Your 2 minute consultation

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About you

Our doctors need to learn a little bit about you to help understand your condition.

What's your gender?

  • Male
  • Female

What's your date of birth?

What do you weigh?

How tall are you?

Your health

We need to check if anything in your medical history could affect your condition or treatment options.

Have you been advised to avoid strenuous exercise, or do you have difficulty in walking for more than 5 minutes at a fast pace?

Do you have any eye problems, such as hereditary degenerative retinal disorders or macular degeneration?

Do you have any of the following: blood clotting disorder, sickle cell disease, multiple myeloma, leukaemia, galactose intolerance, glucose-galactose malabsorption, Lapp lactose deficiency?

Do you suffer from angina, aortic stenosis, hypertrophic obstructive cardiomyopathy, uncontrolled blood pressure, arrhythmia, or severe heart disease?

Have you had a heart operation, heart attack or a stroke in the last six months?

Do you suffer from low blood pressure, faints or collapses?

Low blood pressure is less than 90 / 50. If you are unsure, check with your GP or local pharmacy.

Do you suffer from high blood pressure?

High blood pressure is higher than 160 / 90. If you are unsure, check with your GP or local pharmacy.

Have you ever been diagnosed with diabetes or abnormal blood sugar levels?

Have you ever had any problems with your kidneys or with your liver?

Do you experience any of the following problems in relation to urination?

Slow stream of urine

Splitting or spraying of the stream or urine

Urine flow stopping and starting intermittently

Difficulty beginning urination

Needing to urinate more frequently

An urgent need to urinate

Urinary incontinence

Sensation of incomplete emptying of your bladder

Other

None of the above

In the last month, have you been diagnosed with a stomach or duodenal (peptic) ulcer?

Do you experience any of the following symptoms:

Decreased energy

Decreased libido (sex drive)

Difficulty remembering or learning new things

Difficulty concentrating

Decrease in body hair (not including balding of the head)

Gynaecomastia (development of male breast tissue)

None of the above

Do you have any known allergies?

Do you smoke?

On average, how many units of alcohol do you drink in a week?

If you're not sure, you can calculate the number of units using our guide here: https://www.drfelix.co.uk/health-center/how-many-units-of-alcohol-do-i-drink/

Are you currently suffering from any emotional or psychological problems, such as anxiety, stress or depression?

Have you experienced any recent relationship difficulties or major life events?

Do you suffer from any conditions where sexual activity is not advised?

Have you been diagnosed with hypogonadism?

Have you ever had any trauma to your pelvis, spine or genital area?

Are you currently on any strong pain killer tablets?

Are you currently taking any prescription-only medicines, alternative medicines or recreational drugs? In particular cannabis, cocaine, ecstasy or heroin, poppers or amyl nitrate.

Are you taking any other medicines for your blood pressure other than those above?

Erectile Dysfunction

These questions let our doctor know how erectile dysfunction affects you.

Do you persistently have difficulty getting and maintaining an erection?

Do you have difficulty obtaining an erection when you are not having sex i.e. during masturbation?

Did your erectile dysfunction symptoms develop suddenly or gradually over time?

Did your erectile dysfunction symptoms begin within 2 weeks of starting a new medication?

How confident are you in your ability to keep an erection?

During the last 6 months, how often have you been able to get an erection hard enough for penetration?

During the last 6 months, how difficult has it been to maintain an erection until completion of intercourse?

During the last 6 months, how often have you found sexual intercourse satisfactory?

Do you or your partner experience any pain during sexual intercourse?

Are there any other reasons why you or your partner wish to avoid sexual intercourse at the moment?

Are you circumcised?

Do you have Peyronie’s disease (a bent or curved penis?)

Do you have any lesions or sores on your penis?

Your consent

We need to check that you're aware, of and agree to a couple of things before choosing your medication.

We strongly advise that you inform your GP of any treatment you receive. Would you like us to do this on your behalf?

Fatal Reaction Warning - There can be a fatal reaction between ED tablets and nitrate medications such as NTG spray. You must not take or purchase ED medication from us if you take Nicorandil, a GTN spray, tablets, patch, gel or cream or any nitrate tablets (usually for heart conditions). You MUST see your regular GP to discuss alternative options

I understand and confirm that I am not taking nitrate medication, and would like to continue.


I agree to the terms and conditions

You confirm that you are over 18 years old. The treatment ordered is for your own use. You will read the patient information leaflet supplied with the medication. You will contact Dr Felix and inform your GP if you experience any side effects from the treatment prescribed to you or if there are any changes in your circumstances. You have answered all questions truthfully and accurately to allow our doctors to provide you with a safe service as inaccurate information can be hazardous to your health. You have read, understand and agree to abide by the Dr Felix  terms and conditions.

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Don’t forget, only our qualified doctors see the answers you provide.