Your 2 minute consultation

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You'll need

Before you get started, it's a good idea to make sure you have the following information to hand:

  • Weight and height
  • Photo of your face
  • Blood pressure reading
  • Photo of your ID

About you

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

What's your biological sex?

  • Male
  • Female

Cellphone number (mandatory)

e.g.5556661234. Please do not add +1. Enter only 10 digits, no spaces. * By entering your number, you agree to receive mobile messages related to your order.

What state do you live in?

What's your date of birth?

What do you weigh?

How tall are you?

Your health

We need to see if your medical history could affect the treatment options.

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: How many units of alcohol do I drink?

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

What is your blood pressure? (Please enter your blood pressure reading i.e. 140/90)

Normal blood pressure is between 90/60 and 120/80 Low blood pressure is anything lower than 90/60 Elevated blood pressure is between 120/80 and 129/80 High blood pressure is anything above 130/80. Seek immediate medical attention if your blood pressure reading is above 180/120.

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 known allergies to any medications or substances?

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

Do any of the following apply to you:


Aortic stenosis or narrowing of the arteries

Hypertrophic obstructive cardiomyopathy

Uncontrolled blood pressure


Severe heart disease

Family history of heart disease

Blood clotting disorder

High cholesterol

Sickle cell disease

Multiple myeloma


Galactose intolerance

Glucose-galactose malabsorption

Lapp lactose deficiency

Lactose intolerance

Severe insufficience of autonomic nervous system

High cholesterol


Parkinson's disease

Multi-system atrophy

Prostate condition

Previous stroke / mini-stroke (TIA)

None of the above

Do you receive any treatment for one of these conditions listed above?

Have you ever been tested for diabetes?

Have you ever had any problems with your kidneys, urinary system 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 of urine

Urine flow stopping and starting intermittently

Difficulty beginning urination

Needing to urinate more frequently than usual

Waking up in the night, because you need to urinate

An urgent need to urinate

Urinary incontinence

Sensation of incomplete emptying of your bladder


None of the above

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

Are you currently suffering any emotional or psychological problems? (e.g. little interest in doing things, feeling down / depressed / hopeless / nervous / anxious / on the edge / worrying enough that it impairs your ability to function at work or at home?)

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

Are you currently on any strong painkiller tablets?

Are you currently taking any other prescription-only medications, alternative medications or recreational drugs than already mentioned?

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

Erectile Dysfunction

These questions let our doctor know how Erectile Dysfunction affects you

Do any of the following factors apply:

I do not get as much exercise as I should

I do not eat as healthily as I should

Smoke tobacco

I drink more than I should (more than 2 drinks/day)

I do not sleep as much as I should

I'm 20+ lbs overweight

None apply

ED can be caused by certain lifestyle factors - correcting these, can sometimes improve ED symptoms.

If you are NOT circumcised, do you have trouble retracting your foreskin fully when your penis is erect?

Have you ever had penile surgery?

Do you have any of the following:

A marked curve or bend in the penis that interferes with sex, or Peyronie's disease

Pain with erections or with ejaculation

A foreskin that is too tight

Fibrous tissue in the penis (lumps and bumps under the skin that feels hard)

None of the above

If you have any of these penis conditions listed above, please provide further details of any pain you experience, if this condition interferes with your sex life and if you are receiving or have received any treatment for this condition?

If you do not have any of the conditions listed above, please write NA in the box above.

Do you persistently have difficulty getting and maintaining an erection?

How did your erectile dysfunction begin?

Select the one that best describes your ED

Have you ever been treated for erectile dysfunction? (This includes both prescription and over the counter medications, as well as any other treatments i.e. pumps, injections, implants etc.)

When masturbating, does your erection remain hard until orgasm or as long as you would like?

Do you wake up with an erection?

How often are you able to get an erection hard enough for penetration?

How difficult is it to maintain an erection until completion of intercourse?

How often do you find sexual intercourse satisfactory?

Are you experiencing decreased libido (sex drive)?

In the last 3 years, have you have a medical examination of your genitals (penis, testes, and groin)?

Is there any other information you would like to share with us, to help our doctors make an informed and a fair decision?

Your consent

We need to make sure that you are aware of and agree to some criteria before you choose your medicine.

Please confirm that you understand the following: 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 NTG spray, tablets, patch, gel or cream or any nitrate tablets (usually for heart conditions). You MUST see your regular doctor to discuss alternative options.

I agree to the terms and conditions

  • I confirm I am 18 years old or above
  • I am using this service on my own behalf and of my own free will and any treatment or advice is for my sole use only
  • I understand my consultation will not be passed to the Medzino clinical team until I have successfully completed payment
  • I will read the patient information leaflet supplied with the medicine or obtain it from the Mezino website; especially the side effects and dosages.
  • I take responsibility to inform my own regular doctor of the online consultation or any changes in my circumstances.
  • I agree to the Medzino terms and conditions.
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