0%

15%

20%

24%

28%

34%

49%

57%

48%

  • Ecstasy
  • LSD
  • Cocaine
  • Methamphetamine
  • Poppers

54%

58%

62%

66%

71%

Final Acknowledgment:

Thank you for answering questions about your health and experiences with premature ejaculation. Your responses will assist our licensed clinicians in determining if a prescription for premature ejaculation could be appropriate for you. They will promptly review your answers and get back to you with suitable suggestions.

Before Submitting Your Answers, Please Acknowledge The Following:

  • You Will Be The Only Individual Using Any Medication That May Be Suggested Through This Service.
  • You Affirm That All Answers Provided In This Questionnaire Are Honest And Accurate To The Best Of Your Knowledge.
  • You Commit To Reading The Patient Information Leaflet (PIL) If A Treatment Is Recommended.
  • You Agree To Inform Your GP Of Any Prescribed Treatment And To Contact Them If You Experience Any Associated Side Effects.
  • You Were Identified As Male At Birth.
  • You Are Currently Experiencing Issues With Premature Ejaculation.
  • You Have Provided Accurate Information About Any Serious Illnesses Or Surgeries You've Had In The Past.
  • You Have Disclosed Any Prescription Medications You Are Currently Taking.
  • You Will Commit To Using Only One Premature Ejaculation Treatment At A Time And Will Not Combine Different Medications For This Condition.
  • You will abstain from consuming alcohol when taking prescribed medications such as Priligy or paroxetine, understanding that combining them can lead to low blood pressure, dizziness, and drowsiness.
  • You are in agreement with our Terms & Conditions and Terms of Sale.
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