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Please register first to obtain treatment
Registration is free and without obligation to order

Registration Explained

To continue your order, please complete the registration form, this will take about 2 minutes. The information is for the sole use of the Doctor to assess your condition and approve you for treatment if applicable. The information will not be used for any other marketing purposes whatsoever.

For further information, please check our registration FAQ's.
Registered with the care Quality Commission

Questions Related to Libido loss

In order to prescribe treatments for Libido loss our doctor needs some information regarding this specific condition. Please complete the following as accurately as possible.

Do you suffer from decreased libido or low sex drive ? If so, please describe your symptoms.
           
Please provide details

Has your Uterus been removed?
       

Have your ovaries been removed?
       

Are you currently taking any hormonal medicines (such as HRT) ? If so please state the exact name and dosage of all treatments taken.
       

Are you currently going through Menopause or are you Post-Menopausal?
       

Are you under the age of 45?
       

Has your doctor determined that your sexual hormone levels are low?
       

Have you ever been diagnosed with breast cancer?
       

When was your last breast check?

Do you suffer from liver disease?
       

Do you suffer from kidney disease?
       

Do you suffer from heart disease?
       

Is there any possibility that you could be pregnant?
       

There is no chance that anyone pregnant can not come into contact with this medication if prescribed to me.
 

Are you taking warfarin?
       

I understand that I need to take concurrent oestrogen treatment with Intrinsa, and will source that from my regular doctor.
 

I agree to the Terms and Conditions
 

 

© 2004 - 2018 FMC Marketing Limited, UK CQC-registered company working with medical professionals GMC registered doctors and UK-registered pharmacies.
Our Doctors:
Doctor Nitin Shori (Clinical Lead) - GMC Reference Number: 6047293
Doctor Alexandra Phelan - GMC Reference Number 6150198

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FMC Marketing Limited is registered in England No. 04780577 Registered address; Hampshire House, 204 Holly Road, Aldershot, Hampshire, GU12 4SE