Erectile dysfunction, assessed in private
Difficulty getting or keeping an erection? A doctor registered in Spain looks at physical causes, your medicines and how you feel before discussing a safe treatment, in English.
€39online consultation, medicine not included
- 5.0from 1,508 patient reviews on Setmore
- Registereddoctors in Spain, details you can verify
- In Englishfrom booking to your plan
- Privateone to one, by video or telephone
A full assessment, not an automatic prescription
Erection problems often have more than one cause. The doctor looks at each of them before talking about treatment.
Heart and circulation
Diabetes, blood pressure, cholesterol and smoking can all play a part.
Medicines and hormones
Some treatments, substances and hormone changes can contribute.
Stress and wellbeing
Anxiety, tiredness and your relationship are part of the conversation too.
What the doctor will review
Start by telephone or video. The doctor goes through your history and explains the safest next step.
- How long it has been happening, and how often.
- Your heart history and the medicines you take now.
- Sex drive, spontaneous erections, stress and anxiety.
- Whether you need a blood pressure check, blood tests or an in-person examination.
If you need an examination or tests, the doctor will tell you and explain why.
Options a doctor may discuss
The plan depends on the diagnosis, your history, the risks and what you prefer. A prescription is never guaranteed, and English Doctor does not sell medicines.
SildenafilViagra is one brand of sildenafil
A prescription tablet for erectile dysfunction in adult men. Branded and generic versions exist.
- How it works
- It needs sexual stimulation to work.
- Before prescribing
- The doctor checks your medicines, especially nitrates, riociguat and heart treatments.
- Also reviewed
- Blood pressure, and any heart, kidney or liver history.
TadalafilCialis is one brand of tadalafil
A prescription tablet for erectile dysfunction in adult men. Its effect can last longer than other treatments.
- How it is taken
- On demand, or daily in selected cases.
- How it works
- It also needs sexual stimulation to work.
- Before prescribing
- The doctor checks nitrates, riociguat and alpha-blockers, heart history, blood pressure, kidney and liver function, and side effects from earlier treatments.
Treating the cause
Sometimes the most useful step is not a tablet at all.
- Heart and circulation
- Controlling blood pressure, cholesterol, diabetes and smoking.
- How you feel
- Emotional support when stress or anxiety is part of the picture.
- Checks
- A blood pressure reading, blood tests or an in-person examination, when needed.
Sildenafil and tadalafil at a glance
| Topic | Sildenafil | Tadalafil |
|---|---|---|
| Brand example | Viagra | Cialis |
| How it can be taken | On demand | On demand, or daily in selected cases |
| Duration of effect | Shorter | Can last longer |
| Needs sexual stimulation | Yes | Yes |
| Prescription | Required | Required |
Never take them with
Nitrates, amyl nitrite ("poppers") or riociguat. The doctor asks about every medicine you take for this reason.
Buying online without a prescription
Websites that sell these tablets without a medical assessment may sell fake or unsafe products. In Spain they need a prescription, which you can use at any authorised pharmacy.
When you need urgent care
- Chest pain, fainting or difficulty breathing.
- Neurological symptoms.
- A painful erection that lasts more than 4 hours.
- Sudden loss of vision or hearing.
In an emergency, call 112. English Doctor is not an emergency service.
Your appointment
From booking to your consultation in three steps, by telephone or video.
- Book your appointmentChoose a time that suits you and enter your details.
- Talk to the doctorThe doctor contacts you at the appointment time, by telephone or video.
- Get your planMedical advice and, when appropriate, an e-prescription by email for any pharmacy in Spain.
Questions men ask
English Doctor is not an emergency service. In an emergency, call 112.
Is the consultation confidential?
Yes. It is handled as a private medical consultation, one to one by video or telephone.
Does the consultation guarantee a prescription?
No. A prescription is only issued if the doctor finds that treatment is indicated and safe for you.
Why does the doctor ask about my heart?
Erectile dysfunction can be linked to heart and circulation risk factors, and the treatments have contraindications. Your heart health is part of a safe assessment.
Can I buy Viagra online without a prescription?
Do not buy it without a prescription from unauthorised websites: they may sell fake or unsafe products. In Spain, sildenafil and tadalafil for erectile dysfunction need a prescription. The safe route is a medical assessment and, if appropriate, an e-prescription for an authorised pharmacy.
Do these tablets work on their own?
No. Sildenafil and tadalafil need sexual stimulation to work.
Is the medicine included in the €39?
No. The fee covers the consultation. Any medicine is paid for separately at the pharmacy. English Doctor does not sell medicines.
Talk to a doctor in private
Discuss erection problems in English with a doctor registered in Spain. Online consultation €39, Monday to Friday, 09:00–17:00 Spain mainland time.
Book a consultation