More control, with discreet medical care
A doctor assesses whether dapoxetine is appropriate for you, privately, from home, with follow-up in your account chat.
- Written consultation, no video call
- Reviewed for safety and interactions
- Full refund if not approved
What it is
Premature ejaculation means ejaculating sooner than you or your partner would like, most of the time, in a way that causes distress.
It can be lifelong or start later, and it often has more than one cause. A doctor can help you understand the options.
How it works
Answer online
A short questionnaire about your symptoms.
Doctor review
A licensed EU doctor reads your answers and replies in under 2 hours on average.
E-prescription
If treatment is suitable, your prescription is issued electronically and dispensed at any EU pharmacy.
Treatment options
The doctor chooses based on your answers and health. Some options are practical advice, some are prescription medicines.
Advice and techniques
Practical behavioural techniques the doctor can explain in the chat.
Prescription tablets
A tablet taken before sex, only if suitable for you.
Topical options
A local option applied before sex, if the doctor finds it appropriate.
One consultation, one clear price
You pay for the doctor's consultation. If a prescription is issued, the medicine is paid at your own pharmacy.
- Consultation reviewed by an EU-licensed doctor
- Private follow-up in the in-app chat
- Full refund if the doctor does not approve
Sexual health
- Consultation reviewed by an EU-licensed doctor
- Electronic prescription if approved
- Private follow-up chat
Full refund if a review is not approved
What to know before your consultation
Premature ejaculation and its treatment
Premature ejaculation means ejaculating sooner than you or your partner would like, most of the time, in a way that causes distress. It can be lifelong or start later in life, and anxiety, relationship pressure and erection problems often play a part. The doctor can explain behavioural techniques, such as the stop-start and squeeze methods, and may consider dapoxetine, a short-acting tablet taken only before planned sex. A local anaesthetic applied to the penis before sex is another option the doctor can discuss if it suits you.
Who the assessment is for
The online assessment is for men aged 18 to 64 whose early ejaculation is persistent and distressing. Dapoxetine is not suitable if you have ever fainted, have significant heart disease, a history of mania or severe depression, poorly controlled epilepsy or moderate to severe liver disease. It also cannot be combined with antidepressants, lithium, tramadol, triptans, St John's Wort and several other medicines. If you also have erection problems, the doctor may suggest treating those first. The questionnaire checks these points before you pay.
Side effects and safety points
Nausea is the most common side effect of dapoxetine, and dizziness, headache, diarrhoea, trouble sleeping and tiredness are also frequent, more so at the higher dose. It can cause fainting or a drop in blood pressure on standing, mostly in the first hours after a dose, so take it with a full glass of water, avoid alcohol and do not drive until you know how it affects you. If you feel faint, lie down with your legs raised. Seek urgent help for a faint with an injury, a seizure, or new low mood or thoughts of self-harm.
Techniques and other options
Many men improve with practical techniques, such as the stop-start and squeeze methods, practised alone or with a partner. Psychosexual or couples therapy helps when anxiety or relationship stress plays a part, and guidelines recommend combining it with medicine. Thicker condoms or a local anaesthetic spray or cream can reduce sensitivity. If dapoxetine does not suit you, a urologist or sexual-medicine specialist can discuss other options in person, and if the doctor decides treatment is not appropriate, they explain why and your fee is refunded.
What the evidence shows
Dapoxetine is authorised for premature ejaculation in EU countries through national procedures, and the European Medicines Agency reviewed its benefits and risks in a referral that confirmed its use, starting at the lower dose. In placebo-controlled trials lasting up to 24 weeks, men taking dapoxetine lasted longer before ejaculating and reported better control than men on placebo, although the average gain was modest. The European Association of Urology lists dapoxetine and a lidocaine with prilocaine spray as first-line treatments for lifelong premature ejaculation, ideally combined with behavioural or couples therapy.
Your premature ejaculation consultation
You answer a questionnaire about how long the problem has lasted, how it affects you, erection problems, fainting, heart health, mood and every medicine and supplement you take. 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 treatment with instructions on timing and safety. You collect and pay for the medicine at a pharmacy of your choice in the EU.
Reviewing how it works
Dapoxetine is taken only when needed, never more than once a day, and treatment starts at the lower dose. The product information asks for a review after the first four weeks or six doses, and at least every six months after that, so the doctor checks whether it is helping and whether to continue. Tell your doctor straight away about fainting, mood changes or troublesome side effects. Renewals go through a new consultation, and you can stop at any time.
Sources
- European Association of Urology. EAU Guidelines on Sexual and Reproductive Health: disorders of ejaculation (2025)
- European Medicines Agency. Priligy: Article 29 referral (national authorisation, benefit-risk review) (2010)
- AEMPS CIMA (Spanish medicines agency database). Priligy 30 mg film-coated tablets: summary of product characteristics (national product information) (2025)
- The Lancet. Pryor JL et al. Efficacy and tolerability of dapoxetine in treatment of premature ejaculation: an integrated analysis of two double-blind, randomised controlled trials. Lancet 2006 (2006)
- NHS. Ejaculation problems (2025)
Sources checked on September 29, 2026
Your questions answered
Is premature ejaculation common?
Do I need a video call?
Who can use the premature ejaculation consultation?
How is the tablet taken?
Which side effects should I watch for?
Are there alternatives to tablets?
What happens after I start treatment?
What does it cost?
What if the doctor declines?
Which sexual-health treatments does Hi-Doctor cover?
How much does sexual-health care cost, and when will I hear back?
What treatments are there for erectile dysfunction?
Are PDE5 inhibitors safe?
Are there alternatives if the tablets don't work for me?
How discreet is everything handled?
Can erectile dysfunction indicate another problem?
Saying it is the first step
Answer the questionnaire and a licensed doctor reads it. You pay only if treatment is approved.
Start PE consultationNo charge unless a doctor approves your treatment.Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work


