Your health and safety are our top priorities. To ensure we provide you with the most effective and appropriate treatment, it is crucial that you provide accurate and complete information about your health during our online consultation process. Accurate information helps us understand your condition better, assess any potential risks, and recommend the best possible medication for your needs. Providing false or incomplete information can lead to inappropriate treatment, potential health risks, and delays in receiving the care you need. Thank you for your cooperation and trust in our services.

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I ejaculate less than 5 minutes after penetration
Premature ejaculation causes me to be distressed
Premature ejaculation causes me relationship difficulties
I have been suffering with premature ejaculation for at least 6 months

  • leeding disorders
  • Epilepsy
  • Glaucoma
  • Low blood pressure (either number below 90/60)
  • Mental health disorders such as depression, anxiety, bipolar

  • Difficulty passing urine
  • Feeling faint or lightheaded when standing up
  • Testicular pain



Accurately describing your condition during our online consultation is essential for ensuring you receive the best possible care. Detailed and truthful information about your symptoms, their frequency, and their severity allows our healthcare professionals to make informed decisions about your treatment. Incomplete or incorrect descriptions can result in inappropriate medication, potential health risks, and delays in your care. Your honesty and thoroughness help us provide you with the most effective and safe treatment options. Thank you for your cooperation and trust in our services.

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If yes, then please answer the following questions:

  • What dose did you take?
  • Did you find this dose effective?
  • Did you suffer any intolerable side effects?

If yes, then please list them


If so, then please list them. This includes over the counter medication, prescription medication, and recreational drugs






Please take the time to carefully read the Agreement and Consent statements during our online consultation process. Understanding these statements is essential for your safety and for ensuring that you are fully informed about the treatment you will receive. The Agreement and Consent sections outline important information about the risks, benefits, and responsibilities associated with your medication. By reading and agreeing to these terms, you help us ensure that you are aware of and comfortable with the treatment plan. Your informed consent is crucial for providing you with the best possible care. Thank you for your cooperation and trust in our services.

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The photo will only be used to verify your identity and will not be shared elsewhere. We aim to strictly adhere to data protection legislation and rigorously maintain patient confidentiality.

Only .jpg, .jpeg, .png, and .gif formats are allowed.(10MB file size limit)