Carisma Medical
Consultation in progress
How it works
From Your Phone To The Pharmacy
No waiting room to sit in, and nobody at a counter who needs the story first. You answer the questions once, you meet a doctor at a time you picked, and if the doctor prescribes, the prescription reaches your inbox.
Pre-assessment, then book your consultation
Direct, respectful questions about your health, your heart and what has been happening, answered from wherever you are, free. Then you choose the time that suits you. Your doctor reads your answers before you meet, so none of the call is spent on paperwork.
Pre-assessment free · €59 paid when you book, and that is your consultation
Meet your doctor on video
At the time you booked, a doctor registered with the Medical Council of Malta goes through your case with you properly. This is a medical review rather than a checkout, and your cardiovascular health is part of it, because on this condition it matters more than most men know. Sometimes the answer is no, and you will hear why.
20 minutes · every patient, no exceptions
Your prescription, in your inbox
If the doctor prescribes, your private digital prescription is emailed to you as soon as the doctor issues it, usually straight after the call. It covers what the doctor has decided is right for you.
Emailed to you · also in your patient portal
Collect at any pharmacy
Take it to any pharmacy in Malta or Gozo. You pay the pharmacy directly, at its own price. We never sell or ship medicine. Nothing runs in the background afterwards. When you want to be seen again, you book again, at €59, with the doctor who already has your file.
Any pharmacy in Malta or Gozo
€59 is paid when you book. The consultation happens either way.
Who this is for
Is An Online Consultation Right For You?
Most men put this off for months, and plenty put it off for years. Below is the honest picture of who this service can help from home and who needs a doctor in the room first. Part of what the assessment does is check that nothing more serious is being missed, because erectile difficulty is sometimes the earliest signal a circulation or blood sugar problem gives.
Likely suitable
- Erections have become unreliable, and it is starting to get in your head
- It came on gradually, or it comes and goes with stress, tiredness or alcohol
- You have been putting this off for months or years
- It has arrived alongside weight gain, raised blood pressure or raised blood sugar
- You would rather deal with it quietly, with a real doctor, from home
Not suitable
- Under 18
- Taking medicines for chest pain or angina
- A heart attack, stroke or serious heart problem in the last six months
- Chest pain, pressure or breathlessness during sex or exercise
- Blood pressure that is very high, very low, or not under control
- Pain or a marked curve with an erection, which needs to be examined in person
Your final suitability is decided by a doctor at your consultation, never by a checklist. The online pre-assessment is free. You pay €59 when you book, and that is what covers your 20-minute video consultation. If the doctor prescribes, the medicine is a separate purchase. Collect at any pharmacy in Malta or Gozo. You pay the pharmacy directly, at its own price. We never sell or ship medicine. The doctor gives you their time and their answer either way. If the doctor judges treatment appropriate, your prescription covers what they have decided is right for you, and it is in your inbox straight after the call. If the honest answer is that your heart should be looked at in person before anything is prescribed, that is what you will be told. It is not a rejection, and for some men it turns out to be the most useful thing this service ever does for them.
An honest comparison
Three Ways To Deal With It
| Carisma Medical | A typical GP visit | Foreign pill websites | |
|---|---|---|---|
| Who reviews you | A Malta-registered doctor, 20 minutes on video | A real doctor, face to face | Often nobody you can verify |
| Whether your heart is checked | Screened before anything is prescribed | Your GP knows your history and will check | Usually never asked about |
| Privacy | No waiting room, no counter, nobody but the doctor | The waiting room may know you | Your health data leaves the country |
| Your prescription | Emailed to you if the doctor prescribes, collected at any pharmacy in Malta or Gozo | Valid everywhere in Malta | May not be valid in Malta at all |
| Aftercare | Book again whenever you need to, at €59 a consultation | Book another visit | Usually none |
| When treatment is not safe | Our doctor says no, and tells you why | Your GP will tell you honestly | The parcel ships anyway |
Who reviews you
- Carisma Medical
- A Malta-registered doctor, 20 minutes on video
- A typical GP visit
- A real doctor, face to face
- Foreign pill websites
- Often nobody you can verify
Whether your heart is checked
- Carisma Medical
- Screened before anything is prescribed
- A typical GP visit
- Your GP knows your history and will check
- Foreign pill websites
- Usually never asked about
Privacy
- Carisma Medical
- No waiting room, no counter, nobody but the doctor
- A typical GP visit
- The waiting room may know you
- Foreign pill websites
- Your health data leaves the country
Your prescription
- Carisma Medical
- Emailed to you if the doctor prescribes, collected at any pharmacy in Malta or Gozo
- A typical GP visit
- Valid everywhere in Malta
- Foreign pill websites
- May not be valid in Malta at all
Aftercare
- Carisma Medical
- Book again whenever you need to, at €59 a consultation
- A typical GP visit
- Book another visit
- Foreign pill websites
- Usually none
When treatment is not safe
- Carisma Medical
- Our doctor says no, and tells you why
- A typical GP visit
- Your GP will tell you honestly
- Foreign pill websites
- The parcel ships anyway
An honest note: if your GP already knows your history, they are a perfectly good place to start, and we will say so when it is true. We exist for the care people put off for years because asking for it in person felt impossible.
Before you decide
One Check Worth Doing First
Low testosterone and erectile difficulty overlap often enough to be worth separating, and they are not the same thing. If your energy, your drive, your mood and your strength have all slipped together, these are the right questions to answer before you speak to anyone. Free, private, and no email required.
Age, height, weight, eight yes or no answers
Low Testosterone Symptom Check
Eight questions about energy, drive, mood and strength, answered in private. It describes the symptoms you reported and where to take them. A blood test is the only way to know.
Open the symptom checkA symptom check is not a diagnosis, and a clear result does not rule anything in or out. This concern has more than one cause working at once more often than it has a single one, and untangling which is which is exactly what the consultation is for.
Before you ask
The Questions People Actually Have
What conditions do you treat?
Two of the most common and least talked about: erectile difficulties, and premature ejaculation, which simply means finishing sooner than you want to. Both are medical conditions, both are common at every age, and both usually respond to treatment. Neither is a verdict on you.
Who sees my answers?
Your reviewing doctor and our small clinical team, and nobody else. Your answers are a medical record, held in medical confidence. They are never sold, never shared with advertisers, and never discussed outside your care.
Why do you ask so many questions about my heart?
Because erectile difficulties and heart health are connected, and a service that ignores that is not looking after you. Our review screens your cardiovascular health properly. For most men the outcome is straightforward and treatment proceeds. For a few, the honest advice is a heart check first, and giving you that advice is part of the job.
What does it cost?
The 20-minute video consultation with a Malta-registered doctor is €59, paid when you book, and the online pre-assessment before it is free. You buy one consultation at a time. Nothing runs underneath between consultations and there is no monthly fee, so when you want to be seen again you book again, at €59. If the doctor prescribes, the medicine is a separate purchase. Collect at any pharmacy in Malta or Gozo. You pay the pharmacy directly, at its own price. We never sell or ship medicine.
What treatment will I get?
That is decided by your doctor, for your body and your situation, and EU rules rightly do not allow prescription medicines to be advertised to the public. What we can say: the established treatments in this area are well studied, there are options for use as needed and options for daily use, and your doctor will talk them through with you privately before anything is prescribed.
Is treatment safe?
When it is prescribed after proper screening, for the right person, it has a long and well-understood track record. That screening is exactly what your review is for, and it is why we ask about your heart and your other medicines. You will also get clear safety rules in writing, including the ones that matter most: chest pain during sex means stop and call 112, and an erection lasting more than 4 hours means the Emergency Department, same day.
Will my partner or anyone else find out?
Only if you tell them. There are no branded deliveries, no calls to your home, and no waiting rooms. If the doctor prescribes, the prescription is emailed to you straight after the call, and you collect it at any pharmacy in Malta or Gozo that you choose. Many men tell their partner in their own time, and some find the conversation easier once the problem is being handled. Both are your call.
What if it is not really about medication?
Sometimes it is not. Stress, anxiety, relationships and sleep all play a part, and sometimes the physical side is a symptom of something else that needs attention. Your doctor will tell you honestly which is which, may combine treatment with practical guidance, and will refer you onward if that is what your health actually needs.

