Erectile dysfunction treated by a doctor, online and on site.

Yes. Every enquiry is reviewed personally by a licensed doctor, no automated system decides. If the treatment is not right for you, we say so openly and show alternatives.

Very discreet. Your data is encrypted and treated confidentially, and you attend the video consultation from home. The medication arrives in neutral packaging, from the outside it is not recognisable what is inside.

No. These medications are not libido boosters. They improve blood flow, but only when you are sexually aroused. Without stimulation nothing happens. The medication supports a natural response, it does not force it.

Yes. Medications with active ingredients such as sildenafil or tadalafil are prescription only in Germany, so an effective medicine is available only on prescription. At Cureal you describe your concern online, a licensed doctor reviews your details and issues a prescription if suitable. You then collect the medication at the pharmacy or have it sent to you in neutral packaging.

The medical assessment including a prescription if suitable costs €39 by video or €49 at the practice, stated upfront and without hidden fees. Initial and follow-up consultations each cost the same. A repeat prescription only, without a consultation, is available for €29. You pay for the medication separately at the pharmacy price, usually as an inexpensive generic such as sildenafil. Services relating to erection, testosterone and hair loss are to be paid privately and are generally not covered by German statutory health insurers.

There is no best medication across the board, it depends on your everyday life. Sildenafil (the active ingredient in Viagra) is the longest established, avanafil works fastest after about 15 minutes, and tadalafil (Cialis) lasts up to 36 hours and is also suitable as a low daily dose. Which one suits you is something we discuss together.

For most men these medications are well tolerated when prescribed correctly. What matters is the medical assessment beforehand. If you take nitrates for heart problems, you must not take these medications under any circumstances, as that can be life threatening. That is why we ask about your medications in detail.

Both are possible, and often several things come together. In younger men stress or fear of failure is frequently to the fore, with age more often physical causes such as blood flow, diabetes or hormones. That is exactly what we assess together.

Yes, and that is a good reason to see a doctor early. Because the penile vessels are very fine, a circulatory problem often shows there years before problems at the heart. Erectile dysfunction can therefore be an early warning sign and the chance to act in good time.

Quite a lot. Not smoking, exercising regularly, keeping a healthy weight and cutting down on alcohol improve blood flow and often erectile function too. That works in addition to any treatment. For quitting smoking, Cureal has its own medically supervised smoking cessation.

A medical assessment is important before the first treatment, among other things on cardiovascular health and interactions. Much can be clarified by video consultation, if needed we see you on site. Your concern is of course treated confidentially.

Typical signs are declining libido, persistent tiredness and lack of drive, muscle loss despite training, low mood and problems concentrating. This can only be clarified reliably with a blood test. We measure total testosterone, free testosterone and SHBG and assess the values medically together with your symptoms.

If a deficiency has been medically confirmed, testosterone replacement therapy is an option, as a gel or as an injection. We check the values regularly and adjust the dose. The therapy belongs in medical hands, which is why we accompany you throughout. If you want to have children or have certain pre-existing conditions, we discuss this beforehand.

The medical appointment costs €39 by video or €49 at the practice, including a blood test and medical assessment. The costs for the testosterone replacement therapy itself, that is for the gel or injection, depend on the chosen medication and the scope and are fixed before ordering. Services relating to testosterone are generally to be paid privately and are usually not covered by German statutory health insurers.

Yes, in many cases. Behind hereditary hair loss, androgenetic alopecia, is the hormone DHT. Finasteride as a tablet lowers DHT and slows hair loss at its cause, minoxidil as a solution additionally stimulates growth. The earlier you start, the more hair is preserved. Which active ingredient is suitable for you is checked by the doctor beforehand.

Yes. At Cureal one medical team looks after all three topics. You do not need to go to different providers. Just say in the appointment what is on your mind and the doctor goes through the points with you, whether by video or at the practice.