Erectile dysfunction treatment consultation

To place an order, fill out the consultation questionnaire correctly.
One of our clinicians will review your order and prescribe a suitable treatment.
You will only be charged if treatment is prescribed.

ED Consultation

Your details

Please provide us with accurate details as our prescriber might need to access your GP record and you are consented to access your Summary Care Record (SCR). This is necessary for the safe and best treatment of your conditions.

About you

2. Do you have/have you had any medical problems or operations? For example, neurological problems (e.g. Parkinson's, previous stroke or mini-stroke)?. hormone or sugar problems (e.g. diabetes, thyroid problems)?, kidney problems?, breathing problems (e.g. asthma, COPD, bronchiectasis)?, liver problems (e.g. hepatitis, fatty liver, alcohol liver disease)?, mental health problems (e.g. anxiety, depression, personality disorder)? or any other diagnosed conditions?
3. Are you taking any medications (prescription, over the counter or herbal)?
4. Are you allergic to any medication, food or any other substances?
5. Do you take any recreational drugs?
6. What is your blood pressure?
7. Do you drink alcohol?
8. Do you smoke?

Please read about the NHS smoking cessation help. We also offer a stop smoking service via our online doctor.

Medical

The answers you provide to the questions will be reviewed by a UK registered prescriber to help us better understand and treat your condition. All information will be handled with the utmost discretion and confidentiality, so please be honest with your answers, including any current medication you are on.

1. Do you persistently have difficulty getting and maintaining an erection?
2. Are you taking nicorandil or any nitrate medication?

There can be a fatal reaction between erectile dysfunction medication and these medicines. Please contact your regular GP.

3. Do you suffer from any condition affecting the shape of your penis?
4. Do you suffer from angina, aortic stenosis, hypertrophic obstructive cardiomyopathy, uncontrolled blood pressure, arrhythmia, or severe heart disease?
5. Have you had a heart operation, heart attack or a stroke in the last six months?
6. Have you been advised to avoid strenuous exercise, or do you have difficulty in walking for more than 5 minutes at a fast pace?
7. Have you ever had any problems with your kidneys, urinary system or with your liver?
8. Do you have any eye problems, such as hereditary degenerative retinal disorders or macular degeneration?
9. Have you ever been diagnosed with diabetes or abnormal blood sugar levels?

Consent