Sexual Health treatments
Explore information about Sexual Health. An independent doctor decides whether a prescription is appropriate. Dispensing and delivery depend on a valid prescription, the available route and an independent licensed pharmacy.
Choose a treatment to review
Pricing is indicative where shown. Final route, fulfilment, and whether treatment is clinically appropriate remain subject to independent doctor review. Check platform, independent doctor, pharmacy and delivery charges before payment. A listed medicine amount is not a complete route quotation.
Aldara (Imiquimod)
Learn about Aldara (Imiquimod) for genital warts (HPV). Dosage, side effects, alternatives. Independent medical assessment required.
Cefixime
Learn about Cefixime for gonorrhoea and bacterial infections. Dosage, side effects, alternatives. Independent medical assessment required.
Condyline (Podophyllotoxin)
Learn about Condyline (Podophyllotoxin) for genital warts. Dosage, side effects, alternatives. Independent medical assessment required.
Famvir (Famciclovir)
Learn about Famvir (Famciclovir) for genital herpes and shingles. Dosage, side effects, alternatives. Independent medical assessment required.
Metronidazole
Learn about Metronidazole for bacterial vaginosis and trichomoniasis. Dosage, side effects, alternatives. Independent medical assessment required.
Testosterone Replacement Therapy
Learn about Testosterone Replacement Therapy (TRT) for male hypogonadism. Dosage, side effects, and accessing TRT via doctors on Prescrivia.
Valtrex (Valacyclovir)
Learn about Valtrex (Valacyclovir) for genital herpes treatment and suppression. Dosage, side effects, alternatives. Independent medical assessment required.
Warticon (Podophyllotoxin)
Learn about Warticon (Podophyllotoxin) cream for genital warts. Dosage, side effects, and alternatives. Independent medical assessment required.
Zovirax (Aciclovir)
Zovirax (Aciclovir) for herpes and shingles: dosage, side effects, and alternatives. Independent medical assessment required.
About sexual health treatments
Sexual health conditions affect a substantial proportion of adults across the European Union, yet they remain among the most under-reported and undertreated categories of health concern. Barriers including embarrassment, stigma, and limited access to non-judgmental healthcare contribute to a significant treatment gap.
In the Massachusetts Male Aging Study, a survey of men aged 40–70 living near Boston, United States, conducted in 1987–1989, the combined prevalence of minimal, moderate and complete erectile dysfunction was 52%.[2] Premature ejaculation (PE) is common. Both conditions are recognised medical diagnoses with established treatment pathways supported by clinical guidelines from European medical associations.
The introduction of oral pharmacological treatments has transformed the management of erectile dysfunction. PDE5 inhibitors — including sildenafil, tadalafil, and vardenafil — work by enhancing the effects of nitric oxide in penile tissue, facilitating the physiological process of erection in response to sexual stimulation. They do not produce erections independently of stimulation and are not aphrodisiacs.
For premature ejaculation, dapoxetine is authorised in national product information, including in Spain, for selected patients with this diagnosis. It is a short-acting SSRI taken on demand, 1–3 hours before anticipated sexual activity, which delays ejaculation by modulating serotonin signalling in the nervous system.
It is important to note that sexual health conditions can sometimes signal underlying medical issues. Erectile dysfunction, in particular, is associated with cardiovascular risk factors, diabetes, and hypertension. An independent, qualified doctor is best placed to assess whether treatment is appropriate and whether further investigation is warranted.
Available treatments
The following prescription medications are described here for sexual health conditions. Independent doctors make prescribing decisions. Licensed pharmacies dispense only where approved and available. This comparison is provided for informational purposes only.
| Medication | Active Ingredient | Condition | Duration of Action |
|---|---|---|---|
| Sildenafil | Sildenafil citrate | Erectile dysfunction | 4–6 hours |
| Tadalafil | Tadalafil | Erectile dysfunction | Up to 36 hours |
| Dapoxetine | Dapoxetine HCl | Premature ejaculation | Short-acting (on demand) |
Key distinctions:
- Sildenafil: The original PDE5 inhibitor, taken 30–60 minutes before sexual activity. Food may slightly delay onset. Generic formulations are widely available.
- Tadalafil: Longer-acting PDE5 inhibitor, also available as a low daily-dose formulation for men who prefer not to plan around timing.
- Dapoxetine: Taken 1–3 hours before sexual activity. Not suitable for patients taking certain other medications including other SSRIs or monoamine oxidase inhibitors.
How to get sexual health treatment online
Prescrivia operates as a technology intermediary. We do not prescribe medications, employ doctors, or sell medicines. Our platform collects your health assessment for review by an independent licensed prescriber.
The process:
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Complete a health assessment — Answer a structured set of medical questions covering your condition, duration, relevant medical history (including cardiovascular health), and current medications. The assessment is confidential and handled with full GDPR compliance.
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Independent doctor review — An independent doctor reviews your assessment. If medication is clinically appropriate, the doctor may issue a prescription. If it is not — for example, due to contraindications with existing medications such as nitrates — the doctor will explain the reasoning.
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Pharmacy fulfilment — A valid prescription does not guarantee dispensing or delivery. An independent licensed pharmacy checks lawful supply, stock and an available supply route for the destination country.
Important: Prescrivia does not guarantee that a prescription will be issued. Prescribing decisions are made entirely by independent medical professionals.
How we compare
| Through Prescrivia | In-person GP appointment | |
|---|---|---|
| Availability | Online assessment, subject to platform availability | Subject to appointment availability |
| Wait time | Review time depends on clinical needs and availability | Depends on appointment availability |
| Travel required | No | Yes |
| Confidentiality | See the Privacy Policy for data handling and safeguards | Standard clinical confidentiality |
| Prescribing decision | Made by independent doctor | Made by your GP |
| Cost | Transparent pricing displayed upfront | Varies by country and healthcare system |
Note: Sexual health concerns that may involve infection, pain, structural abnormalities, or hormonal disorders require in-person clinical evaluation. Prescrivia’s platform is appropriate for adults with conditions — such as erectile dysfunction or premature ejaculation — that are suitable for remote assessment and pharmacological management.
Sources
Medical information on this page is based on the following sources:
- [1] European Medicines Agency (EMA). Priligy (dapoxetine) — Summary of Product Characteristics. Available at: ema.europa.eu
- [2] Feldman HA, et al. Impotence and its medical and psychosocial correlates: results of the Massachusetts Male Aging Study. J Urol. 1994;151(1):54–61. PubMed.
- [3] World Health Organization (WHO). Sexual health — key facts. who.int
Medical information may change as clinical guidance is updated. It is provided for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional for advice relevant to your individual health circumstances.
Availability, dispensing and delivery depend on the country, clinical assessment, pharmacy and applicable law. A Spanish-language page does not establish eligibility for supply in Spain.
Frequently asked questions
- How does an online assessment for sexual health medication work?
- Yes. Prescrivia connects you with independent doctors who can review your health profile and, where clinically appropriate, issue a prescription. See the Privacy Policy for data recipients, service providers, and safeguards.
- What conditions does Prescrivia's sexual health service cover?
- The sexual health category covers conditions where prescription medication may be appropriate, including erectile dysfunction and premature ejaculation. Contraception, STI treatment, and other sexual health conditions may require in-person consultation with a specialist.
- Is my assessment for sexual health medication confidential?
- See the Privacy Policy for data recipients, service providers, and safeguards.
- How does dapoxetine differ from sildenafil or tadalafil?
- Sildenafil and tadalafil are phosphodiesterase type 5 (PDE5) inhibitors used to treat erectile dysfunction. Dapoxetine is a short-acting selective serotonin reuptake inhibitor (SSRI) used to treat premature ejaculation. They treat different conditions and work through different mechanisms.
- Can sexual health conditions indicate an underlying health problem?
- Erectile dysfunction in particular can be an early indicator of cardiovascular disease, diabetes, or hormonal imbalances. The online health assessment includes questions designed to identify relevant risk factors. If indicated, the reviewing doctor may recommend in-person follow-up investigations.
Intermediary notice: Prescrivia connects patients with independent doctors and licensed pharmacies. We do not provide medical advice, employ doctors, or sell medicines. All medical decisions are made by independent healthcare professionals, and prescription-only medicines require a valid prescription. Treatment is not guaranteed — whether a prescription is issued depends on an independent doctor's clinical assessment.
Ready to begin your assessment?
Complete a short health assessment and, where clinically appropriate, connect with an independent doctor for review.
Prescrivia is not a doctor or pharmacy — it is a technology platform. Any prescription decision is made by an independent doctor; medicines are dispensed by licensed pharmacies only where available.