you pay if you need to be seen.

Side effects and warning signs

The most common side effects of erection tablets are headache, flushing, indigestion and a blocked nose, and tadalafil can also cause back or muscle pain. Taken with nitrates or poppers they can cause a dangerous drop in blood pressure, and some blood-pressure and prostate medicines need extra care. Alprostadil cream can cause local burning or redness, and a condom is needed if your partner is pregnant or could become pregnant. Get urgent help, or call 112, for an erection lasting more than four hours, chest pain, or sudden loss of vision or hearing.

Other ways to improve erections

Losing weight if needed, regular aerobic exercise, stopping smoking and drinking less alcohol can improve erections and heart health at the same time. Talking therapy or couples counselling helps when stress, anxiety or relationship issues play a part. If treatment does not work or does not suit you, a urologist can offer other options in person, such as vacuum devices, injections into the penis or, rarely, surgery. If the doctor decides treatment is not appropriate, they explain why and suggest the right check with your family doctor.

What the research shows

Sildenafil has been authorised in the EU since 1998, and tadalafil, vardenafil and avanafil followed. In the fixed-dose studies summarised by the European Medicines Agency, between 62 and 82 per cent of men taking sildenafil reported improved erections, depending on the dose, compared with 25 per cent on placebo. The European Association of Urology recommends these tablets as first-line treatment, together with lifestyle changes and an assessment of heart risk. Erection problems can be an early sign of heart disease, which is why the doctor looks at your cardiovascular history.

Your erectile dysfunction consultation

You answer a questionnaire about your erections, heart health, blood pressure, other conditions and every medicine you take, including recreational drugs such as poppers. No photos or video call are needed. An EU-licensed doctor reviews your answers, may ask questions in the private chat and, if appropriate, prescribes the option that suits you with clear instructions. You collect and pay for the medicine at a pharmacy of your choice in the EU, where the pharmacist may dispense the locally marketed version of the same active ingredient.

Reviews and ongoing treatment

Erection tablets are taken when needed, and it can take a few attempts to find the dose and timing that work for you. Message your doctor if the treatment does not work well, causes side effects, or your health or medicines change. Repeat prescriptions go through a new consultation, so the doctor can recheck your heart health and medicines. It is also worth having your blood pressure, blood sugar and cholesterol checked by your family doctor, as they affect both erections and the heart.

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. 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.
  2. Dhaliwal A, Gupta M. PDE5 inhibitors. StatPearls, 2025.
  3. Montorsi F et al. Long-term safety and tolerability of tadalafil in the treatment of erectile dysfunction. Eur Urol 2004;45:339–344.

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All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 30 March 2026. Registration: 080869277 View profile

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