Carisma Medical
Consultation in progress
How it works
From Your Phone To The Pharmacy
Nothing to say out loud in a room with other people in it, and no conversation at a counter. Just you and a doctor, at a time you picked, and if the doctor prescribes, the prescription reaches your inbox.
Pre-assessment, then book your consultation
Answer the questions from wherever you are, free, in your own words and at your own pace, then choose the time that suits you. Your doctor reads your answers before you meet, so the call starts where you actually are rather than at the beginning.
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 how long this has been happening, whether it has always been this way, and what else may be feeding it. Describing it accurately is most of the work, and none of it will be the first time they have heard it. 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. This is a condition that is usually adjusted rather than settled in one go, so 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 who book this have been living with it quietly for years, and the single most useful thing they do is describe it accurately to a doctor instead of reading about it at two in the morning. Some cases need something other than a prescription, and some need to be looked at in person first. Here is the honest picture.
Likely suitable
- Finishing sooner than you want to, often rather than occasionally, and it is affecting you
- It has been the pattern since your earliest experiences
- It started at some point after years of things being different, which usually has a reason worth finding
- It happens alongside difficulty getting or keeping an erection, which the doctor will want to take in the right order
- It happens alongside anxiety about sex, which travels with this often and is part of the assessment rather than a reason to be turned away
- You have been putting this off, and would rather handle it quietly with a real doctor
Not suitable
- Under 18
- Pain when you ejaculate, blood in the semen, or pain or swelling in a testicle, which needs to be seen in person
- Chest pain during sex or exercise, which is a reason to be checked properly before anything else is considered
- Symptoms that began with a new medicine, where reviewing that medicine comes before adding to it
- A neurological condition, or recent prostate or pelvic surgery, where an in-person assessment comes first
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 medical treatment is not right for you, you are not put on a plan, and we point you to the care that fits. Carisma Medical is not for emergencies. If you are unwell now, call 112.
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 |
| Saying it out loud | Once, to the doctor, and to nobody else | Across a desk, in a room you may have to sit in first | Nobody asks, which is the problem |
| 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
Saying it out loud
- Carisma Medical
- Once, to the doctor, and to nobody else
- A typical GP visit
- Across a desk, in a room you may have to sit in first
- Foreign pill websites
- Nobody asks, which is the problem
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: your GP is a perfectly good place to raise this, and we will say so when it is true. We exist for the care people put off for years because asking for it felt too public.
Before you ask
The Questions People Actually Have
What actually counts as premature ejaculation?
There is no stopwatch that decides it, and the number people quote online is less useful than it sounds. What a doctor works from is whether it happens sooner than you want it to, whether that is most of the time rather than occasionally, and whether it is causing you distress or difficulty. If those things are true for you, it is worth a consultation, whatever the clock says. Your doctor will also ask how long it has been going on and whether it has always been this way, because that changes what is likely to be behind it.
Is this physical, or is it in my head?
Usually there is something of both, and telling them apart is a large part of what the consultation is for. Ejaculation is a reflex, with nerves, chemistry and state of mind all feeding into it, so anxiety can drive it and it can just as easily be the consequence of something physical. It travels with anxiety about sex often, and it travels with difficulty getting or keeping an erection often, which is why the doctor asks about both rather than treating what you booked for in isolation. What it is not is a character flaw or a verdict on you.
Will I have to describe it in detail?
You will be asked clear, factual questions, and you will not be asked to narrate your sex life. The doctor needs to know how long it has been going on, whether it has always been this way, whether it happens every time or only in certain situations, and what else is going on with your health and any medicines you take. That is a short list of questions, asked plainly by someone who asks them every week. Most of it you can write down in the free pre-assessment before you speak to anyone, so the call starts with the doctor already knowing.
Does it get better?
It is a treatable condition, and it often has a cause that can be identified rather than simply endured. What no doctor can honestly do is promise you a particular outcome, and anyone promising one is selling something. What your doctor can do is work out what is most likely to be driving it, be straight with you about the realistic options, and see you again whenever you want to be seen, because this is usually adjusted over time rather than settled in one go. Cases that have been the pattern since the earliest experiences and cases that appeared later in life are approached differently, which is why the doctor asks.
Can this be treated alongside erectile difficulty?
Yes, and the two turn up together often enough that your doctor will ask about both whichever one you booked for. Where both are present there is usually an order to it, because difficulty with erections can itself produce a rush to finish, and dealing with that first sometimes settles a good deal of the rest. Working out which is the primary problem before deciding anything is exactly the sort of judgement a form on a website cannot make, and it is the reason every patient here has a consultation.
What if my partner wants to be on the call?
They are welcome, if that is what you want. Some people find it easier with their partner there, some would much rather not, and both are entirely normal. It is your consultation, so it is your decision, and you can make it on the day. If your partner is not on the call, your doctor will still talk through what is worth saying to them and how, because telling someone is the part people dread most and it is usually far less of a conversation than they expect.
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 situation, at your consultation. Maltese and EU rules do not allow prescription medicines to be advertised to the public, and we follow them, which is one way you can tell a medical service from a pill site. What we can say is that there is more than one approach used in this area, that not all of it is a prescription, and that your doctor will go through what is appropriate for you privately before anything is decided. If the honest answer is that a prescription is not the right first step for you, that is what you will be told.
Who sees my answers?
Your doctor and our small clinical team, and nobody else. Your answers are a medical record, held in medical confidence inside the EU. They are never sold and never shared with advertisers, and nothing is sent to your GP, your insurer or anyone else unless you ask us to send it. There is no reception, no counter and nobody in a waiting room. 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, including one nowhere near where you live or work.
When is this not the right service?
If you have pain when you ejaculate, blood in your semen, or pain or swelling in a testicle, that needs to be seen in person rather than assessed on video, and you should not wait for an appointment with us. The same applies if you get chest pain during sex or exercise, which is a reason to be checked properly before anything else is considered. We treat patients aged 18 and over in Malta and Gozo. Carisma Medical is not for emergencies. If you are unwell now, call 112.

