• Zugelassene ÄrzteLicensed doctorsMédecins agréésBevoegde artsen
  • Rezept nach ärztlicher PrüfungPrescription after medical reviewOrdonnance après évaluation médicaleRecept na medische beoordeling
  • Kostenloser, diskreter VersandFree, discreet deliveryLivraison gratuite et discrèteGratis, discrete verzending
SpracheLanguageLangueTaalNederlandsEnglishPreise für die Niederlande in EURPrices for the Netherlands in EURPrix pour les Pays-Bas en EURPrijzen voor Nederland in EUR

Treatment area: Erectile problems

Have erection problems confidentially checked by a doctor.

Erectile dysfunction and premature ejaculation are common and treatable in many cases. Our doctors will review your questionnaire to determine if a medication is suitable and safe for you. The assessment is conducted online, discreetly, and without a waiting room.

  • online questionnaire
  • Medical examination
  • Discreet Shipping
  • Money back if not suitable

BehandlungsoptionenTreatment optionsOptions de traitementBehandelopties

Preparations for sexual problems

All medications require a prescription. After making your selection, please complete the medical questionnaire in full. A doctor will then decide whether the treatment is suitable for you.

Selbst einschätzenAssess it yourselfFaire le point vous-mêmeZelf inschatten

Which option suits you?

  1. 1 If you only want to treat occasionally and in a planned manner On-demand medications such as sildenafil, vardenafil, or avanafil are taken shortly before sexual intercourse and are effective for several hours. The trial pack allows you to experience sildenafil, tadalafil, and vardenafil one after the other. Your doctor will determine which medication is most suitable.
  2. 2 If you would like to be more flexible with your time Tadalafil can be effective for up to 36 hours; if you have frequent sexual intercourse, a daily dose of a lower dose is also possible. Your doctor will decide whether this is suitable for you.
  3. 3 If you regularly experience very premature ejaculation Dapoxetine (Priligy) is specifically approved for premature ejaculation. It may be unsuitable for patients with heart conditions or those taking antidepressants. The doctor will decide.
  4. 4 If you are taking nitrates or have a heart condition Then PDE-5 inhibitors can be dangerous. Alprostadil (Vitaros), for example, must not be used after a heart attack. Speak to your doctor beforehand and list all medications you are taking on the questionnaire. The doctor will make the final decision.

Diese Hinweise helfen bei der Orientierung und ersetzen keine ärztliche Beratung. Ob und welche Behandlung für Sie geeignet ist, entscheidet der Arzt anhand Ihres Fragebogens.This guidance helps you get your bearings and does not replace medical advice. Whether a treatment is suitable for you, and which one, is decided by the doctor on the basis of your questionnaire.Ces indications vous aident à vous orienter et ne remplacent pas un avis médical. C’est le médecin qui décide, sur la base de votre questionnaire, si un traitement vous convient et lequel.Deze aanwijzingen helpen u op weg en vervangen geen medisch advies. Of en welke behandeling voor u geschikt is, bepaalt de arts aan de hand van uw vragenlijst.

Diese Präparate verordnen wir nur für Männer: Viagra, Cialis, Vardenafil, Spedra, Hezkue, Testpaket Erektionsstörungen, Vitaros, Priligy.We only prescribe these medicines for men: Viagra, Cialis, Vardenafil, Spedra, Hezkue, Testpaket Erektionsstörungen, Vitaros, Priligy.Nous ne prescrivons ces médicaments qu’aux hommes : Viagra, Cialis, Vardenafil, Spedra, Hezkue, Testpaket Erektionsstörungen, Vitaros, Priligy.Deze middelen schrijven wij alleen voor aan mannen: Viagra, Cialis, Vardenafil, Spedra, Hezkue, Testpaket Erektionsstörungen, Vitaros, Priligy.

erectile dysfunction

Drugs from the group of PDE-5 inhibitors. These drugs only support an erection when sexually aroused and differ primarily in their onset of action, duration of action, and application.

Sildenafil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Viagra (Sildenafil)

Film-coated tablet containing sildenafil (Viagra or generic) for the treatment of erectile dysfunction in men.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
about 30 to 60 minutes
WirkdauerDurationDurée d’actionWerkingsduur
4 to 5 hours
FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Sildenafil belongs to the class of PDE-5 inhibitors. During sexual arousal, it relaxes the blood vessels in the penis, allowing more blood to flow in and making it easier to achieve an erection. Without sexual stimulation, the drug will not cause an erection.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you only need the treatment occasionally and in a planned manner
  • If you want to choose between brand-name and generic drugs
  • If you would like to choose between several strengths
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take one film-coated tablet as needed, approximately one hour before sexual intercourse, no more than once a day. Available in 25, 50, and 100 mg strengths. Your doctor will determine the appropriate strength.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 25 mg · 50 mg · 100 mg

Do not take with nitrates (also known as "poppers") or riociguat, as this can cause a dangerous drop in blood pressure. Seek immediate medical attention if an erection lasts longer than 4 hours or if you experience sudden vision problems.

abfromà partir devanaf 40,50 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
Optionen wählenChoose optionsChoisir une optionOpties kiezen
Tadalafil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Cialis (Tadalafil)

Film-coated tablet containing Tadalafil (Cialis or generic) for erectile dysfunction, to be taken as needed or daily.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
about 30 minutes
WirkdauerDurationDurée d’actionWerkingsduur
up to 36 hours
FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Tadalafil is a PDE-5 inhibitor that improves blood flow to the penis during sexual arousal. The active ingredient remains in the body for a relatively long time, so its effects can last up to 36 hours. An erection only occurs with sexual stimulation.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you would like to plan for less time
  • If you have frequent sexual intercourse and are interested in taking it daily
  • If you want to choose between brand-name and generic drugs
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: If needed (10 or 20 mg), take at least 30 minutes before sexual intercourse, no more than once a day. Alternatively, a lower dose (5 mg) can be taken daily at the same time. The doctor will decide which form is most suitable.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 5 mg · 10 mg · 20 mg

Do not combine with nitrates (also known as "poppers") or riociguat. Due to their long duration of action, nitrates should not be administered until at least 48 hours after the last dose. Therefore, inform emergency medical personnel in case of an emergency.

abfromà partir devanaf 44,72 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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vardenafil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Vardenafil

Film-coated tablet containing vardenafil for the treatment of erectile dysfunction in men, to be taken as needed.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
about 25 to 60 minutes
WirkdauerDurationDurée d’actionWerkingsduur
4 to 5 hours
FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Vardenafil inhibits the PDE-5 enzyme, thus promoting relaxation of the blood vessels in the penis during sexual arousal. This allows more blood to flow in and an erection to occur. The drug is ineffective without sexual stimulation.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you only need the treatment occasionally
  • If a duration of effect of a few hours is sufficient for you
  • If you would like to choose between several strengths
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take one film-coated tablet as needed, approximately 25 to 60 minutes before sexual intercourse, no more than once a day. Available in 5, 10, and 20 mg strengths. Your doctor will determine the appropriate strength.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 5 mg · 10 mg · 20 mg

Do not take with nitrates (also known as "poppers") or riociguat. Use with caution if you have a congenital prolongation of the QT interval (heart rhythm) and are also taking alpha-blockers.

abfromà partir devanaf 44,72 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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avanafil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Spedra (Avanafil)

Tablet containing avanafil for the treatment of erectile dysfunction in men, to be taken as needed.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
about 15 to 30 minutes
WirkdauerDurationDurée d’actionWerkingsduur
up to approximately 6 hours
FormFormFormeVorm
Tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Avanafil is a PDE-5 inhibitor that increases blood flow to the penis during sexual arousal. The active ingredient is rapidly absorbed, allowing it to be taken relatively shortly before intercourse. An erection will only occur with sexual stimulation.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you wish to take the tablet shortly before sexual intercourse.
  • If you only need the treatment occasionally
  • If you would like to choose between several strengths
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take one tablet as needed, approximately 15 to 30 minutes before sexual intercourse, no more than once a day. Available in 50, 100, and 200 mg strengths. Your doctor will determine the appropriate strength.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 50 mg · 100 mg · 200 mg

Do not take with nitrates (also known as "poppers") or riociguat. Not suitable for use in cases of severe liver or kidney disease or when taking strong CYP3A4 inhibitors, such as certain antifungal or HIV medications.

abfromà partir devanaf 48,10 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Sildenafil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Hezkue (Sildenafil)

Oral spray containing sildenafil (12,5 mg per spray) for the treatment of erectile dysfunction in men.

FormFormFormeVorm
Oral spray (suspension for oral use)

So wirkt es:How it works:Mode d’action :Zo werkt het: Hezkue contains sildenafil, a PDE-5 inhibitor. When sexually aroused, the active ingredient helps relax the blood vessels in the penis, making it easier to achieve an erection. It does not work without sexual stimulation.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you want to use Sildenafil without swallowing a tablet
  • If you want to precisely adjust the dose in spray bursts
  • If you only need the treatment occasionally
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: If needed, approximately one hour before sexual intercourse: Shake the spray well, dispense the prescribed number of sprays into the mouth and swallow. Four sprays (50 mg) are typical, and should be used no more than once a day. The appropriate dose will be determined by your doctor.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 12,5 mg per spray

Do not use with nitrates (also known as "poppers") or riociguat, as this can cause a dangerous drop in blood pressure. The effect may be delayed after a heavy meal; do not use concurrently with other PDE-5 inhibitors.

abfromà partir devanaf 164,22 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Sildenafil / Tadalafil / Vardenafil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Testpaket Erektionsstörungen (Sildenafil / Tadalafil / Vardenafil)

Sildenafil, Tadalafil and Vardenafil, each with 4 film-coated tablets, taken one after the other for erectile dysfunction.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
Approximately 25 to 60 minutes, depending on the active ingredient
WirkdauerDurationDurée d’actionWerkingsduur
Approximately 4 to 5 hours, Tadalafil up to 36 hours
FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: All three active ingredients are PDE-5 inhibitors. During sexual arousal, they relax the blood vessels in the penis, allowing more blood to flow in. Tadalafil can be effective for up to 36 hours, while sildenafil and vardenafil last for several hours.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you would like to try different PDE-5 inhibitors one after the other.
  • If it is still unclear which active ingredient is suitable for everyday use
  • If you do not use nitrates, poppers, or riociguat
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take the active ingredients one after the other as needed, with a maximum of one tablet per day. Wait at least 24 hours before taking the next active ingredient, and 48 hours after Tadalafil. The order will be determined by your doctor.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 25 mg / 10 mg / 20 mg · 50 mg / 10 mg / 10 mg · 100 mg / 20 mg / 20 mg

Never take with nitrates (including poppers) or riociguat, and never take two of the active substances on the same day. After tadalafil, nitrates may only be given after 48 hours, so inform the emergency services in an emergency.

abfromà partir devanaf 63,29 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Cream for erectile dysfunction

Alprostadil (Vitaros) is administered as a cream from a single-dose applicator into the opening at the tip of the penis, where it widens the blood vessels in the corpus cavernosum.

alprostadil RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Vitaros (Alprostadil)

Cream containing alprostadil in a single-dose applicator for application to the tip of the penis in cases of erectile dysfunction.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
about 5 to 30 minutes
WirkdauerDurationDurée d’actionWerkingsduur
1 to 2 hours
FormFormFormeVorm
Creams

So wirkt es:How it works:Mode d’action :Zo werkt het: Alprostadil is identical to the body's own prostaglandin E1. It enters the erectile tissue through the opening at the tip of the penis and widens the blood vessels there, allowing more blood to flow in.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you prefer a treatment without tablets
  • If tablets for erectile dysfunction are not an option or do not work sufficiently
  • When a condom is used during sex with a woman who can become pregnant
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: If needed, insert the contents of one applicator into the opening at the tip of the penis 5 to 30 minutes before sexual intercourse, at most once every 24 hours and 2 to 3 times per week.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 300 µg/dose (3 mg/g)

Do not use after a heart attack, if you are prone to fainting, prone to prolonged erections, or have a penile deformity. Seek immediate medical attention if an erection lasts more than 4 hours. Store in the refrigerator.

abfromà partir devanaf 122,19 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Premature ejaculation

Dapoxetine (Priligy) is a tablet approved for the treatment of premature ejaculation. EMLA cream and Xylocaine spray are local anesthetics; neither is approved for the treatment of premature ejaculation.

Dapoxetin RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Priligy

Film-coated tablet containing dapoxetine, approved for the treatment of premature ejaculation in men aged 18 to 64 years.

FormFormFormeVorm
Film-coated tablets

So wirkt es:How it works:Mode d’action :Zo werkt het: Dapoxetine is a short-acting selective serotonin reuptake inhibitor (SSRI). It temporarily enhances the effect of the neurotransmitter serotonin in the nerve pathways that control ejaculation, thus delaying it. Because the drug is rapidly absorbed and metabolized, it is intended for on-demand use.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If ejaculation occurs regularly very early and is causing you or your relationship distress
  • If you prefer to take a tablet as needed rather than daily.
  • If you are between 18 and 64 years old
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Take one film-coated tablet with a full glass of water as needed, approximately 1 to 3 hours before sexual intercourse, and no more than once within 24 hours. Available in 30 mg and 60 mg doses; the recommended starting dose is 30 mg, according to the prescribing information, with the doctor deciding on any dose adjustments.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 30 mg · 60 mg

Can cause dizziness and fainting spells (syncope). Therefore, do not combine with alcohol and do not drive if you feel drowsy. Not suitable for people with certain heart conditions or when taken with antidepressants or other serotonergic medications.

abfromà partir devanaf 59,92 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Lidocain / Prilocain RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

EMLA Creme

Cream containing lidocaine and prilocaine (30 g), approved for superficial numbing of the skin.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
depending on the area of ​​skin and the exposure time
FormFormFormeVorm
Creams

So wirkt es:How it works:Mode d’action :Zo werkt het: Lidocaine and prilocaine are local anesthetics. Both active ingredients penetrate the upper layers of the skin and temporarily inhibit nerve impulse transmission, thus reducing sensation in the treated area. EMLA is not approved for the treatment of premature ejaculation.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • If you prefer a topical preparation to a tablet.
  • If you are not allergic to local anesthetics
  • Discuss with your doctor whether off-label use is appropriate for you.
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Cream for external application to a limited area. Amount, application time, and application site depend on the doctor's prescription and the package insert.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 30 gr

Do not use if allergic to amide-type local anesthetics and avoid contact with the eyes. Use with caution in cases of glucose-6-phosphate dehydrogenase deficiency or methemoglobinemia, as prilocaine can impair oxygen transport in the blood.

abfromà partir devanaf 55,70 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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Lidocaine RezeptpflichtigPrescription onlySur ordonnanceUitsluitend op recept

Xylocaine (Lidocain)

Pump spray containing lidocaine for local anesthesia, not approved for premature ejaculation.

WirkeintrittOnsetDélai d’actionWerkingsaanvang
about 1 to 3 minutes
WirkdauerDurationDurée d’actionWerkingsduur
about 10 to 15 minutes
FormFormFormeVorm
Spray for application on the skin

So wirkt es:How it works:Mode d’action :Zo werkt het: Lidocaine is a local anesthetic. It temporarily inhibits the transmission of nerve impulses at the sprayed area, thus reducing sensation there. Xylocaine is not approved for the treatment of premature ejaculation.

Das kann für Sie passenThis may suit youCela peut vous convenirDit kan bij u passen
  • Provided there is no allergy to local anesthetics of the amide type or to menthol
  • If the maximum quantity of 20 sprays can be observed
  • Provided there are no significant disturbances in impulse formation or conduction in the heart, no decompensated heart failure, and no asthma.
Anwendung & wichtige HinweiseUse & important informationUtilisation et informations importantesGebruik en belangrijke aandachtspunten

Anwendung:Use:Utilisation :Gebruik: Spray for external use on mucous membranes or broken skin, only as needed. The number of sprays and application site depend on the doctor's prescription; adults should not exceed 20 sprays.

Verfügbare Stärken:Available strengths:Dosages disponibles :Beschikbare sterktes: 10 mg per spray

Do not use if you are allergic to amide-type local anesthetics, have significant disturbances in cardiac impulse formation or conduction, decompensated heart failure, or asthma (menthol). Do not spray into eyes or inhale.

abfromà partir devanaf 56,54 € Endpreis, inkl. ärztlicher PrüfungFinal price, incl. medical reviewPrix final, évaluation médicale incluseEindprijs, incl. medische beoordeling
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RatgeberGuideGuideGids

What you should know about the treatment

Erectile and ejaculatory dysfunctions often have physical and psychological causes. These dysfunctions can also be an early warning sign of other illnesses.

Causes of erectile dysfunction

Erectile dysfunction is diagnosed when an erection sufficient for sexual intercourse is repeatedly not achieved or does not last long enough over a prolonged period. Common causes include:

  • Circulatory disorders, high blood pressure, diabetes or elevated blood lipid levels
  • Smoking, obesity, excessive alcohol consumption and lack of exercise
  • Stress, performance pressure, relationship conflicts or depression
  • Side effects of medication or a testosterone deficiency

Since erectile problems can be an early indicator of vascular diseases, a medical examination is advisable.

Premature ejaculation

Premature ejaculation (ejaculatio praecox) is characterized by ejaculation occurring regularly shortly after penetration or even before, without sufficient control. The crucial factor is that this causes distress for you or your partner. Occasional episodes, however, are usually not a medical condition.

The causes are not fully understood. A predisposition to susceptibility, psychological factors such as tension and performance pressure, as well as prostate or thyroid disorders are being discussed. In addition to medication, behavioral techniques and sex or couples counseling can be helpful.

Possible side effects

PDE-5 inhibitors often cause headaches, facial flushing, a blocked nose, indigestion, or dizziness; with tadalafil, back and muscle pain also occur. These side effects are usually mild and temporary. Alprostadil (Vitaros) often causes burning, pain, or redness of the penis; the partner may also notice irritation.

Dapoxetine can cause nausea, dizziness, and headaches, and occasionally fainting spells. With EMLA cream, paleness, redness, or swelling at the application site is possible. With Xylocaine spray, burning and numbness are possible, also in the partner.

Please provide complete information about all illnesses and medications in the questionnaire. This is especially true for heart medications, blood pressure reducers, and antidepressants.

When you need immediate medical help

Call emergency services 112 (Switzerland: 144) if you experience chest pain, shortness of breath or circulatory problems during or after sexual intercourse. State which product you used. Also, seek immediate medical attention if:

  • an erection that lasts 4 hours or longer
  • sudden deterioration of vision or sudden loss of hearing
  • Signs of an allergic reaction such as swelling of the face or lips
  • Tingling around the mouth, restlessness, trembling or irregular heartbeat after a local anesthetic
  • Blood in the urine or bleeding from the urethra after using Vitaros

Have erection problems examined in person if you notice cardiovascular problems, pain, or curvature of the penis.

Stay healthy

Heart, blood vessels and head are involved

An erection results from the interplay of nerves, blood vessels, hormones, and psychological factors. A healthy lifestyle can therefore be a valuable complement to treatment and simultaneously reduce strain on the heart and circulatory system. Tension and performance anxiety often play a role in premature ejaculation as well. Lack of sleep and persistent worry can also affect sexual function.

  • Regular exercise, not smoking, and a healthy body weight promote blood circulation.
  • Alcohol only in moderation: Larger quantities can weaken erections and increase side effects such as dizziness.
  • Open communication with your partner reduces pressure; exercises like the stop-start technique can help with premature ejaculation.

Have your blood pressure, blood sugar, and blood lipids checked regularly. If performance pressure or conflicts are a major concern, sex or couples counseling can provide additional relief. You can find support for quitting here: smoking cessation. Our online doctor answers general questions..

AblaufHow it worksDéroulementWerkwijze

In vier Schritten zur BehandlungFour steps to your treatmentEn quatre étapes vers votre traitementIn vier stappen naar uw behandeling

Ärztlich geprüft, diskret und ohne Wartezimmer.Reviewed by a doctor, discreet and without a waiting room.Examiné par un médecin, discret et sans salle d’attente.Door een arts beoordeeld, discreet en zonder wachtkamer.

  1. 1Behandlung wählenChoose a treatmentChoisir un traitementBehandeling kiezenWählen Sie Ihr Anliegen und das gewünschte Präparat oder stellen Sie eine allgemeine Anfrage.Choose your concern and the medicine you want, or send a general request.Choisissez votre problème et le médicament souhaité, ou envoyez une demande générale.Kies uw klacht en het gewenste middel, of stuur een algemene aanvraag.
  2. 2Fragebogen ausfüllenFill in the questionnaireRemplir le questionnaireVragenlijst invullenDie medizinischen Fragen beantworten Sie online, vertraulich und in Ruhe.You answer the medical questions online, confidentially and at your own pace.Vous répondez aux questions médicales en ligne, en toute confidentialité et à votre rythme.U beantwoordt de medische vragen online, vertrouwelijk en in alle rust.
  3. 3Ärztliche PrüfungMedical reviewÉvaluation médicaleMedische beoordelingEin zugelassener Arzt prüft Ihre Angaben. Ist die Behandlung nicht geeignet, erhalten Sie Ihr Geld zurück.A licensed doctor reviews your answers. If the treatment is not suitable, you get your money back.Un médecin agréé examine vos réponses. Si le traitement ne convient pas, vous êtes remboursé.Een bevoegde arts beoordeelt uw gegevens. Is de behandeling niet geschikt, dan krijgt u uw geld terug.
  4. 4Diskreter VersandDiscreet deliveryLivraison discrèteDiscrete verzendingNach Ausstellung des Rezepts versendet eine EU-Partnerapotheke Ihr Arzneimittel meist innerhalb eines Werktages.Once the prescription has been issued, an EU partner pharmacy usually sends your medicine within one working day.Une fois l’ordonnance établie, une pharmacie partenaire de l’UE expédie votre médicament généralement sous un jour ouvré.Na het uitschrijven van het recept verstuurt een EU-partnerapotheek uw geneesmiddel meestal binnen één werkdag.

Häufige FragenFrequently asked questionsQuestions fréquentesVeelgestelde vragen

Questions about erection problems

Haben Sie eine andere Frage? Unsere Ärzte und unser Service-Team helfen Ihnen gerne weiter.Have another question? Our doctors and our service team will be glad to help.Vous avez une autre question ? Nos médecins et notre équipe de service vous aident volontiers.Heeft u een andere vraag? Onze artsen en ons serviceteam helpen u graag verder.

Do I need a prescription?

Yes. All medications in this category require a prescription. After making your selection, you will complete a medical questionnaire, and a licensed physician will assess whether a prescription is medically appropriate for you. The initial inquiry is free; you only pay for the prescribed treatment.

No. PDE-5 inhibitors such as sildenafil, tadalafil, vardenafil, or avanafil do not cause an erection on their own, nor do they increase libido. These active ingredients support the body's natural response when sexual arousal is present. Without stimulation, they will not have any effect.

Alcohol can worsen erectile problems and, when taken with PDE-5 inhibitors, can further lower blood pressure, so moderation is advisable. You should avoid alcohol when taking dapoxetine (Priligy) because it increases the risk of dizziness and fainting. High-fat meals can also delay the onset of action of sildenafil and vardenafil.

This is only possible after a medical examination. Both classes of drugs can affect blood pressure, so dizziness may be more likely if used together. Multiple PDE-5 inhibitors must not be used simultaneously. Alprostadil (Vitaros) is also not used with a PDE-5 inhibitor. Indicate in the questionnaire which medications you are currently using or would like to use. The doctor will make the final decision.

Once the prescription is issued, an EU partner pharmacy will ship your treatment free of charge via DHL Express, usually within one business day. The packaging is discreet, and you will receive a tracking number. If the treatment is not suitable for you, no prescription will be issued, and you will receive a full refund.

Medizinische ExpertiseMedical expertiseExpertise médicaleMedische expertise

Jede Anfrage in ärztlichen HändenEvery request in a doctor’s handsChaque demande entre des mains médicalesElke aanvraag in medische handen

Dr. Viktor Simunovic
Medizinischer GutachterMedical assessorMédecin évaluateurMedisch beoordelaarDr. Viktor SimunovicAllgemeinmedizin & digitale GesundheitGeneral medicine & digital healthMédecine générale et santé numériqueHuisartsgeneeskunde en digitale zorg
Dr. Codruta Anca Pandalache
Medizinische GutachterinMedical assessorMédecin évaluatriceMedisch beoordelaarDr. Codruta Anca PandalacheReproduktionsmedizin & FrauengesundheitReproductive medicine & women’s healthMédecine de la reproduction et santé des femmesVoortplantingsgeneeskunde en vrouwengezondheid
Lernen Sie unsere Ärzte kennenMeet our doctorsFaites connaissance avec nos médecinsMaak kennis met onze artsenHintergrund, Erfahrung und FachgebieteBackground, experience and specialismsParcours, expérience et spécialitésAchtergrond, ervaring en vakgebieden

Have your erection problems checked out confidentially

Choose a product and complete the questionnaire. Medical professionals will usually contact you within 24 hours.

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