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Medical Assessment for Erectile Dysfunction Releif

To help us supply you with the most suitable treatment, please complete this online consultation.

Ordered treatment before? now to check out faster.

Tell us about yourself
Are you male and between 18 and 75 years of age?
Do you smoke or drink?
Have you taken Viagra (sildenafil), Levitra (vardenafil), Nipatra, Spedra or Cialis (tadalafil) at least 4 times previously without any side effects?
About Your Symptoms
Do you have trouble achieving or maintaining your erection?
Your Health Information
Do you have any allergy to Viagra (sildenafil), Levitra (vardenafil), Spedra (avanafil) or Cialis (tadalafil) or have you experienced any adverse reaction to any erectile dysfunction medication previously?
Do you have high blood pressure (above 160/90), or are you currently on treatment for high blood pressure?
Do you have low blood pressure (below 90/50)?
Do you suffer from depression for which you have not seen a GP?
Have you been advised to avoid strenuous exercise?
Have you ever suffered from any of the problems listed below?
Would you have any difficulty walking at a fast pace for 5 minutes?
Your Current Medication
Are you currently taking any medication (over-the-counter or prescription) or any recreational drugs?
Are you taking any medicines known as nitrates (often taken for chest pain/angina) or nitric oxide donors ('poppers')?
Patient Declaration & Agreements
Do you agree to the following?
Do you understand that erectile dysfunction can be associated with a number of contributing health conditions (e.g. hypertension, diabetes mellitus, high cholesterol or cardiovascular disease) and you should consult your doctor within 6 months of starting treatment for a clinical review?
In the rare event I obtain a prolonged erection of more than 4 hours or experience any sudden visual impairment, I agree that I will seek immediate medical assistance.

Complete our 2 minute questionnaire

We’re almost done!

To find a treatment suitable for you, we just need you to answer a few questions.

Pharmacist

Ana Carolina Goncalves

Superintendent Pharmacist
Confidential & Secure

We will review your details in complete confidence

Medication will be delivered in plain unlabelled packaging

Your order will appear on your statement as "Pharma"

Lowest Price Guarantee

Lowest Price £ Guarantee

We're convinced you won't find your treatment cheaper, but if you do we'll refund the difference.

Find out more
Need help?

If you need help with this medical assessment, contact our helpline:

0207 112 9014

or email us

help@ifeelshy.co.uk

We’re a safe and regulated UK service

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BioNTech
Roche
Bayer
Mverick
Novartis
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