Erectile dysfunction: discreet assessment, medical treatment
Describe your concern, a doctor reviews it and talks with you in confidence about how your erection problems can be treated. Discreetly by video or in person in Munich, from €59.
From €59 online and at the practice. You pay for medication separately, in neutral packaging.
In their forties about one man in ten is affected, in their sixties already one in three. Usually blood flow is behind it, not the mind. The first step is a short appointment with a doctor, online or on site.
Research basis: IQWiG, Deutsche Gesellschaft für Urologie, Apotheken-Umschau, AHA and clinical studies.
Treating erection problems online: three steps to a medical assessment
You describe your erection problems online, a doctor reviews your details personally, and you receive suitable treatment discreetly. There is no guarantee of a prescription, the doctor decides case by case.
Answer questions
You describe your situation confidentially.
A doctor reviews it personally
A licensed doctor looks at your details and decides whether the treatment is suitable.
Receive it discreetly
If treatment is an option, the private prescription is sent to the pharmacy of your choice.
How is erectile dysfunction treated?
There is no single route. The building blocks carry equal weight and often complement each other.
Clarifying the causes
Blood vessels and heart, hormones and mind: the doctor first clarifies what lies behind the symptoms.
Lifestyle
Not smoking, regular exercise, keeping an eye on weight and alcohol: this works alongside any treatment.
Medications
If suitable, medications from the group of PDE-5 inhibitors may be an option. Beforehand, the doctor checks your cardiovascular health and possible interactions.
Talking therapy or sex therapy
With stress, performance anxiety or relationship issues, talking therapy or sex therapy can be one building block.
Referral to urology
If needed, a referral to urology follows for further investigation.
Deciding together
The doctor decides in the consultation which treatment is right.
Erectile dysfunction can be an early warning sign for the heart
The blood vessels in the penis are considerably finer than the coronary arteries. A developing circulatory problem often shows up there first, sometimes years before the heart shows any trouble. That is exactly why it is wise to look into it early.
Taking erectile dysfunction seriously therefore means caring not only about your sex life but about your vascular health in general. That is no reason to worry, but a chance to act in good time.
Erectile dysfunction can be the first visible sign of a developing narrowing of the blood vessels.
In this time, blood pressure, blood lipids, exercise and lifestyle can be improved in a targeted way.
Acting early lowers the risk of later cardiovascular events.
Body, mind or both
Often several things come together. In younger men the mind is frequently to the fore, with age more often physical causes. Whether you call it potency problems, erection problems or erectile dysfunction: it means the same thing, and that is exactly what the doctor assesses for you. You can read about causes, warning signs and when it makes sense to see a doctor in our guide Erection problems.
Physical causes
Most often circulatory problems. With increasing age the most likely explanation.
- Blood vessels, high blood pressure, arteriosclerosis
- Diabetes and metabolism
- Hormones
- Certain medications
Excess weight and diabetes are among the most common drivers. Tackling those often helps the erection too. More on this in our weight loss injection consultation.
Psychological causes
Above all in younger men. A vicious circle of tension and renewed pressure often develops.
- Stress and exhaustion
- Fear of failure and of expectations
- Relationship issues
- Low mood
What you can do yourself
Hair loss has its own consultation
Hereditary hair loss has its own consultation at Cureal, with a page of its own. You will find the process and costs there.
€59 at the practice and online
Initial and follow-up consultations at the same price. No hidden fees, you pay for the medication separately.
At the practice €59
- Personal medical review of your details
- Cardiovascular health and medications clarified
- Discussing the right treatment
- Prescription if suitable
Online €59
- Same scope of service as at the practice
- Video consultation conveniently from home
- Neutral packaging, nothing recognisable from the outside
The costs for a medication depend on the particular active ingredient and the scope. Services relating to erectile dysfunction are generally to be paid privately and are usually not covered by German statutory health insurers. You see the price before each order.
Transparent instead of hidden: At Cureal the medical appointment costs €59, online and at the practice, stated upfront and without hidden fees. This applies to initial and follow-up consultations alike. You pay for the medication separately at the pharmacy price.
Why the medical review matters
Medications for erectile dysfunction are well tolerated by most men, but they are not suitable for everyone. A few points need to be clarified beforehand. That is exactly what happens briefly in the appointment.
Important to know
If you take nitrates for heart problems, for example as a spray or tablet, these medications must not be taken. The combination can lower blood pressure dangerously. That is why we ask about your medications and pre-existing conditions in detail.
- Nitrates for angina pectoris
- Recent heart attack or stroke
- Severe, unstable heart disease
The quick suitability check
Behind every review are licensed Cureal doctors from a real practice, not an automated system. Meet the medical team.
Discreetly by video, or in person at the practice
You choose the route that feels right for you: confidentially by video consultation or in person at our practice in Munich.
Video consultation
View the Munich practice: opening hours and directions. Care across Germany by video consultation.
Prefer a private setting to the practice? In Munich, a house or hotel visit is also possible.
What patients say about Cureal (original reviews in German)
General reviews of the practice from Google, reproduced unchanged (original reviews in German).
Ich bin sehr zufrieden. Die Praxis ist schön, die Mitarbeiter sehr freundlich und die Beratung sehr kompetent. Es wird sich Zeit genommen, um alle Fragen des Patienten zu beantworten.
Sehr empfehlenswert und top Beratung durch sehr freundliches Ärzteteam. Einmalig in München und eine Apotheke direkt nebenan.
Sofortige Terminvergabe, sehr angenehmer Besuch. Die Beratung zur Cannabistherapie war professionell und der Ablauf tadellos. Klare Empfehlung!
Ich bin rundum zufrieden mit dieser Praxis. Die Terminvergabe erfolgt schnell und unkompliziert, die Wartezeiten sind kurz. Der Arzt nimmt sich viel Zeit und erklärt alles verständlich.
What men ask most often
Honest answers to the questions people rarely ask out loud.
Book a discreet appointment
Very common, so you are not alone. In their forties about one man in ten is affected, in their sixties already one in three. Erectile dysfunction is a medical topic like many others, not a reason for shame.
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.
At Cureal you describe your concern online, a licensed doctor reviews your details and discusses the appropriate treatment with you. If the doctor prescribes a medication, we send the prescription to your preferred pharmacy.
The medical appointment costs €59, by video or at the practice, stated upfront and without hidden fees. Initial and follow-up consultations each cost the same. You pay for the medication separately at the pharmacy price. Services relating to erectile dysfunction are to be paid privately and are generally not covered by German statutory health insurers.
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.
Further consultation areas at Cureal
Men's health is one part. The same medical team also looks after these topics, with the same short route.
Hair loss
When your hair gets thinner: have the causes clarified by a doctor and discuss the treatment options that suit you.
To the hair loss consultationMedical weight loss
Weight reduction with medical support. Less weight often takes pressure off the heart and the erection too.
Go to medical weight lossGet it sorted
Erectile dysfunction: medical advice, from €59 online or at the practice. Discreet, no waiting room, neutral packaging.
Questions beforehand? Write to us confidentially via Contact.