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Testosterone replacement therapy belongs to sexual health, but Hi-Doctor does not prescribe it directly because the alternatives we offer carry robust clinical evidence and EMA authorisation without the monitoring burden of TRT. Here is why, and what a doctor considers instead.
Although testosterone therapy is associated with sexual health, it is not the first-line treatment we prescribe on Hi-Doctor. The alternatives we do offer carry robust clinical evidence and EMA authorisation.

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Can I get it?

A licensed doctor reviews your case and chooses between EU-authorised options. If none is safe or appropriate for you, they say so at no extra cost.

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What Hi-Doctor offers instead

A licensed doctor decides case by case. We never prescribe without evaluation.

Sildenafil (Viagra)

Phosphodiesterase-5 inhibitor. The doctor assesses it after ruling out cardiovascular contraindications.

Tadalafil 10/20mg

Long-acting PDE5 inhibitor. Available in low doses for daily use or higher doses on demand.

Vardenafil 5/10/20mg

Alternative within the same class, sometimes better tolerated depending on the patient’s profile.

Avanafil 50/100/200mg

Faster-acting PDE5 inhibitor. An option for selected patients based on medical judgement.
Alprostadil (marketed as Vitaros), a topical option for patients who don’t respond to PDE5 inhibitors or have contraindications to them, is also assessed by the doctor for suitability.

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Common questions

No. Hi-Doctor does not prescribe testosterone replacement therapy directly. The doctors review your case and choose between EU-authorised alternatives such as PDE5 inhibitors or alprostadil, which carry robust clinical evidence and EMA authorisation.
A licensed doctor considers sildenafil, tadalafil, vardenafil, avanafil or alprostadil depending on your history and the nature of your concern. If none is safe for you, the doctor tells you at no extra cost and the consultation fee is refunded.
Testosterone therapy requires regular blood monitoring, is not the first-line treatment for erectile dysfunction in all cases, and the alternatives we do offer are backed by robust clinical evidence and EMA authorisation for sexual health.
Yes — testosterone replacement therapy (TRT) is another name for testosterone therapy. It is not prescribed directly through Hi-Doctor, but the doctor can review your case and propose an equivalent sexual health treatment with EU authorisation.
If the doctor decides that your case needs investigation by a specialist — for example, an endocrinologist or a urologist — they will tell you. The online review is a first assessment, not a substitute for in-person care where it is needed.

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How Hi-Doctor handles it

1

Start your online visit

Answer a questionnaire about your health and goal. No in-person appointment, no travel.
2

A doctor reviews your case

A licensed doctor reviews your answers personally. If they need clarifications, they message you in the private chat on your account.
3

Review and payment

If the doctor does not approve treatment, your consultation fee is refunded in full within 48 hours.
4

Ongoing support

Private chat with your doctor for questions, a check-in, and renewal before your prescription expires.
See how the consultation works, how we handle safety and eligibility, and pricing. For the underlying concern, see erectile dysfunction and low libido.

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Start a consultation

Sexual health consultation

Answer the sexual health questionnaire and a registered doctor reviews it. They decide whether treatment is appropriate, which one, and at what dose — and declining is a normal outcome. See what it costs and how the review works.
This page is reference information, not medical advice and not a prescription. Whether a medicine is appropriate for you is decided by a registered doctor after reviewing your consultation.