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What state do you live in?
First, we need to make sure we are licensed in your state.
What state do you live in?*
Unfortunately we cannot service this condition in your state. Please contact your local physician for assistance.
Your state may require a phone or video consultation to complete your treatment. Don't worry! Your doctor will reach out to you if this is the case.

What is your first and last name?
Name*

First NameLast Name

What is your email?
What is your email?*
example@example.com
Type a question*

By Checking Here… You agree to receive doctor correspondence，transactional and/or marketing messaging from MetaHealthRX，to the email address that you provided above.

What is your phone number?
Please enter the best phone number to reach you on just in case the doctor has any questions regarding your medical information.
Phone Number*
Please enter a valid phone number.
Type a question*

By checking this box, I also consent by electronic signature to receive phone calls and/or SMS text messages at the phone number(s) below, including my wireless number if provided. I understand these calls may be generated using an automated technology, pre-recorded voices and that data rates may apply. I understand that my consent is not required to buy goods/services and I may opt out at any time to avoid receiving calls or SMS text messages.
domain*

What is your date of birth?
Birth Date*

MonthDayYear
You must be 18 to order this prescription medication.
today*

MonthDayYear
Date
age*

What is your gender?
What is your gender?*

MaleFemale
Sorry, this treatment plan is currently only available for males.

Are you currently taking any other prescription medications?
Are you currently taking any other prescription medications?*

YesNo
takingOtherPrepMed-IMP
Please list all prescription medications you are taking or are currently prescribed. Include all over the counter medications, vitamins, minerals, or supplements.
Please list all prescription medications you are taking or are currently prescribed. Include all over the counter medications, vitamins, minerals, or supplements.*
Many medications interact with Premature Ejaculation medications. Your doctor wants to be sure of every medication you take. Are you SURE you do not take any other medications?
Yes: I affirm, I do NOT take any other medications.*

Yes: I affirm, I do NOT take any other medications.

What is your height?
What is your height?*

How much do you weigh?
How much do you weigh?*

Are you Diabetic?
Are you Diabetic?*

YesNo

Do you have High Blood Pressure / Heart Problems?
Do you have High Blood Pressure / Heart Problems?*

YesNo

Do you have any additional medical conditions?
Do you have any additional medical conditions?*

YesNo
Please list additional medical conditions.
Please list additional medical conditions.*

Are you allergic to any medications?
Are you allergic to any medications?*

YesNo
Please list all allergies.
Please list all allergies.*

Have you recently experienced any allergy symptoms?
Have you recently experienced any allergy symptoms?*

YesNo
Please list.
Please list.*

Have you seen a doctor in the last 12 months?
Have you seen a doctor in the last 12 months?*

YesNo

Have you taken P.E. medicine before?
Have you taken P.E. medicine before?*

YesNo
Please list.
Please list.*

Before ejaculation, do you ever have trouble getting or maintaining an erection that is satisfying enough for sex?
Before ejaculation, do you ever have trouble getting or maintaining an erection that is satisfying enough for sex?*

YesNo

Select your blood pressure reading taken within the last 6 months?
Select your blood pressure reading taken within the last 6 months?*

Very Low

Under 95 top, under 65 bottom
Normal

Under 120 top, under 80 bottom
High

Above 140 top, above 90 bottom
Very High

Above 160 top, above 90 bottom

Do you have premature ejaculation or do you ejaculate sooner than you or your partner desires during sex?
Do you have premature ejaculation or do you ejaculate sooner than you or your partner desires during sex?*

YesNo
How often does this happen?
How often does this happen?*

Every timeSometimesHardly ever

Are you stressed, bothered, or frustrated due to issues with ejaculations?
Are you stressed, bothered, or frustrated due to issues with ejaculations?*

YesNo

When having sex, on average, how long does it take you to ejaculate?
When having sex, on average, how long does it take you to ejaculate?Are you stressed, bothered, or frustrated due to issues with ejaculations?*

Before vaginal or anal penetration0-2 minutes after2-5 minutes after5 or more minutes

Have you ever or currently have any heart problems (including stent, irregular heart beat), low blood pressure, stroke, or circulation problems?
Have you ever or currently have any heart problems (including stent, irregular heart beat), low blood pressure, stroke, or circulation problems?*

YesNo
Please list.
Please list.*

Please confirm that you do not have a history of heart disease.
Please confirm that you do not have a history of heart disease.*

I do NOT have any history of heart diseaseYes, I have had heart disease
Please list.
Please list.*

Here's your first message to your doctor.
Please introduce yourself and feel free to:
- Ask any questions you have
- List any medical problem you have which were not discussed above
- Include anything else you would like the doctor to know.
Here's your first message to your doctor.*

0/0
moreToTellDoctor-IMP

Please acknowledge that you understand and agree to the following:

I have filled out a medical intake form that will be used by a board certified physician that is licensed in my state to make a medical treatment plan for me. I understand all the questions that have been asked of me. The information that I have provided is accurate and complete. I am the patient who is consenting to be evaluated for treatment.
Please acknowledge that you understand and agree to the following:*

I acknowledge and agree to the above.

Medications we offer:
Sertraline*

Sertraline (Zoloft) 25mg
3 months supply, 90 pills for $90.00Sertraline (Zoloft) 25mg
6 months supply, 180 pills for $162.00Sertraline (Zoloft) 25mg
12 months supply, 360 pills for $252.00
sku*
Should be Empty:

What state do you live in?

What is your first and last name?

What is your email?

What is your phone number?

What is your date of birth?

What is your gender?

Are you currently taking any other prescription medications?

What is your height?

How much do you weigh?

Are you Diabetic?

Do you have High Blood Pressure / Heart Problems?

Do you have any additional medical conditions?

Are you allergic to any medications?

Have you recently experienced any allergy symptoms?

Have you seen a doctor in the last 12 months?

Have you taken P.E. medicine before?

Before ejaculation, do you ever have trouble getting or maintaining an erection that is satisfying enough for sex?

Select your blood pressure reading taken within the last 6 months?

Do you have premature ejaculation or do you ejaculate sooner than you or your partner desires during sex?

Are you stressed, bothered, or frustrated due to issues with ejaculations?

When having sex, on average, how long does it take you to ejaculate?

Have you ever or currently have any heart problems (including stent, irregular heart beat), low blood pressure, stroke, or circulation problems?

Please confirm that you do not have a history of heart disease.

Here's your first message to your doctor.

Medications we offer: