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PREMATURE EJACULATION

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.

€35one-off consultation
  • Written consultation, no video call
  • Reviewed for safety and interactions
  • Full refund if not approved
Private consultationNo video call, no waiting room
Reply in under 2 hoursOn average, from an EU-licensed doctor
€35 one-offNo subscription
Understanding the condition

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.

STEP BY STEP

How it works

01

Answer online

A short questionnaire about your symptoms.

02

Doctor review

A licensed EU doctor reads your answers and replies in under 2 hours on average.

03

E-prescription

If treatment is suitable, your prescription is issued electronically and dispensed at any EU pharmacy.

What the doctor may consider

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.

Pricing

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
One-off

Sexual health

  • 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

Clinical guide

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.

FAQs

Your questions answered

Premature ejaculation9 questions
Is premature ejaculation common?
Yes. It is one of the most common sexual health concerns in men, and it can be discussed and treated.
No. The doctor reviews your written answers and follows up in the private in-app chat if needed.
Men aged 18 to 64 whose early ejaculation happens most of the time and causes distress. The questionnaire asks about fainting, heart problems, mood and your other medicines, because some of these rule the tablet out. If your answers show it is not safe, the doctor tells you and recommends in-person care instead.
Only when you plan to have sex, 1 to 3 hours beforehand, and never more than once in 24 hours. It is not a daily treatment. Swallow it whole with a full glass of water, which lowers the risk of feeling faint. The doctor starts you on the lower dose and explains the details in your plan.
Nausea, dizziness and headache are the most common. Some men feel faint, usually within a few hours of a dose: at the first warning signs, such as light-headedness or sweating, lie down with your head low. Avoid alcohol with it, and tell the doctor in the chat about any fainting or change in mood.
Yes. Behavioural techniques, such as the stop-start and squeeze methods, can help on their own or alongside treatment, and the doctor can explain them in the chat. A local option applied before sex may also be considered if suitable. When anxiety or relationship pressure plays a part, talking with a sex therapist or psychologist can help too.
The doctor reviews whether the treatment works and suits you after the first four weeks or six doses, and at least every six months after that. You can ask questions in the private chat at any time. If the problem started recently or comes with erection difficulties, the doctor may suggest a check with your GP.
The consultation is €35, one-off, with no subscription. If a prescription is issued, the medicine is paid at your pharmacy.
You receive a full refund, and the doctor explains why in your account.
Sexual health7 questions
We offer six focused consultation pathways. Choose the one that best matches your symptoms or situation:
Every sexual-health pathway is a €35 one-off consultation. Sexual health is not included in a subscription. A doctor's review arrives in less than 2 hours on average; this is an average, not a guaranteed response time. Medication is paid for separately at the pharmacy if prescribed.
The most common are PDE5 inhibitors (sildenafil, tadalafil, vardenafil, avanafil). In specific cases topical alprostadil is used. The doctor selects the most suitable option based on your history, current medication, and lifestyle.
These are medications with decades of clinical use and generally well tolerated. But they are contraindicated if you take nitrates or have severe cardiovascular disease. That's why the questionnaire explicitly asks about cardiac medication. It's not a formality.
Yes. Topical alprostadil is a second-line option. In resistant cases, the doctor may recommend an in-person urology referral to evaluate other causes (hormonal, vascular, psychological).
Fully. All communication happens through the private chat on your account. We send nothing by postal mail with the Hi-Doctor name visible; the prescription is digital.
Yes, it's one of the reasons we ask for a detailed cardiovascular history. Erectile dysfunction can be an early sign of cardiovascular disease, and sometimes an in-person check-up is advisable before treating it only pharmacologically.

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.
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