Erectile Dysfunction (Men Only) Hypoactive Sexual Desire Disorder (Women Only) genuine prescription medicine for erectile dysfunction fast, safe & simple An approved service provided by UKMeds4U.com using UK GMC registered doctors & RPSGB registered pharmacists Hypoactive Sexual Desire Disorder (Women Only) Prices from as low as £80.00 for 8 patches. By continuing past this point, you are formally and officially beginning the prescribing process of a FREE online e-consultation to obtain Prescription Only Medicine (POM). You can stop or leave at any point in this process, with no cost or oblingation. Completing the prescribing process of your e-consultation is not a guarantee that a prescription will be issued to you, if our doctor feels the specific medicine is not appropriate for you, in your current medical condition. We do not charge you anything if our doctor does not issue you a prescription. If a prescription is not issued, you will be informed of this and exactly why it was not issued. To continue past this point, you must answer the medical questions below, in order for us to make an immediate initial assessment of your condition and medical needs. This is a requirement under UK law. Medical Questions: Gender: Please Select... Male Female Date of Birth: Day 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Year 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 Weight: st. lbs. kg.     Height: ft. in. cm.     Do you suffer descreased Libido? Yes No Have you had removal of your Uterus and Ovaries? Yes No Are you allergic (hypersensitive) to testosterone or any of the other ingredients of Intrinsa? Yes No Do you know if you have had in the past, currently have, or think that you might have, breast cancer or any other cancer which your doctor has described as being caused or stimulated by the female hormone estrogen, also called ‘estrogen-dependent’ cancers? Yes No Do you have other conditions that your doctor may consider not appropriate for the use of estrogen and/or testosterone? Yes No Do you have a history of heart, liver or kidney disease? Yes No Are you a diabetic? (As testosterone may lower blood glucose levels). Yes No Do you have a history of excessive adult acne, body or facial hair, hair loss, enlargement of the clitoris or voice deepening or hoarseness? Yes No Hypertension (High Blood Pressure) Yes No Low Blood Pressure Yes No Tourette Syndrome Yes No Glaucoma Yes No Prostate Problems Yes No Servere Depression or Psychiatric Illness Yes No Anorexia or Bulimia Yes No Thyroid Problems Yes No Chronic Malaborption Syndrome (insufficient absorption of nutrients) Yes No Inflammatory Bowel Disease Yes No Hypertension (High Blood Pressure) Yes No Low Blood Pressure Yes No Adrenal or Addison's Disease Yes No Poor Kidney Function or Disease Yes No Heart Attack / Failure or Problems Yes No Fits (Epilepsy) Yes No Liver Tumors or Long or Short Term Liver Disease Yes No Blood Clots in the Legs, Lungs, Eyes or anywhere else (stroke, deep venous thombosis, pulmonary embolus) or is there a family history of any of these. Yes No Are you currently taking any medication? (if yes, please state) Yes    No Are there any other medical condition/s you should feel we should know? Yes    No Home | Terms | Privacy Policy | Delivery Info | FAQ's | Customer Services | Contact Us