Erection problems? Find out what’s causing them.
Speak via video with a doctor who will take the time for you. Discreetly and from home. If you like, we can check your hormone levels beforehand.
How would you like to start?
Only the doctor decides whether treatment is appropriate.
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Every 5th.
Men between the ages of 30 and 80 experience erectile problems.
Braun et al., Cologne Male Survey
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3 years
For this long, men with heart disease had shown erectile problems on average before the heart problems.
Montorsi et al., Eur Urol 2003
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6 months
Only then is it considered an erectile dysfunction. Occasional issues are normal.
EEA Guideline
What could be the cause. And how we find out.
For an erection, blood vessels, nerves, hormones, and the mind must work together. If there is a problem anywhere, it often shows up here first.
That is why we start with the cause.
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Hormones
If testosterone levels in the blood are too low, libido is the first thing to decline. Erections can also become weaker.
Here’s how we’ll clear it up: The Extended Hormone Test measures testosterone, free testosterone, LH, FSH, SHBG, estradiol, prolactin, and PSA. Your doctor will discuss the results with you.Extended Hormone Test · €179,90 -
Blood Vessels and Heart
The blood vessels in the penis are very small. Circulation problems often become apparent there earlier than in the heart.
Here’s how we’ll clear it up: The doctor asks about blood pressure, smoking, family medical history, and physical fitness. If necessary, he recommends further tests or an on-site examination.If needed: Heart Health Plus · €99,90 -
Metabolism
High blood sugar and unfavorable blood lipids are among the most common reasons.
Here’s how we’ll clear it up: The doctor assesses your risk. If necessary, blood sugar and blood lipids will be added.If needed: Metabolism check · €79,90 -
Head and Partnership
Stress, pressure and conflict take their toll. Often, physical and psychological factors come together.
Here’s how we’ll clear it up: In a conversation, if you wish, together with your partner. -
Medication and everyday life
Some medications, for example those for high blood pressure, can affect erections. Smoking, alcohol and too little sleep also have an impact.
Here’s how we’ll clear it up: The doctor will review your medications and habits with you. Please never stop taking medication on your own.
Here's how it works
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Select appointment
You choose an appointment online. You don't need lab results for this.
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Talk to the doctor
You will discuss your symptoms, medical history, medications, and risks via video.
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Continue together
You determine the next steps. This could be a lab test, an in-person appointment, or a treatment, if the doctor deems it appropriate.
Would you like to discuss your hormone levels? Then order the Extended Hormone Test beforehand. You will receive the results digitally.
Discreet, from the start
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Neutrally packaged
No one can tell what's inside the test kit.
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From home
No waiting room. Have the conversation wherever you want.
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Your data stays with us
Processed in accordance with the GDPR. Only the doctors treating you can see your data.
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Delivery by mail-order pharmacy
If your doctor prescribes something, you can fill the prescription at an online pharmacy and have it delivered to your home.
Wo stehst Du gerade?
Direkt ins Arztgespräch
Du buchst eine Videosprechstunde und besprichst Deine Beschwerden zuerst mit dem Arzt. Laborwerte brauchst Du dafür nicht; ob ein Labortest sinnvoll ist, legt Ihr gemeinsam fest. Das Gespräch dauert 15 Minuten, kostet ca. 60–70 € und wird vom Arzt nach GOÄ abgerechnet.
Erst Hormontest, dann Arztgespräch
Du startest mit dem Erweiterten Hormontest von zu Hause und gehst mit fertigen Befunden ins Gespräch. Bestimmt werden u. a. Testosteron, LH, FSH, Estradiol und Prolaktin; Deinen Befund bekommst Du digital.
from €179,90
Inklusive Steuern, kostenloser Versand, 14 Tage Geld-zurück-Garantie
Book your video consultation.
When You Should Go Directly to a Doctor's Office
Some things are not suitable for a video consultation. Please go directly to a local doctor, or call 112 in case of an emergency, if:
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In addition to erectile problems, chest pain, shortness of breath, or reduced performance during exertion occur
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the problems suddenly began after an injury, surgery, or radiation treatment in the pelvic area
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You notice a new curvature, hardening, or pain in the penis
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an erection lasts longer than four hours. This is an emergency.
Frequently Asked Questions
Do I need lab results beforehand?
Do I need lab results beforehand?
No. The video consultation works without it too. We still recommend the Extended Hormone Test: With your hormone levels, the doctor can more accurately assess what is causing it.
Can a testosterone deficiency cause erectile problems?
Can a testosterone deficiency cause erectile problems?
Yes. Testosterone primarily affects libido, but also erections. Only a blood test, preferably taken in the morning, can show whether there is a deficiency. Find out more on our page about testosterone deficiency.
Will I automatically receive treatment after the consultation?
Will I automatically receive treatment after the consultation?
No. The conversation is the basis for the medical assessment. Whether and how treatment will be carried out is decided by the doctor together with you.
How do I get a medication if the doctor prescribes one?
How do I get a medication if the doctor prescribes one?
You will receive a prescription and can fill it at any pharmacy, including an online pharmacy that can ship the medication to your home. The choice of pharmacy is up to you.
How much does that cost? Does health insurance cover it?
How much does that cost? Does health insurance cover it?
The video consultation lasts 15 minutes, costs approx. €60–70 and is billed by the doctor according to the GOÄ. The Extended Hormone Test costs from €179.90. You pay for both yourself; private health insurance partially reimburses medical services.
Why isn't an online questionnaire enough?
Why isn't an online questionnaire enough?
Erectile dysfunction has many different causes, some of them serious. A conversation with a doctor, supported by lab results where appropriate, provides much more than a questionnaire.
Quellen (6)
- Salonia A. et al. EAU Guidelines on Sexual and Reproductive Health. European Association of Urology, 2025.
- Braun M. et al. Epidemiology of erectile dysfunction: results of the „Cologne Male Survey“. Int J Impot Res. 2000;12(6):305–311.
- Montorsi F. et al. Erectile dysfunction prevalence, time of onset and association with risk factors in 300 consecutive patients with acute chest pain and angiographically documented coronary artery disease. Eur Urol. 2003;44(3):360–364.
- Thompson I.M. et al. Erectile dysfunction and subsequent cardiovascular disease. JAMA. 2005;294(23):2996–3002.
- Gupta B.P. et al. The effect of lifestyle modification and cardiovascular risk factor reduction on erectile dysfunction: a systematic review and meta-analysis. Arch Intern Med. 2011;171(20):1797–1803.
- Bhasin S. et al. Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2018;103(5):1715–1744.
Adon Health offers lifestyle laboratory tests. Medical services (review of results, diagnosis, treatment decisions) are provided exclusively by independent, licensed cooperating physicians who are free to make their own treatment decisions. This page is for general information purposes only and is not a substitute for individual medical advice.

