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.

Do you have any known allergies to any medicine or substances?

Do you suffer from any problems with your liver or kidneys, your urinary system or digestive system?

Are you currently taking any prescription-only medicines, alternative medicines or recreational drugs?

Do you suffer from any of the following??


Chronic heart condition including angina

Heart rhythm irregularities

Problems with your heart valves

Narrowing of the arteries in your neck

Migraines or severe headaches

Do you have or have you ever had any of the following?

Have you ever had prostate surgery or been diagnosed with any conditions of the prostate?

How much alcohol do you drink daily?

Do you have any other health problems or conditions that you think we should know about?

Premature Ejaculation

These questions let our doctor know how premature ejaculation affects you.

Do you have any problem getting or maintaining an erection that is sufficient for penetration?

How long have you had problems with premature ejaculation?

How difficult is it for you to delay ejaculation?

Have you ever taken any medication to treat your premature ejaculation?

Do you experience any of the following: ejaculation before you want to, ejaculation with little stimulation, frustration or distress due to PE?

How concerned are you that your time to ejaculation leaves your partner unfulfilled?

How soon after penetrating your partner do you ejaculate?

Do you know what might be the cause of your Premature Ejaculation?

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?

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.


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