Start with a review
Choose a consultation for new concerns, or a repeat review for suitable established treatment.

Already taking an ED medicine? Choose a repeat review whether prescribed by us or another provider. Starting treatment, changing dose or experiencing new symptoms? Choose “Discuss treatment”.
A confidential, individual treatment discussion with an English-speaking doctor.Occasional erection difficulty can happen. Persistent or recurrent changes deserve assessment. A consultation creates space to discuss timing, general health, stress, relationships and medicines without assuming one cause.
Erection problems may relate to physical health, medicines or psychological factors. The right next step depends on that context.
Read the relevant guideThe doctor can explain options such as Viagra and Cialis when clinically appropriate; brand preference does not replace a safety review.
Read the relevant guideManaging relevant health conditions or getting psychosexual support may matter as much as medicine.
Read the relevant guideClinical references: NHS: erectile dysfunction · EMA: Viagra · EMA: Cialis
| Area of review | Why we discuss it |
|---|---|
| Symptoms and pattern | When difficulties started, whether they are consistent and what has changed. |
| General health | Blood pressure, diabetes, cholesterol and heart health may be relevant. |
| Medicines and substances | Bring prescribed medicines, supplements and recreational substances into the discussion. |
| Examination or tests | The clinician explains what needs to be checked locally and why. |
Choose a consultation for new concerns, or a repeat review for suitable established treatment.
Discuss your history, medicines and the evidence needed to make a safe plan.
Receive advice, any onward-care recommendation and an e-prescription only if appropriate.
Use a participating pharmacy and follow the agreed review plan. Medicine cost is separate.
Tell the doctor when the difficulty began, whether it happens consistently and whether stress, relationships or medicines have changed. Persistent erection problems can also be associated with diabetes, blood pressure or other health conditions.
Read about erectile dysfunction ↗The plan may include reviewing health conditions, lifestyle support, counselling or a medicine when suitable. If a physical examination or tests are needed, the doctor will explain the next step.
What online care can provide ↗
No. Book an assessment to discuss the problem. A prescription is only one possible outcome.
Sometimes. Persistent symptoms can be associated with conditions such as diabetes or cardiovascular risk factors, so a proper review matters.
Not necessarily. The doctor may recommend an examination, blood pressure measurement, tests or specialist advice.
Yes. You can raise these privately; the clinician can discuss relevant support alongside physical-health assessment.
Bring the medicine name, dose and evidence of treatment. Stable use may suit a repeat review; new symptoms or side effects need fuller assessment.
If prescribed, an emailed prescription can be presented at a participating pharmacy. Supply and dispensing remain the pharmacist’s responsibility.
English-speaking appointments are available to residents and visitors in mainland Spain, the Balearic Islands and the Canary Islands. The clinician may recommend local examination or tests when needed.
If treatment is prescribed, the QR prescription is sent by email for use at a participating Spanish pharmacy. The consultation fee does not include medicine; confirm the product, price and stock with the pharmacy.
Use a local guide for practical area information, or read how to prepare for an online appointment.
ED medicines must not be combined with nitrates or riociguat. An erection lasting four hours needs immediate medical care. Call 112 for chest pain or collapse and tell the emergency team which medicine you took.
Every page includes local pharmacy guidance and links back to this national guide.
A first request, a change in symptoms and a stable established medicine are different situations. This guide explains which appointment to choose and what evidence to prepare.
Medical informationSildenafil and tadalafil are not interchangeable. Duration, timing, other medicines, cardiovascular history and side effects all affect which option may be suitable.
Medical informationNitrates, some blood-pressure medicines, alpha blockers and other treatments can change the safety of ED medicines. A complete current medication list matters.
Medical informationErectile dysfunction can coexist with cardiovascular risk. The assessment considers symptoms, exercise tolerance, blood pressure, heart history and interacting medicines before treatment.